灼灸促进产后妊娠组织残留物排出的临床研究  

Clinical Study on Burning Moxibustion for Promoting the Excretion of Postpartum Pregnancy Tissue Residues

作　　者：彭远容 刘玲 熊婷婷 邓春华 郑三娟 PENG Yuanrong;LIU Ling;XIONG Tingting;DENG Chunhua;ZHENG Sanjuan(Chengdu Shuangliu District Maternal and Child Health Hospital,Chengdu 610000,China)

机构地区：[1]成都市双流区妇幼保健院,成都610000

出　　处：《上海针灸杂志》2022年第5期495-498,共4页Shanghai Journal of Acupuncture and Moxibustion

基　　金：成都市卫生健康委员会科研项目(2019027)。

摘　　要：目的观察灼灸在促进产后宫内妊娠组织残留物排出的作用。方法将234例产妇随机分为观察组与对照组,每组117例。对照组采用缩宫素治疗,观察组采用中医灼灸治疗。观察两组治疗前后产妇的彩超、血清β-人绒毛促性腺激素(HCG)值的变化,并比较两组的阴道流血时间及清宫率。结果两组治疗后宫腔内不均质回声平均径线值较治疗前减小(P<0.05),观察组小于对照组(P<0.05)。两组治疗后血清β-HCG水平降低(P<0.05),观察组低于对照组(P<0.05)。观察组阴道流血时间短于对照组(P<0.05)。两组清宫率比较,差异无统计学意义(P>0.05)。结论灼灸可有效促进产后宫内残留组织的排出,并缩短产后阴道流血时间,加快血β-hCG水平下降,促进子宫复旧。Objective To observe the promoting effect of burning moxibustion on the excretion of postpartum.Method Two hundred and thirty-four postpartum women were randomized to observation and control groups,with 117 cases in each group.The control group was treated with oxytocin and the observation group,with TCM burning moxibustion.Color ultrasonogram and bloodβ-human chorionic gonadotropin(HCG)levels were observed in the two groups before and after treatment.Vaginal bleeding durations and uterine clearance rates were compared between the two groups.Result After treatment,the mean diameter of intrauterine heterogeneous echo decreased in the groups compared with before(P<0.05)and was smaller in the observation group than in the control group(P<0.05).After treatment,bloodβ-HCG levels decreased in the two groups compared with before(P<0.05)and were lower in the observation group than in the control group(P<0.05).Vaginal bleeding duration was shorter in the observation group than in the control group(P<0.05).Uterine clearance rate had no statistically significant difference between the two groups(P>0.05).Conclusion Burning moxibustion can effectively promote the excretion of postpartum intrauterine residual tissue,shorten vaginal bleeding duration,speed a decrease in bloodβ-HCG levels and promote the recovery of uterus.

关 键 词：灸法 艾炷灸 直接灸 产后 胎盘残留 产后出血 人绒毛促性腺激素 

分 类 号：R246.3[医药卫生—针灸推拿学]