艾灸三阴交穴对产程及母婴安全性的影响

Effect of Moxibusting at Sanyinjiao on Stages of Labor and the Safety of Mothers and Infants

目的探讨艾灸三阴交穴对正常分娩产程及母婴安全性影响。方法将174名正常分娩单胎头位初产妇随机分为试验组、非穴组及空白组,宫口开大3cm时试验组艾灸三阴交、非穴组艾灸非穴点各30min,空白组行常规产程护理,比较3组第一产程活跃期、第二产程、第三产程及母婴安全性差异。结果艾灸前3组产妇第一产程潜伏期比较差异无统计学意义(P>0.05)。3组产妇第一产程活跃期、第二产程比较差异均有统计学意义(P<0.05),试验组活跃期、第二产程时间明显少于非穴组及空白组,差异均有统计学意义(P<0.05)。3组产妇产后出血量比较差异有统计学意义(P<0.05),试验组与非穴组、空白组比较,差异均有统计学意义(P<0.05)。3组产妇1min内新生儿Apgar评分比较差异有统计学意义(P<0.05),试验组与空白组比较,差异有统计学意义(P<0.05)。结论艾灸三阴交穴能缩短产程,减少产后出血,对母婴无不良影响。

Objective To study the effect of moxibusting at Sanyinjiao point （SP 6） on the stages of labor in normal delivery and the safety of mothers and infants.Methods Totally 174 primiparas,in normal delivery and with singleton and cephalic presentation,were divided randomly as trial group,blank group and non-point group.When the cervix dilated to 3cm,moxibustion at Sanyinjiao was conducted for the subjects in the trial group,moxibustion at non-point site was given for those in the non-point group separately for 30 minutes;conventional labor care was used for those in the blank group.The differences of the first active phase of labor,second and third stages of labor and the safety of mothers and infants among the three groups were compared.Results Before the treatment,the latent period of the first stage showed no significant difference among the 3 groups （P0.05）.However,after the treatment there were significant differences among the 3 groups in the first active phase and second stage of labor（P0.05）.The times of the first active phase and second stage of labor in the trial group were significantly shorter than those in the other two groups （P0.05）.And there was significant difference among the 3 groups in amount of bleeding after childbirth （P0.05）,and so was there as comparing the trial group with the other two groups （P0.05）.he Apgar score of newborns within 1 minute in the trial group was higher than those in the other two groups （P0.05）.Conclusion Moxibusting at Sanyinjiao point can shorten stage of labor,reduce the amount of postpartum bleeding and have no harmful effects to mothers and infants.