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Auricular acupressure promotes uterine involution after cesarean section: A randomized controlled trial.

作者信息

Wang Shu-Xin, Zeng Jing-Chun, Li Ting, Zhang Wan-Lan, Li Yan-Fang, Zhou Run-Jin, Liu Zi-Jun, Liu Yu-Ling, Zhuang Xun, Zhang Rui, Lu Li-Ming, Lin Guo-Hua

机构信息

Department of Rehabilitation, First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China.

Guangzhou University of Chinese Medicine, Guangzhou, China.

出版信息

Integr Med Res. 2021 Sep;10(3):100724. doi: 10.1016/j.imr.2021.100724. Epub 2021 Apr 20.

DOI:10.1016/j.imr.2021.100724
PMID:34040981
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8144667/
Abstract

BACKGROUND

Postpartum subinvolution of the uterus is a more common condition after cesarean section. Auricular acupressure (AA) is widely used for the treatment of postpartum diseases. However, few studies have explored the effects of AA as a treatment of uterine involution following cesarean section to date. This study aimed to assess the efficacy and safety of AA for uterine involution after cesarean section.

METHODS

A total of 109 women who underwent cesarean section participated in this study. They were randomly allocated to either real AA or sham AA in a 1:1 ratio by a computer program. For 3 days, the real AA and sham AA groups received treatment 3 times daily. A series of assessments at 42 days after cesarean section, namely on the uterine size, the incidence of hydrometra, the first anal exsufflation time, bleeding volume at 6 hours, bleeding volume at 6-24 hours along with other general assessments were carried out.

RESULTS

A total of 89 women completed the study. The uterine size at 42 days after a cesarean section was 6.3 cm smaller in the real AA group than in the sham AA group ( < 0.01). The incidence of hydrometra on day 42 postpartum was lower in the real AA group than in the sham AA group ( < 0.01). The lochia duration and the first anal exsufflation time after cesarean section were shorter in the real AA group than in the sham AA group ( < 0.05).

CONCLUSION

AA improves uterine involution after cesarean section.

TRIAL REGISTRATION

ChiCTR1800015569.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcee/8144667/788a45dd909a/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcee/8144667/788a45dd909a/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcee/8144667/788a45dd909a/gr1.jpg

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本文引用的文献

1
[Effect of auricular acupuncture on postpartum rehabilitation of primipara with cesarean].耳针疗法对剖宫产初产妇产后康复的影响
Zhongguo Zhen Jiu. 2019 Jul 12;39(7):717-20. doi: 10.13703/j.0255-2930.2019.07.010.
2
[Effect of transcutaneous electrical acupoint stimulation on recovery of gastrointestinal function after cesarean section].[经皮穴位电刺激对剖宫产术后胃肠功能恢复的影响]
Zhongguo Zhen Jiu. 2019 Mar 12;39(3):259-62. doi: 10.13703/j.0255-2930.2019.03.010.
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Auricular acupuncture for treatment of preoperative anxiety in patients scheduled for ambulatory gynaecological surgery: a prospective controlled investigation with a non-randomised arm.
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Acupuncture for pain control after Caesarean section: a prospective observational pilot study.剖宫产术后疼痛控制的针灸治疗:一项前瞻性观察性试点研究。
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Impaired lactation performance following elective delivery at term: role of maternal levels of cortisol and prolactin.足月择期分娩后泌乳功能受损:母体皮质醇和催乳素水平的作用。
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