不同刺激参数对电针辅助药物流产作用影响对照研究.docVIP

不同刺激参数对电针辅助药物流产作用影响的对照研究 　　文章编号：0255-2930(2008)07-0477-03 　　中图分类号：R 246.3 文献标志码：A 临床研究 　　 　　[摘 要] 目的：观察不同电针刺激参数对药物流产的辅助作用。方法：将109例早孕患者随机分成3组，在口服米索前列醇后30~60 min内，电针1组（37例）和电针2组（38例）用电针治疗。电针1组同时电针双侧合谷和三阴交，簇形波，频率100 Hz；电针2组先电针合谷20 min后加针三阴交5 min，连续波，频率50 Hz。药物组（34例）不予电针治疗。记录完全流产率、排囊时间、阴道出血持续时间和腹痛情况。结果：电针1组、电针2组的完全流产率分别为91.9%和86.8%，均高于药物组的82.4%，但组间差异无显著性意义（P0.05）；2个电针组患者的平均排囊时间均显著短于药物组（P0.01，P0.05）；2个电针组阴道出血持续时间亦均显著短于药物组（P0.01）；电针2组减轻腹痛的效果显著好于药物组（P0.01）和电针1组（P0.05）。结论：不同刺激参数电针对辅助药物流产的效果不同。 　　[关键词] 流产，药物；流产，不全/针灸疗法；电针；电刺激 　　 　　A comparative study of effects of electroacupuncture with different stimulation parameters on medicine-induced abortion 　　MA Liang-xiao1, YANG Fang2, ZHU Jiang1 , HE Zhi-ping3, CHEN Yan3, XU Hong-yan3, LIU Yu-qi1, CHEN Yin-ying1 (1. School of Acupuncture and Moxibustion, Beijing University of CM, Beijing 100029, China; 2. Liaoning University of TCM; 3. Dongzhimen Hospital of Beijing University of CM) 　　ABSTRACT：Objective To observe the effect of electroacupuncture (EA) with different stimulation parameters on medicine-induced abortion. Methods One hundred and nine cases of early pregnancy who asked medicine-induced abortion were allocated to an EA group A (n=37), an EA group B (n=38) and a medication group (n=34). Within 30-60 min after oral administration of Misoprostol, in the EA group A, EA was given at bilateral Hegu (LI 4) and Sanyinjiao (SP 6) with cluster waves of 100 Hz and in the EA group B, EA was given at Hegu (LI 4) for 20 min and then at Sanyinjiao (SP 6) for 5 min with continuous waves of 50 Hz. EA was not given to the medication group. The complete abortion rate, duration of eliminating embryonic sac, colporrhagia lasting time and abdominal pain condition were recorded. Results The complete abortion rate was 91.9% in the EA group A and 86.8% in the EA group B, which were higher than 82.4% in the medication group, with no significant differences between the 3 groups (P0.05); the duration of eliminating embryonic sac and the