针刺治疗对剖宫产术后子宫复旧的影响  

Acupuncture treatment on uterine involution after cesarean section

作　　者：艾雅琴[1] 钱爱玉[1] 

机构地区：[1]河北北方学院附属第二医院,河北张家口075100

出　　处：《吉林中医药》2015年第2期201-203,共3页Jilin Journal of Chinese Medicine

基　　金：张家口市科技进步项目(2014JB2037-06)

摘　　要：目的观察中医针刺疗法对剖宫产术后产妇子宫复旧的影响。方法选取2013年1月—2013年8月于我院行剖宫产分娩的产妇100例,随机分为观察组与对照组,观察组产妇术后在常规处置的基础上加用针刺合谷、三阴交、气海、关元,对照组产妇术后只采用常规处置。结果 2组产妇产后当天及产后第1天宫底高度比较差异均无统计学意义,观察组产妇产后第2~5天每日宫底高度均显著低于对照组（P〈0.05）;观察组产妇产后第1~5天每日宫底下降高度显著优于对照组（P〈0.05）;观察组产妇产后48 h出血量及恶露持续时间均显著低于对照组（P〈0.05）;2组产妇产后第2天血HGB、RBC水平均较产前显著下降（P〈0.05）;观察组产妇产后第2天血HGB、RBC水平显著低于对照组（P〈0.05）。结论剖宫产术后配合针刺治疗,可有效促进产妇子宫收缩,缩短恶露持续时间,减少产后出血量,加快子宫复旧。Objective To observe the effect of Chinese acupuncture treatment on the uterine involution after cesarean section. Methods A total of 100 delivery women who were admitted in our hospital and underwent cesarean section from January,2013 to August,2013 were enrolled in our study and randomized into the observation group and the control group. Based on the conventional treatment,acupuncture of Hegu,Sanyinjiao,Qihai,and Guanyuan was added to promote the uterine involution in the observation group; while the patients in the control group were only given routine treatment. Results The comparison of the fundus height between the day and the first day after delivery in the two groups was no statistically different. The fundus height from the second to the fifth day after delivery in the observation group was significantly lower than that in the control group（ P〈 0. 05）. The descending height of the fundus from the first to the fifth day after delivery in the observation group was significantly higher than that in the control group（ P〈 0. 05）. The amount of patients＇ postpartum bleeding 48 h after delivery and the duration of lochia in the observation group were obviously lower than control group（ P〈 0. 05）. The HGB and RBC levels on the second day after delivery in two groups were significantly reduced when compared with those before delivery（ P〈 0. 05）. The HGB and RBC levels the second day after delivery in the observation group were significantly lower than control group（ P〈 0. 05）.Conclusion Acupuncture treatment for patients after cesarean section can effectively promote the uterine contraction,shorten the duration of lochia,reduce the amount of postpartum bleeding,and quicken the uterine involution.

关 键 词：剖宫产 针灸 子宫复旧 穴 合谷 穴 三阴交 穴 气海 穴 关元 

分 类 号：R246.3[医药卫生—针灸推拿学]