62例门诊针刺促宫颈成熟的安全性及有效性分析  

Analysis of the safety and effectiveness of acupuncture in promoting cervical ripening in 62 outpatients

作　　者：唐冬梅 赖德利 周胜兰 曾小燕 魏素梅 魏璐 范从红 熊雯 罗丹 TANG Dongmei;LAI Deli;ZHOU Shenglan;ZENG Xiaoyan;WEI Sumei;WEI Lu;FAN Conghong;XIONG Wen;LUO Dan(Department of Obstetric Intensive Care Unit,the Affiliated Women’s and Children’s Hospital,School of Medical,UESTC/Chengdu Women’s and Children’s Central Hospital,Chengdu,Sichuan 610091,China;Department of Traditional Chinese Medicine,the Affiliated Women’s and Children’s Hospital,School of Medical,UESTC/Chengdu Women’s and Children’s Central Hospital,Chengdu,Sichuan 610091,China)

机构地区：[1]电子科技大学医学院附属妇女儿童医院/成都市妇女儿童中心医院重症产科,成都610091 [2]电子科技大学医学院附属妇女儿童医院/成都市妇女儿童中心医院中医科,成都610091

出　　处：《重庆医学》2024年第3期354-358,364,共6页Chongqing medicine

基　　金：四川省科技计划重点研发项目(2021YFS025)。

摘　　要：目的探讨门诊针刺促宫颈成熟的安全性及有效性。方法选取2021年4月至2022年12月于该院产科门诊评估,中医科行针刺促宫颈成熟后成功经阴道分娩孕妇62例为试验组;另选取同期按产科指征入院,未行任何措施促宫颈成熟且成功经阴道分娩的孕妇62例为对照组。比较两组一般临床资料、孕妇产时情况、新生儿结局,以及试验组刺前后宫颈Bishop评分。观察试验组不良事件发生情况。结果试验组针刺后宫颈Bishop评分较针刺前明显升高(P<0.05)。两组产后出血量、产后出血、会阴侧切、宫颈裂伤及阴道血肿比例均无明显差异(P>0.05);试验组使用缩宫素比例明显低于对照组(P<0.05)。试验组总产程、第一产程及第二产程时长均明显长于对照组(P<0.05)。两组新生儿体重及新生儿窒息比例均无明显差异(P>0.05)。试验组针刺1个疗程的孕妇新生儿体重、使用缩宫素比例均明显低于针刺2个疗程及以上的孕妇(P<0.05)。试验组无一例孕妇发生晕针、血肿、皮下出血、针刺部位疼痛等不良反应。结论门诊针刺能有效促宫颈成熟,降低缩宫素使用率,且使用后无严重不良反应。Objective To explore the safety and effectiveness of acupuncture in promoting cervical ripening in outpatient clinic.Methods From April 2021 to December 2022,a total of 62 pregnant women who were evaluated in Department of Obstetric Outpatient in this hospital and successfully delivered vaginally after acupuncture for cervical ripening in Department of Traditional Chinese Medicine were selected as the experiment group.Another 62 pregnant women who were admitted to this hospital according to obstetric indications during the same period without any measures to promote cervical ripening and successfully delivered vaginally were selected as the control group.The general clinic data,labour outcomes of pregnant women,neonatal outcomes of the two groups were compared.In experimental group,cervical Bishop scores before and after acupuncture were compared,and the occurrence of adverse events was observed.Results The cervical Bishop score of the experimental group after acupuncture was significantly higher than that before acupuncture(P<0.05).There was no statistically significant difference in the amount of postpartum bleeding,proportions of postpartum hemorrhage,episiotomy,laceration of cervix,and hematoma of the vagina between the two groups(P>0.05).The proportion of oxytocin used in the experimental group was significantly lower than that in the control group(P<0.05).The total duration of labor,the first and the second stage of labor duration in the experiment group were significantly longer than those in the control group(P<0.05).There was no statistically significant difference in neonatal weight and proportion of neonatal asphyxia between the two groups(P>0.05).In the experimental group,the neonatal weight and proportion of using oxytocin of women who had one course of acupuncture were significantly lower than those had two or more courses of acupuncture(P<0.05).No adverse reactions such as fainting,hematoma,subcutaneous hemorrhage,and pain at the acupuncture site occurred in the experimental group.Conclusion Outpat

关 键 词：门诊 针刺 宫颈成熟 BISHOP评分 妊娠结局 

分 类 号：R719.3[医药卫生—妇产科学]