2018年美国妇产科医师学会实践简报:妊娠期恶心呕吐(No.189)解读

doi:10.3969/j.issn.1674-490X.2018.03.002

摘要/Abstract

摘要： 妊娠期恶心呕吐是孕早期的常见症状,给孕妇的生活质量带来影响的同时威胁母胎生命安全,甚至造成妊娠终止。由于受疾病认识程度及药物安全性对胚胎潜在危害等因素的影响,该病的及时就诊率及用药率较低,且选择治疗方案时常过于保守,当疾病进一步发展时往往使治疗更加棘手。为规范其诊断及管理,美国妇产科医师学会于2018年1月更新发布了妊娠期恶心呕吐管理第189号文件,通过审查当前质量最佳的有关妊娠期恶心呕吐诊断及管理的循证医学证据,提出相应指导和建议。

关键词: 妊娠期恶心呕吐, 指南, 解读

Abstract: Nausea and vomiting of pregnancy is a common symptom in early pregnancy. Not only does it affect the quality of life of pregnant women, but also make threaten to the mother and fetus. What’s worse, it even results in termination of the pregnancy. Hyperemesis gravidarum is a more severe grade of delayed nausea and vomiting. The pregnant woman's perception of the severity of her own symptoms and her desire for treatment play a critical role in the decision of whether, when, and how to treat nausea and vomiting of pregnancy. What's more, considering the safety of medications, pregnant women usually do not seek treatment timely or choose some conservative treatments. Safe and effective treatments are available for more severe cases, and mild cases of nausea and vomiting of pregnancy may be resolved with lifestyle and dietary changes. Early treatment of nausea and vomiting of pregnancy may be beneficial to prevent progression to hyperemesis gravidarum. Once nausea and vomiting of pregnancy progresses, it can become more difficult to control. In order to standardize the diagnosis and management, American College of Obstetricians and Gynecologists updated the document No.189 in which the best available evidence about the diagnosis and management of nausea and vomiting of pregnancy is reviewed.

Key words: nausea and vomiting of pregnancy, guideline, interpretation

中图分类号:

R714.7

辛虹,黄静,王璐璐. 2018年美国妇产科医师学会实践简报:妊娠期恶心呕吐(No.189)解读[J]. 医学研究与教育, 2018, 35(3): 6-19.

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