耳针用于妊娠晚期引产疗效观察.docVIP

耳针用于妊娠晚期引产疗效观察石淑贤1　白丽敏2　高永珍2　胡青萍2 (1.包头医学院附属第一医院,内蒙古014010;2 .包头市东河区医院) [摘　要]　 对妊娠晚期需要引产的单胎初产妇400例,随机分为耳针组和对照组各200例。耳针组 :选孕 妇左耳内分泌、子宫两穴,定穴后用麝香膏固定耳针,令孕妇每隔20分钟自行按压1次, 持 续5分钟,待分娩后24小时取下。对照组:除产科常规处理外,不做特殊处理。结果耳针 组宫口扩张迅速,产程短,产后出血少,新生儿窒息少。 [主题词]　 耳针;引产;耳穴,内分泌;耳穴,子宫(精宫);产程,第二/针灸效应 Observation on the Therape utic Effect of Auricular Acupuncture for Induced Labor of Third Trimester of Pre gnancy Shi Shuxn?1,Bai Limin?2,Ga o Yongzhen?2,Hu Qingping?2,(1.First Affilia ted Hospital of Baotou Medical College,N eimenggu 014010;2.Baotu Municipal Donghe District Hospital) [Abstract]　Purpose　To observe the t herapeutic effect of auricular acupunctu re for induced labor of third trimester of pregnancy. Methods　400 primiparae o f monocyesis who needed induced labor in third trimester of pregnancy,were rando mly divided into auricular acupuncture t reatment group and control group,200 cas es in each group,in the treatment group, Neifenmi(MA-IC3) and Zigong (MA) points on the left side were selected,and Shex iang Plaster was used for fixation of t he auricular needle,the pregnant women w as asked to press the needle once for 5 minutes every 20 minutes,and it was remo ved 24 hours after delivery;The control group did not receive special treatment except routine treatment in obstetrical department.Results　In the auricular acupuncture group,osti um of uterus dilated more rapidly,with s horter delivery course,less hemorrhage o f postpartum and less asphyxia neonatoru m.Conclusion　Auricular a cupuncture has a definite therapeutic ef fect for induced labor of third trimeste r of pregnancy. [Key words]　Auricular Ac u puncture;Induced Labor;Auricular Point,N eifenmi(MA-IC3),Zhigong (MA,Jinggong);De livery Course,Second/acup eff 引产是妊娠晚期常用的治疗手段之一。催产素作为常规用药被广泛使用 30余年,对其静脉用药必须专人管理调节控制药物剂量,监护宫缩进展情况下方可使用。 近年有关耳针及 穴位注射用于早、中期妊娠流产的做法时有报道。笔者应用耳针贴压用于妊娠晚期引产收效 良好。现就其有效性、安全性的观察效果报告如下。 1　一般资料 自1995～1999年4年间共收治妊娠晚期因各种产科指征要求引产的单胎初产妇 ,除外 产道异常及其它禁忌症者共400例,年龄22～39岁,孕期32?+～42周,宫颈评 分Bish