不同刺激参数对电针辅助药物流产作用影响的对照研究  

A comparative study of effects of electroacupuncture with different stimulation parameters on medicine-induced abortion

作　　者：马良宵[1] 杨芳[2] 朱江[1] 贺稚平[3] 陈燕[3] 徐鸿雁[3] 刘玉祁[1] 陈寅萤[1] 

机构地区：[1]北京中医药大学针灸学院,北京100029 [2]辽宁中医药大学 [3]北京中医药大学东直门医院

出　　处：《中国针灸》2008年第7期477-480,共4页Chinese Acupuncture & Moxibustion

基　　金：国家重点基础研究发展计划973资助项目:2006CB504503

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30～60min内，电针1组（37例）和电针2组（38例）用电针治疗。电针1组同时电针双侧舍谷和三阴交，簇形波，频率100Hz；电针2组先电针舍谷20min后加针三阴交5min，连续波，频率50Hz。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（P〉0．05）；2个电针组患者的平均排囊时间均显著短于药物组（P〈0．01，P〈0．05）；2个电针组阴道出血持续时间亦均显著短于药物组（P〈0．01）；电针2组减轻腹痛的效果显著好于药物组（P〈0．01）和电针1组（P〈0．05）。结论：不同刺激参数电针对辅助药物流产的效果不同。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 （P〉0.05）, the duration of eliminating embryonic sac and the colporrhagia lasting time in the two EA groups were significantly shorter than those in the medication group （P〈0.05, P〈0.01） ; alleviation of abdominal pain in the EA group B was better than the medication group （P〈0.01） and the EA group A （P〈0.05）. Conclusion Different stimulation parameters of EA have different effects on abortion.

关 键 词：流产 药物 流产 不全/针灸疗法 电针 电刺激 

分 类 号：R246.3[医药卫生—针灸推拿学]