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三阴交穴电针引产效果的临床观察

[Clinical observation on the effect of electroacupuncture of Sanyinjiao (SP 6) on labor].

作者信息

Ma Wen-zhu, Zhou Pei-juan, Zhang Yi, Yuan Ying, Wu Ying, Zhao Chun-hua, Xia Ying-li

机构信息

School of Acu-moxibustion of Beijing University of Chinese Medicine, Beijing 100029, China.

出版信息

Zhen Ci Yan Jiu. 2010 Jun;35(3):217-21.

Abstract

OBJECTIVE

To observe the effect of electroacupuncture (EA) of Sanyinjiao (SP 6) on labor in parturients.

METHODS

A total of 349 parturients were randomly divided into EA (n=117), sham-EA (n=117) and control (n=115) groups. The visual analog scale (VAS) was used to assess the pain intensity of puerperas with labor before and after acupuncture intervention. After excluding those puerperas with cesarean section, the time required for each stage of labor and the total duration of labor were observed in 286 cases of natural delivery women including 92 cases in the control group, 94 cases in the sham-EA group and 100 cases in the EA group. EA (2 Hz/100 Hz, 20 mA) was given to the puerperas for 30 min after the needle in a cannula was tapped into Sanyinjiao(SP 6) and when the dilatation of cervix was about 2-3 cm wide. For puerperas of sham-EA group, the operation was similar, but no real acupuncture needle and no real electric current were given.

RESULTS

The VAS score for childbirth pain intensity was significantly lower in EA group than in control group (P < 0.05) and had no significant difference between sham-EA and control group (P > 0.05). The duration of the active phase of the first stage of labor was significantly lower in EA group than in sham-EA group (P < 0.05), but had no significant difference between sham-EA and control groups (P > 0.05). No significant differences were found among the 3 groups in the latency of the first stage of labor, in the duration of the 2nd and the 3rd stages of labor and in the total phase of labor (P > 0.05).

CONCLUSION

EA of SP 6 can relieve the pain intensity of the labor and shorten the duration of the active period of first stage of labor in puerperas, suggesting an improvement of the quality of delivery after EA.

摘要

目的

观察针刺三阴交穴对产妇分娩的影响。

方法

将349例产妇随机分为电针组(n = 117)、假电针组(n = 117)和对照组(n = 115)。采用视觉模拟评分法(VAS)评估针刺干预前后产妇分娩时的疼痛强度。排除剖宫产产妇后,观察286例自然分娩产妇各产程所需时间及总产程,其中对照组92例、假电针组94例、电针组100例。当宫颈口扩张至约2 - 3 cm宽时,将套管针针刺入三阴交穴后,给予电针组产妇电针(2 Hz/100 Hz,20 mA)30分钟。假电针组产妇操作类似,但不给予真正的针灸针和电流。

结果

电针组分娩疼痛强度的VAS评分显著低于对照组(P < 0.05),假电针组与对照组之间无显著差异(P > 0.05)。电针组第一产程活跃期持续时间显著低于假电针组(P < 0.05),但假电针组与对照组之间无显著差异(P > 0.05)。三组在第一产程潜伏期、第二产程和第三产程持续时间以及总产程方面均无显著差异(P > 0.05)。

结论

针刺三阴交可减轻产妇分娩时的疼痛强度,缩短第一产程活跃期持续时间,提示电针后分娩质量有所改善。

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