Lyngsø Charlotte Egholm, Lorentzen Iben Prentow, Lauszus Finn
Hospitalsenhed Vest, Obstetrisk og Gynaekologisk Afdeling, Denmark.
Ugeskr Laeger. 2010 Jan 25;172(4):289-93.
In Denmark, 45% of all primiparas and 12% of multiparas with uneventful pregnancies are augmented in order to treat dystocia. Augmentation using oxytocin is associated with uterine hyperstimulation, uterine rupture and foetal death. Currently, no studies show that acupuncture is effective for augmentation.
A single-blinded randomized controlled trial with women diagnosed with dystocia. In the acupuncture group, the women had acupuncture in SP6, KI3, KI6, BL60, LI4 and acupressure on BL67. The control group received no treatment. The primary outcome was progression in cervical dilatation within two hours. The secondary outcomes were length of labour, length of second stage, use of augmentation, use of analgesia, caesarean section rate and number of instrumental deliveries.
A total of 84 women were randomised. There was no significant difference between the groups with regard to dilatation from randomization to effect assessment (p = 0.54). In the acupuncture group, the mean difference was 1.3 cm (0.69-1.91). In the control group, the mean difference was 1.56 (0.6-2.52). 27% of the women with dystocia delivered spontaneously without augmentation. No major side effects of acupuncture treatment were reported.
This study showed no effect of acupuncture treatment for primary or secondary inertia.
在丹麦，45%的初产妇和12%孕期正常的经产妇会接受引产以治疗难产。使用缩宫素引产与子宫过度刺激、子宫破裂及胎儿死亡有关。目前，尚无研究表明针刺疗法对引产有效。
一项针对诊断为难产的女性的单盲随机对照试验。针刺组女性针刺三阴交（SP6）、太溪（KI3）、交信（KI6）、昆仑（BL60）、合谷（LI4）并按压至阴（BL67）。对照组不接受治疗。主要结局是两小时内宫颈扩张进展情况。次要结局包括产程长度、第二产程长度、引产使用情况、镇痛使用情况、剖宫产率及器械助产数量。
共84名女性被随机分组。从随机分组到效果评估，两组在宫颈扩张方面无显著差异（p = 0.54）。针刺组平均差异为1.3厘米（0.69 - 1.91）。对照组平均差异为1.56（0.6 - 2.52）。27%的难产女性未使用引产措施而自然分娩。未报告针刺治疗的重大副作用。
本研究表明针刺疗法对原发性或继发性宫缩乏力无效。
