羊水过少胎儿生物物理象监护中耳针刺激的效果

The Effect of Ear Acupuncture on BPS of Oligohydramnios

羊水过少是常见妊娠并发症,围产儿并发病机率(病率)很高。本文对203例羊水过少孕妇应用耳针刺激胎儿生物物理象(BPS)进行再次综合评价,降低了胎心无负荷试验(NST)的假无反应率,唤醒了生理休眠状态的胎儿,降低了以胎儿宫内窘迫为指征的剖宫产率。试行对部分羊水过少耳针刺激有效者,在严密产程观察下引产及阴道试产,剖官产率由92％降至58％,围产儿病率3％(6/203),无围产儿死亡。

Oligohydramnios is a common complication of pregnancy which causes much higher-perinatal morbidity. We reassessed BPS in 203 cases of oligohydramnios after ear acupuncture stimulation, by arousing fetuses in biophysical sleeping. We have reduced the false nonreactive rate of NST and have lowered the cesarean section rate with an indication of fetal distress. Under close monitoring, we tried to give some oligohydramnios patients with improved BPS after ear acupuncture a chance of trial labor and found that the cesarean section rate decreased from 92% to 58%, perinatal morbidity rate dropped to 3% with no perinatal death.