电针三阴交（SP 6）对分娩影响及安全性的临床观察

[Clinical observation of the impacts and safety of electroacupuncture at Sanyinjiao (SP 6) on labor].

作者信息

Liu Ya-Li, Jin Zhi-Gao

机构信息

Department of Acupuncture and Moxibustion, China Meitan General Hospital, Beijing 100028, China.

出版信息

Zhongguo Zhen Jiu. 2012 May;32(5):409-12.

PMID:22650125

Abstract

OBJECTIVE

To observe the impacts of electroacupuncture (EA) at Sanyinjiao (SP 6) on labor and assess its safety.

METHODS

The random and single-blind method was adopted to divide 111 cases of the puerperas of natural delivery into an EA group (38 cases), a sham-acupuncture group (37 cases) and a blank control group (36 cases). In EA group, Sanyinjiao (SP 6) was selected and stimulated with Han's acupoint nerve stimulator (HANS). In the sham-acupuncture group, the puerperas were stimulated only with the needle tube, needle removed in advance and they felt subjectively to be needled. Afterward, the filiform needle was attached to Sanyinjiao (SP 6) with the needle tip wrapped with the adhesive plaster in advance, then HANS which one conducting wire was cut off in was connected. In the blank control group, no any treatment was applied, but the same indices were recorded at corresponding time points. The blood pressure and the heart rate of the puerperas as well as the heart rate of fetus were measured in 20 min of EA and 30 min after needle removal in three groups separately. The bleeding 24 h after labor and 1 min Apger score of the newborns were observed.

RESULTS

In EA group, the active phase of the 1st labor stage ((4.38 +/- 1.76)h) was shorter than that ((5.28 +/- 2.41)h) in the blank control group and that ((5.38 +/- 2.36)h) in the sham-acupuncture group, presenting statistically significant differences (all P < 0.05). In the latent phase of the 1st labor stage and the 2nd and 3rd stages, in the comparison of the blood pressure and the heart rate of the puerperas as well as the heart rate of fetus after EA, the bleeding 24 h after labor and 1 min Apger score of the newborns among three groups, there were no statistically significant differences (all P > 0.05).

CONCLUSION

EA at Sanyinjiao (SP 6) can shorten the duration of the active phase of the 1st labor stage. It is safe for either the puerpera or the fetus and can assist the parturition quality in clinic.

摘要

目的

观察三阴交穴位电针刺激对分娩的影响并评估其安全性。

方法

采用随机单盲法将111例自然分娩产妇分为电针组（38例）、假针刺组（37例）和空白对照组（36例）。电针组选取三阴交穴，采用韩氏穴位神经刺激仪（HANS）进行刺激。假针刺组仅用针管刺激产妇，提前将针取出，使其主观感觉被针刺。随后，将毫针预先用胶布包裹针尖后贴于三阴交穴，再连接切断一根导线的HANS。空白对照组不进行任何治疗，但在相应时间点记录相同指标。分别在三组电针刺激20分钟及拔针后30分钟测量产妇血压、心率及胎儿心率。观察产后24小时出血量及新生儿1分钟Apgar评分。

结果

电针组第一产程活跃期为（4.38±1.76）小时，短于空白对照组的（5.28±2.41）小时和假针刺组的（5.38±2.36）小时，差异具有统计学意义（均P<0.05）。在第一产程潜伏期、第二产程和第三产程中，三组产妇血压、心率及胎儿心率比较，产后24小时出血量及新生儿1分钟Apgar评分比较，差异均无统计学意义（均P>0.05）。