艾灸三阴交穴对产程的影响:随机对照研究  

Effect of moxibustion at Sanyinjiao(SP 6) on the process of childbirth:a randomized controlled study

作　　者：金子环[1] 张盼[1] 马树祥[2] 

机构地区：[1]河北联合大学护理学系,唐山063000 [2]河北联合大学中医学系,唐山063000

出　　处：《中国针灸》2011年第1期7-10,共4页Chinese Acupuncture & Moxibustion

基　　金：唐山市科学技术研究与发展计划项目:08130206C

摘　　要：目的:探讨艾灸三阴交穴对正常分娩产程及母婴安全性影响。方法:选取单胎头位初产妇174例为研究对象,采用单盲、随机方法分为穴位组(59例)、非穴组(57例)和空白组(58例)。宫口开大2～3 cm时,穴位组采用DAJ-23型多功能艾灸仪艾灸三阴交,非穴组采用艾灸仪艾灸非穴点(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),各30min,空白组行常规产程护理,比较3组第1产程活跃期、第2产程、第3产程及母婴安全性差异。结果:穴位组第1产程活跃期(123.05±96.401)min,第2产程(37.407±22.390)min,均短于非穴组的(171.40±94.339)min、(49.517±25.373)min,及空白组的(178.79±97.231)min、(53.684±20.087)min(均P<0.05),穴位组能加速第1产程活跃期及第2产程进展;第3产程各组间比较差异均无统计学意义(均P>0.05)。穴位组产后出血量少于非穴组和空白组(均P<0.05);穴位组和非穴组新生儿Apgar评分均高于空白组(均P<0.05)。结论:艾灸三阴交穴能缩短产程,减少产后出血,对母婴无不良影响。Objective To explore the effect of moxibustion at Sanyinjiao （SP 6） on normal process of childbirth and safety of mothers and infants. Methods One hundred and seventy-four cases of singleton primiparas, fetal head position were selected as the subjects and divided into three groups by single-blind randomized method： an aeupoint group （n=59）, a non-acupoint group （n= 57） and a blank group （n=58）. When the cervix was dilated by 2 to 3 era, DAJ-23 type multi-function moxibustion apparatus was used at Sanyinjiao （SP 6） in aeupoint group, and at non-acupoint spot （the midpoint from the radial arterial pulse throbbing place on the radial side of the transverse crease of the wrist to the radial end of biceps tendon of the elbow） in non-acupoint group, 30 min for each one. The conventional labor care was adopted in blank group. The differences .were observed in the first active stage, the second stage and the third stage of the labor as well as the safety of mothers and infants among three groups. Results The durations of the first active stage of labor [（123. 05±96. 401） mini and the second stage [（37. 407±22. 390） mini in aeupoint group were shorter than those [（171.40±94. 339） min, （49. 517±25. 373） mini in non-acupoint group, as well as those [（178.79±97. 231） min, （53. 684±20. 087） mini in blank group separately （all P〈0.05）. It was discovered that the progressions of the first active stage and the second stage of labor were aceelerated in acupoint group, and there was no statistically significant difference in the third stage of labor among the three groups （all P〉0.05）. Bleeding amount after childbirth in acupoint group was less than those in non-acupoint group and blank group （both P〈0.05）, and Apgar scores of newborns in aeupoint group and non-aeupoint group were higher than that in blank group （both P〈0. 05）. Conclusion Moxibustion at Sanyinjiao （SP 6） can shorten the process of ehildhirth, reduce postpartum bleeding and has no

关 键 词：艾灸 穴 三阴交 产程 母婴护理 安全 

分 类 号：R246.3[医药卫生—针灸推拿学]