脉冲式静滴缩宫素联合针刺治疗原发性宫缩乏力临床效果  

Clinical effect of acupuncture combined with pulsed intravenous infusion of oxytocin for treating pregnant women with primary uterine inertia

作　　者：邢丽颖 王秋 XING Liying;WANG Qiu(People's Hospital of Langfang City, Hebei Province, 065000)

机构地区：[1]河北省廊坊市人民医院,065000

出　　处：《中国计划生育学杂志》2021年第11期2305-2308,共4页Chinese Journal of Family Planning

基　　金：廊坊市科技支撑计划项目(2019013148)。

摘　　要：目的:探究脉冲式静滴缩宫素联合针刺治疗原发性宫缩乏力的临床疗效。方法:选取2018年5月-2020年5月本院分娩且出现原发性宫缩乏力症状的产妇120例,随机分为常规组及观察组,常规组行单纯脉冲式静滴缩宫素治疗,观察组在常规组基础上实施针刺治疗,比较两组临床疗效。结果:观察组治疗总有效率(81.7%)高于常规组(65.0%),顺产率(53.3%)高于常规组(38.3%),剖宫产率(23.3%)低于常规组(33.3%),第一产程(418.46±115.37min)及总产程(479.46±148.34min)均低于常规组(均P<0.05);不良分娩结局主要包括胎儿窘迫、产后出血、新生儿窒息及新生儿感染,观察组发生率(6.67%)低于常规组(21.7%)(P<0.05)。结论:对原发性宫缩乏力产妇实施脉冲式静滴缩宫素联合针刺治疗,能够有效提高产妇宫缩能力及宫口张开速度,对促进产程加快及改善分娩方式有一定临床效果,同时能够降低产后并发症的发生。Objective:To explore the clinical efficacy of acupuncture combined with pulsed intravenous infusion of oxytocin for treating pregnant women with primary uterine inertia.Methods:A total of 120 pregnant women with primary uterine inertia were selected and were randomly divided into control group and study group from May 2018 to May 2020.The women in the control group were given pulse intravenous infusion of oxytocin for treating primary uterine inertia asthenia,and the women in the study group were given acupuncture combined with pulsed intravenous infusion of oxytocin for treating primary uterine inertia asthenia.The clinical efficacy of the women was compared between the two groups.Results:The total effective rate(81.7%)of the women in the study group was significantly higher than that(65.0%)of the women in the control group,the rate of nature delivery(53.3%)of the women in the study group was significantly higher than that(38.3%)of the women in the control group,and the rate of cesarean section(23.3%)of the women in the study group was significantly lower than that(33.3%)of the women in the control group.The duration of the first stage of labor(418.46±115.37min)and the duration of total stage of labor(479.46±148.34min)of the women in the study group were significantly lower than those of the women in the control group(P<0.05).The incidence of adverse delivery outcomes(6.7%),mainly included fetal distress,postpartum hemorrhage,neonatal asphyxia and neonatal infection,of the women in the study group was significantly lower than that(21.7%)of the women in the control group(P<0.05).Conclusion:Acupuncture combined with pulsed intravenous infusion of oxytocin for treating pregnant women with primary uterine inertia can effectively improve the uterine contraction capacity and the opening speed of cervix uteri.It is of great clinical significance for accelerating the labor process and improving the delivery mode,and can reduce the occurrence of postpartum complications.

关 键 词：原发性宫缩乏力 脉冲式静滴缩宫素 针刺 临床疗效 产程 分娩方式 不良分娩结局 

分 类 号：R47[医药卫生—护理学]