Practical exploration of collaborative nursing of plum blossom needle tapping and ginger juice application based on the theory of Zhuang medicine in the management of morning sickness
基于壮医理论的梅花针叩刺与壮医姜汁涂擦协同护理在孕吐管理中的实践探索

摘要

目的 探讨基于壮医理论的梅花针叩刺联合壮医姜汁涂擦协同护理在孕吐管理中的应用效果。方法选取2024年1月至2025年5月于我院妇科病房就诊的早孕期孕吐患者共60例，随机分为观察组与对照组各30例。对照组给予常规孕吐护理措施，观察组在此基础上，结合壮医辨证，采用梅花针对头额、颞部经络叩刺（每日1次），并于内关穴行姜汁涂擦配合涂法（每日1次）。比较两组在干预第3、5、7天的孕吐频次、体重变化情况及护理满意度。结果 干预后，观察组孕吐频次在第5天（2.3±0.8）次/日、第7天（1.1±0.6）次/日明显低于对照组（P＜0.05），第3天差异无统计学意义（P＞0.05）。观察组体重较干预前平均回升（1.4±0.5）kg，优于对照组（0.6±0.4）kg（P＜0.05）。护理满意度显著提升（93.3% vs 70.0%，χ²=4.32，P=0.038），两组干预期间均未见明显不良反应。结论 在孕吐护理中引入梅花针与壮医姜汁涂擦协同干预具有良好安全性与可操作性，能有效缓解症状，值得在临床推广应用。

Abstract

Objective To explore the application effect of plum blossom needle tapping combined with Zhuang medicine ginger juice rubbing collaborative nursing based on Zhuang medicine theory in the management of morning sickness.
Methods Select patients from January 2024 to May 2025 in the gynecology ward of our hospital A total of 60 patients with morning sickness during early pregnancy were randomly divided into an observation group and a control group, with 30 patients in each group. The control group was given routine morning sickness care measures, while the observation group was treated with plum blossom acupuncture on the forehead and temporal meridians (once a day) based on the diagnosis and treatment of Zhuang medicine. Ginger juice was also applied to the Neiguan acupoint (once a day). Compare the frequency of morning sickness, weight changes, and nursing satisfaction between two groups on the 3rd, 5th, and 7th day of intervention.
Results After intervention, the frequency of morning sickness in the observation group was significantly lower than that in the control group on the 5th day (2.3 ± 0.8) and 7th day (1.1 ± 0.6) (P<0.05), and the difference was not statistically significant on the 3rd day (P>0.05). The weight of the observation group increased by an average of (1.4 ± 0.5) kg compared to before the intervention, which was better than that of the control group (0.6 ± 0.4) kg (P<0.05). Nursing satisfaction significantly improved (93.3% vs 70.0%, χ ²=4.32, P=0.038), and no significant adverse reactions were observed during the intervention period in both groups.
Conclusion   The synergistic intervention of plum blossom needle and Zhuang medicine ginger juice rubbing in the nursing of morning sickness has good safety and operability, can effectively alleviate symptoms, and is worthy of clinical promotion and application.