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[中医引产方法与医院常规方法的疗效比较]

[Efficacy comparison between Chinese medicine's labor inducement methods and conventional methods customary in hospitals].

作者信息

Amir Nir, Berger Ruti, Grinfeld Taron, Kaner Pazit, Gabinet Yael

出版信息

Harefuah. 2015 Jan;154(1):47-51, 67, 66.

Abstract

INTRODUCTION

According to Chinese medicine, a correct balance of Qi (energy) and quantity of blood are vital in order to commence labor and continue the childbirth process. Correspondingly, there are two main reasons for a delayed or difficult childbirth: lack of Qi and blood or stagnation of Qi and blood.

AIM

Efficacy comparison of Chinese medicine's inducement methods to conventional methods and to the combination of both.

METHODS

Retrospective study with 80 women participating aged 22-40, who required labor inducement. The study group consisted of 50 women who received Chinese medicine's inducement treatment (Shiatsu and/or Acupuncture) prior to and/or during hospitalization. The control group consisted of 30 women who received customary hospital labor inducement methods. All the women received the questionnaires between one month to 10 years after childbirth.

RESULTS

Significant correlation was found between Chinese medicine inducement methods (Shiatsu/Acupuncture) and reduction of additional interventions throughout the birth process, when these were given during hospitalization (x2=47.29, d.f.=21, p=0.001). Correlation close to significant was found when inducement was given prior to hospitalization, especially when labor was induced by Shiatsu (x2=16.8, d.f.=9, p=0.052). An outstanding difference was found in shortening the birth process time (MS=0.45, F(6,72)=2.505, p=0.029) when combining Chinese medicine and conventional inducement methods (medicinal/mechanical).

CONCLUSIONS

Study results show that Chinese medicine inducement methods, whether or not combined with conventional methods, are an important and effective tool in their ability to reduce the extent of intervention throughout the birth process and also in reducing delivery completion interventions.

SUMMARY

Significant difference was found in shortening labor process when inducement treatment combined both Chinese medicine and conventional methods, in comparison to conventional inducement alone {medicinal/mechanical). This is an important result considering the high availability and low cost of Chinese treatment, and especially because it is a non-harmful method of inducement.

摘要

引言

根据中医理论,气血的正确平衡对于启动分娩和延续分娩过程至关重要。相应地,分娩延迟或困难主要有两个原因:气血不足或气血瘀滞。

目的

比较中医引产方法与传统方法以及两者结合的效果。

方法

对80名年龄在22至40岁之间需要引产的女性进行回顾性研究。研究组由50名在住院前和/或住院期间接受中医引产治疗(指压和/或针灸)的女性组成。对照组由30名接受常规医院引产方法的女性组成。所有女性在产后1个月至10年期间接受问卷调查。

结果

当在住院期间采用中医引产方法(指压/针灸)时,发现其与整个分娩过程中减少额外干预措施之间存在显著相关性(χ²=47.29,自由度=21,p=0.001)。当在住院前进行引产时,发现相关性接近显著,尤其是通过指压引产时(χ²=16.8,自由度=9,p=0.052)。在将中医和传统引产方法(药物/机械)结合使用时,发现缩短分娩过程时间方面存在显著差异(MS=0.45,F(6,72)=2.505,p=0.029)。

结论

研究结果表明,中医引产方法,无论是否与传统方法结合,在减少整个分娩过程中的干预程度以及减少分娩完成干预方面都是一种重要且有效的工具。

总结

与单独的传统引产方法(药物/机械)相比,当引产治疗结合中医和传统方法时,在缩短产程方面发现了显著差异。考虑到中医治疗的高可用性和低成本,特别是因为它是一种无害的引产方法,这是一个重要的结果。

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