Clinical study of multidisciplinary cooperative diagnosis and treatment system in treating common somatic dysfunction symptoms of pregnant women

Objective To explore the clinical effects of clinical diagnosis and treatment system of physiological regulation, psychological adjustment, music conditioning (PPM) under multidisciplinary cooperative model in treating common somatic dysfunction symptoms of pregnant women. Methods A total of 93 pregnant women with 6 common somatic dysfunction symptoms including nausea, vomit, gastric distention, constipation, frequent micturition and palpitation were chosen as research subjects. All of these pregnant women received prenatal examination in the Study Base of Psychosomatic Health Outpatient for Pregnant Women of 9 medical institutes such as Dagang Maternal and Child Care Center in Binhai New Area, Tianjin, etc., from November to December 2017. The subjects were randomly divided into observation group (n=45) and control group (n=48) by lotting method. On the basis of prenatal health education, PPM diagnosis and treatment system was adopted for treatment of subjects in observation group, while subjects in control group only took prenatal health education. Independent-samples t test was taken to compare the Hamilton Anxiety Scale (HAMA) score before treatment between two groups. Chi-square test was taken to compare the constituent ratios of age, educational background, occupation, parturient type, gestational age and functional status of autonomic nerves system (ANS) of the pregnant women after 3 weeks of treatment between two groups. Mann-Whitney U rank sum test was taken to compare clinical effects of 6 common somatic dysfunction symptoms after 3 weeks of treatment between two groups. Procedures adopted in this research which was approved by the ethical committee were in line with ethical standards made by Institutional Review Board of the aforementioned 9 medical institutes. After obtaining informed consent of the subjects, informed clinical research consent was signed with each of them. Results ① Before treatment, ANS functional status of pregnant women in two groups were all in disorder. There were no significant differences between two groups of pregnant women in constituent ratios of age, educational background, occupation, parturient type and gestational age, and HAMA score before treatment (P>0.05). ② Marked effective rate, effective rate and ineffective rate of nausea therapeutic results of the pregnant women in observation group were 80.8% (21/26), 19.2% (5/26) and 0, respectively, and those in control group were 12.5% (3/24), 41.7% (10/24) and 45.8% (11/24), respectively. Marked effective rate, effective rate and ineffective rate of vomit therapeutic results of the pregnant women in observation group were 89.5% (17/19), 10.5% (2/19) and 0, respectively, and those in control group were 17.6% (3/17), 64.8%(11/17) and 17.6% (3/17), respectively. Marked effective rate, effective rate and ineffective rate of gastric distention therapeutic results of the pregnant women in observation group were 100.0% (13/13), 0 and 0, respectively, and those in control group were 14.3% (1/7), 28.6% (2/7) and 57.1% (4/7), respectively. Marked effective rate, effective rate and ineffective rate of constipation therapeutic results of the pregnant women in observation group were 100.0% (7/7), 0 and 0, respectively, and those in control group was 0, 0 and 100.0% (12/12), respectively. Marked effective rate, effective rate and ineffective rate of frequent micturition therapeutic results of the pregnant women in observation group were 87.5% (14/16), 12.5% (2/16) and 0, respectively, and those in control group was 23.1% (3/13), 0 and 76.9% (10/13), respectively. Marked effective rate, effective rate and ineffective rate of palpitation therapeutic results of the pregnant women in observation group were 100.0% (7/7), 0 and 0, respectively, and those in control group was 0, 0 and 100.0% (1/1), respectively. The marked effective rates of 6 common somatic dysfunctions of the pregnant women in observation group, namely nausea, vomit, gastric distention, constipation, frequent micturition and palpitation, all were statistically higher than those in control group, and all the differences were statistically significant (Z=-4.222, -4.351, -4.255, -4.243, -3.719, -2.646; P<0.05). After 3 weeks of treatment, the 6 common somatic dysfunctions in observation group were greatly improved when compared to those of control group. ③ Regarding ANS functional status of the pregnant women after treatment, 4.4%(2/45) was in disorder state and 95.6%(43/45) was in equilibrium state of observation group, while 100.0%(48/48) was still in disorder state of control group. There was significant difference between two groups of pregnant women in constituent ratio of ANS functional status after treatment (χ2=85.312, P<0.001). Conclusion The PPM clinical diagnosis and treatment system under multidisciplinary cooperation model can effectively treat common somatic dysfunction symptoms of pregnant women. Key words: Multidisciplinary cooperation; Psychophysiologic disorders; Somatoform disorders; Pregnant women