[电针治疗对产后子宫收缩痛及子宫复旧的影响：一项随机对照试验]

[Effect of electroacupuncture on postpartum uterine contraction pain and uterine involution: a randomized controlled trial].

作者信息

Su Wen-Wu, Pan Jia-Lei, Gao Zhi-Yun, Gao Xiu-An

机构信息

Department of TCM, Foshan Women and Children Hospital, Foshan 528000, Guangdong Province, China.

出版信息

Zhongguo Zhen Jiu. 2021 Feb 12;41(2):165-8. doi: 10.13703/j.0255-2930.20200202-k0001.

DOI:10.13703/j.0255-2930.20200202-k0001

PMID:33788464

Abstract

OBJECTIVE

To observe the effect of electroacupuncture on postpartum uterine contraction pain and uterine involution.

METHODS

A total of 80 patients with postpartum uterine contraction pain were randomly divided into an observation group and a control group, 40 cases in each group. The observation group was treated with electroacupuncture at Dahe (KI 12), Zhongzhu (KI 15), Hegu (LI 4), Xuehai (SP 10), etc. for 30 min, once a day, 3 days were as one course, and 2 courses with 1-day interval were required. The control group was treated with oral tablet, 4 tablets each time, 3 times a day for 7 days. Before treatment, 24, 48, 72 h into treatment and after treatment, the visual analogue scale (VAS) score was observed; the maximum anteroposterior diameter of uterine hemorrhage, the area of hemorrhage, the space between uterus fundus and umbilical cord, and the summation of three diameters of uterus before and after treatment were compared, and the time of postpartum uterine contraction pain disappeared was recorded in the two groups.

RESULTS

Compared before treatment, the VAS scores of 24, 48, 72 h into treatment and after treatment were decreased in both groups (<0.05), and those in the observation group were lower than the control group (<0.05). Compared before treatment, the maximum anteroposterior diameter of uterine hemorrhage, the area of hemorrhage and the summation of three diameters of uterus after treatment were decreased (<0.05), the space between uterus fundus and umbilical cord was increased in both groups (<0.05), and those in the observation group were superior to the control group (<0.05). The number of days required to treat the uterine contraction pain in the observation group was shorter than the control group (<0.05).

CONCLUSION

Electroacupuncture can effectively relieve postpartum uterine contraction pain, accelerate the discharge of residual uterine hemorrhage in the uterine cavity, and promote uterine involution.

摘要

目的

观察电针治疗产后宫缩痛及促进子宫复旧的效果。

方法

将80例产后宫缩痛患者随机分为观察组和对照组，每组40例。观察组采用电针针刺大赫（KI 12）、中注（KI 15）、合谷（LI 4）、血海（SP 10）等穴位30分钟，每日1次，3日为1个疗程，共需2个疗程，疗程间隔1天。对照组口服片，每次4片，每日3次，共7天。于治疗前、治疗后24、48、72小时及治疗结束后，观察视觉模拟评分（VAS）；比较治疗前后子宫出血的最大前后径、出血面积、宫底与脐的距离及子宫三径之和，并记录两组产后宫缩痛消失时间。

结果

与治疗前比较，两组治疗后24、48、72小时及治疗结束后的VAS评分均降低（<0.05），且观察组低于对照组（<0.05）。与治疗前比较，两组治疗后子宫出血的最大前后径、出血面积及子宫三径之和均减小（<0.05），宫底与脐的距离均增大（<0.05），且观察组优于对照组（<0.05）。观察组治疗宫缩痛所需天数短于对照组（<0.05）。