三阴交――合谷穴艾灸对产程及产后出血量的影响.docVIP

三阴交――合谷穴艾灸对产程及产后出血量的影响 　　【摘要】目的：观察艾灸三阴交-合谷穴对产程和产后出血量的影响。方法： 200例初产妇，采用单盲、随机方法分为三阴交-合谷组、三阴交组、合谷组、非穴位组和空白组5组，每组各40例。三阴交-合谷组在产妇出现规律性宫缩痛、宫口开大3cm时行三阴交穴联合合谷穴施灸30min；三阴交组在三阴交穴施灸30min；合谷组在合谷穴施灸30min；非穴组在腕横纹桡侧端桡动脉搏动处至肘横纹肱二头肌腱桡侧端连线的中点处施灸30min；空白组不做艾灸干预。分别对产妇第一产程、第二产程、第三产程及总产程时间及娩出胎盘后出血量、产后2h出血量及产后24h出血量进行比较。结果：三阴交-合谷组与空白组第一产程、第二产程、第三产程比较差异有统计学意义；三阴交组与空白组第一产程比较差异有统计学意义；合谷组与空白组第二产程比较差异有统计学意义。三阴交-合谷组与空白组娩出胎盘后出血量、产后2h出血量及产后24h出血量比较差异有统计学意义；三阴交组与空白组产后2h出血量比较差异有统计学意义；合谷组与空白组娩出胎盘后出血量及产后24h出血量比较差异有统计学意义，其余比较差异均无统计学意义。结论：艾灸三阴交穴、合谷穴艾灸对产妇产程的影响效果有效，但联合穴位艾灸更能缩短产程、促进产程进展、减少产后出血量，是安全的催产方法。 　　【关键词】三阴交；合谷；艾灸；产程；产后出血 　　Effect of moxibusting at Sanyinjiao-Hegu on the stage of labor and postpartum hemorrhageHUO Guixia1， JIN Zihuan2△， LI Bohong1， MA Shuxiang3. 1. Department of Obstetrics and Gynaecology，Tangshan Caofeidian District Hospital ，Tangshan 063200，Hebei，China；； 2. College of Clinical Medicine， Huabei Polytechnic University， Tangshan 063009， Hebei， China； 3.College of Traditional Chinese Medicine， Huabei Polytechnic University， Tangshan 063009， Hebei， China 　　【Abstract】Objectives： To observe the effect of moxibustion at sanyinjiao-hegu on the stage of labor and postpartum hemorrhage. Methods： 200 primiparas， using single blind method， were randomly divided into the sanyinjiao group， the hegu group， sanyinjiao-hegu group， non-acupuncture group and the blank group， each of 40 cases. Patients in the sanyinjiao-hegu group received moxibustion for 30min at sanyinjiao-hegu， when regular uterine contraction pain occurred and the ostium of uterus was over 3cm. The sanyinjiao group and hegu group received moxibustion at sanyinjiao and hegu respectively for 30min. The non-acupuncture group was exerted moxibustion therapy at the midpoint of the radial side of wrist horizontal stripes of radial side radial pulse place to elbow horizontal stripes biceps tendon for 30min， while the blank group had no moxibustion intervention. The time of each labor stage and whole delivery time as well as the pos