电针合谷、三阴交穴辅助药物流产的临床观察  

Electroacupuncture of Hegu(LI 4) and Sanyinjiao(SP 6) Assists Medicinal Abortion

作　　者：艾潇 王琳 刘晓瑜 蔡超群 易玮 AI Xiao;WANG Lin;LIU Xiao-yu;CAI Chao-qun;YI Wei(Clinical Medical College of Acupuncture-moxibustion and Rehabilitation;South China Research Center for Acupuncture and Moxibustion of Clinical Medical College of Acupuncture-moccibustion and Rehabilitation,Guangzhou University of Traditional Chinese Medicine,Guangzhou 510006,China;Rehabilitation Department,Yueyang Hospital of Traditional Chinese Medicine,Yueyang 414000,Hunan Province)

机构地区：[1]广州中医药大学针灸康复临床医学院,广州510006 [2]岳阳市中医医院康复科,湖南岳阳414000 [3]广州中医药大学针灸康复临床医学院华南针灸研究中心,广州510006

出　　处：《针刺研究》2018年第7期456-458,F0003,共4页Acupuncture Research

基　　金：广东省教育厅青年创新人才项目(No.2016KQNCX 027)

摘　　要：目的:观察电针疗法对早孕药物流产患者腹痛、完全流产率、排囊时间的影响。方法:60例早孕患者随机分为对照组和治疗组,每组30例。对照组给予常规流产药物米非司酮片配伍米索前列醇片,治疗组在对照组基础上施以电针双侧合谷、三阴交穴,两组均在服药第3天早晨于医院留观期间记录一般资料、腹痛视觉模拟量尺(VAS)评分、完全流产率、排囊时间,进行统计分析。结果:排囊后,两组的VAS评分较服用流产前药物后均有明显下降(P<0.01),治疗组较对照组下降更为明显(P<0.01)。两组完全流产率比较,差异无统计学意义(P>0.05)。两组排囊时间比较,治疗组明显短于对照组,差异有统计学意义(P<0.01)。结论:服用常规药物后施以电针合谷、三阴交穴,比常规药物组在镇痛、缩短排囊时间方面有明显优势。Objective To observe the effectiveness of electroacupuncture（EA）therapy in promoting medicinal abortion.Methods Sixty participants with early pregnancy were randomly divided into medication（control）and EA＋medication groups（n=30 in each）.Participants in the control group were treated by regular medication（mifepristone and misoprostol tablets）,and those of the EA group were treated by EA stimulation（2 Hz/100 Hz,a tolerable strength）of bilateral Hegu（LI 4）and Sanyinjiao（SP 6）for 25 min,and also by the same medication method mentioned in the control group.Participants of both groups were admitted to the hospital for observation on the 3 rd day after taking medication.The abdominal pain was assessed by visual analogue scale（VAS）score,and the foetal sac discharge duration and the complete abortion rate were recorded.Results After the treatment,the VAS scores of both groups were significantly reduced in comparison with their own pre-treatment in each group（P〈0.01）,and the VAS score of the EA＋medication group was significantly lower than that of the medication group（P〈0.01）.The foetal sac discharge duration was significantly shorter in the EA＋medication group than in the medication group（P〈0.01）.The abortion rates showed no significant difference between the two groups（P〉0.05）.Conclusion EA stimulation of Hegu（LI 4）and Sanyinjiao（SP 6）has a positive effect in assisting medicinal abortion in reducing abdominal pain and shortening foetal sac discharge duration.

关 键 词：药物流产 电针 合谷 三阴交 

分 类 号：R245.97[医药卫生—针灸推拿学]