Jiang Yu, Cui Jin
Acupuncture-Moxibustion Department, The First Affiliated Hospital of Guiyang College of TCM, Guiyang 550001, Guizhou Province, China.
Zhongguo Zhen Jiu. 2011 Sep;31(9):769-72.
To verify the efficacy of moxibustion at Guanyuan (CV 4) and Shenque (CV 8) on the duration of vaginal bleeding for patients with midtrimester induction of labor and explore its mechanism.
One hundred cases of midtrimester induction of labor were divided randomly into an observation group (50 cases) and a control group (50 cases). In control group, on the day of labor induction, Mifepristone was taken orally and intraamnionic injection of Rivanol was administered in the morning. In the morning on the second day, Misoprostol was taken orally. After delivery, the uterine curettage was given and 10 U Oxytocin was injected intramuscularly. In observation group, on the basis of the treatment as control group, moxibustion was given in combination. After Rivanol injection, moxibustion was applied to Shenque (CV 8) and Guanyuan (CV 4), for 15 min each time, once every 8 h. Totally, 4 treatments were required. The mean duration of vaginal bleeding was observed and the levels of serum estradiol (E2) and progesterone (P) were determined before and after treatment in two groups.
The mean duration of vaginal bleeding was (8.82 +/- 2.98) days in observation group, which was shortened apparently as compared with (10.59 +/- 3.46) days in control group (P < 0.05). After treatment, the level of serum E2 increased and that of P decreased in either group (all P < 0.01). The increase of E2 in observation group was superior to that in control group (P < 0.05).
Moxibustion at Guanyuan (CV 4) and Shenque (CV 8) may shorten the duration of vaginal bleeding for patients with midtrimester induction of labor. Probably through the increase of serum E2 level and the decrease of P level, the uterine contraction is effectively enhanced and the excretion of placental villi and deciduas is promoted. As a result, endometrial repair occurs rapidly.
验证关元穴（CV 4）和神阙穴（CV 8）艾灸对中期引产患者阴道出血持续时间的疗效并探讨其机制。
将100例中期引产患者随机分为观察组（50例）和对照组（50例）。对照组在引产当天早晨口服米非司酮并羊膜腔内注射利凡诺。第二天早晨口服米索前列醇。产后行清宫术并肌内注射10 U缩宫素。观察组在对照组治疗基础上加用艾灸。利凡诺注射后，对神阙穴（CV 8）和关元穴（CV 4）进行艾灸，每次15分钟，每8小时1次，共进行4次治疗。观察两组阴道出血的平均持续时间，并测定两组治疗前后血清雌二醇（E2）和孕酮（P）水平。
观察组阴道出血平均持续时间为（8.82±2.98）天，与对照组的（10.59±3.46）天相比明显缩短（P<0.05）。治疗后，两组血清E2水平均升高，P水平均降低（均P<0.01）。观察组E2升高幅度优于对照组（P<0.05）。
关元穴（CV 4）和神阙穴（CV 8）艾灸可缩短中期引产患者阴道出血的持续时间。可能是通过提高血清E2水平、降低P水平，有效增强子宫收缩，促进胎盘绒毛和蜕膜排出，从而使子宫内膜快速修复。
