Su Wen-Wu, Zhao Min-Hong, Pan Qing-Jie, Huo Zhi-Hao, Gao Xiu-An
Department of TCM, Foshan Women and Children Hospital, Foshan 528000, Guangdong Province, China.
Zhongguo Zhen Jiu. 2021 Aug 12;41(8):871-5. doi: 10.13703/j.0255-2930.20200716-k0003.
OBJECTIVE: To observe the clinical therapeutic effect of the combination of electroacupuncture (EA) at points (bilateral Shangliao [BL 31], Ciliao [BL 32], Zhongliao [BL 33] and Xialiao [BL 34]) and oral administration of mifepristone tablets and its influence on uterine volume restoration after uterine curettage of incomplete abortion as compared with simple oral administration of mifeprstone tablets. METHODS: A total of 58 patients after uterine curettage of incomplete abortion were randomized into an EA group and a western medication group, 29 cases in each one. In the western medication group, mifepristone tablets were administered orally, 2 tablets each time, once daily. In the EA group, on the base of the treatment as the western medication group, EA was applied to points, with disperse-dense wave, once daily, 50 min each time. The treatment for 3 days was as one course and 2 courses of treatment were required, at the interval of 1 day in the two courses. Before and after treatment, the area of intrauterine residue and blood flow signal positive rate of color Doppler flow imaging (CDFI) were recorded in patients of the two groups respectively. The days of vaginal bleeding and the rate of second operation were recorded after treatment in patients of the two groups. Using the three-dimensional ultrasound B reconstruction, the uterine endometrial volume after menstruation resumption was measured in patients of the two groups, and the clinical therapeutic effect was evaluated. RESULTS: After treatment, the intrauterine residue area and CDFI blood flow signal positive rate were all reduced as compared with the values before treatment in patients of the two groups (<0.05). After treatment, the intrauterine residue area and CDFI blood flow signal positive rate in the EA group were less than those in the western medication group (<0.05). After treatment, the days of vaginal bleeding in patients of the EA group were less than that in the western medication group and the rate of second operation was lower than the western medication group (<0.05). The uterine endomentrial volume after menstruation resumption in the EA group was larger than that in the western medication group after treatment (<0.05). The total effective rate was 55.2% (16/29) in the EA group, higher than 37.9% (11/29) in the western medication group (<0.05). CONCLUSION: The combined treatment of electroacupuncture at points and oral administration of mifepristone tablets effectively promotes uterine contraction, softens and discharges intrauterine residue and contributes to uterine volume restoration in the patients after uterine curettage of incomplete abortion. The therapeutic effect of this combined therapy is better than simple oral administration of mifepristone tablets.
目的：观察针刺双侧上髎（BL 31）、次髎（BL 32）、中髎（BL 33）和下髎（BL 34）穴位配合口服米非司酮片的临床治疗效果，以及与单纯口服米非司酮片相比，其对不全流产清宫术后子宫体积恢复的影响。 方法：选取58例不全流产清宫术后患者，随机分为电针组和西药组，每组29例。西药组口服米非司酮片，每次2片，每日1次。电针组在西药组治疗基础上，针刺上述穴位，采用疏密波，每日1次，每次50分钟。3天为1个疗程，共需治疗2个疗程，两个疗程间隔1天。分别记录两组患者治疗前后宫腔内残留物面积及彩色多普勒血流成像（CDFI）血流信号阳性率。记录两组患者治疗后阴道出血天数及二次手术率。采用三维超声B重建测量两组患者月经复潮后子宫内膜体积，评价临床治疗效果。 结果：治疗后，两组患者宫腔内残留物面积及CDFI血流信号阳性率均较治疗前降低（<0.05）。治疗后，电针组宫腔内残留物面积及CDFI血流信号阳性率低于西药组（<0.05）。治疗后，电针组患者阴道出血天数少于西药组，二次手术率低于西药组（<0.05）。治疗后电针组月经复潮后子宫内膜体积大于西药组（<0.05）。电针组总有效率为55.2%（16/29），高于西药组的37.9%（11/29）（<0.05）。 结论：针刺穴位配合口服米非司酮片治疗能有效促进不全流产清宫术后患者子宫收缩，软化并排出宫腔内残留物，有助于子宫体积恢复。该联合治疗方法的疗效优于单纯口服米非司酮片。
Zhen Ci Yan Jiu. 2018-7-25
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