穴位埋线防治气血亏虚型产褥期妇女宫缩痛

Clinical research on acupoint catgut implantation in the prevention and treatment of postpartum pain of uterine contraction with qiand blood deficiency

目的:观察穴位埋线对气血亏虚型产妇产后宫缩痛的影响。方法:选取符合中医辨证气血亏虚型阴式分娩的初产妇110例为研究对象,随机分为穴位埋线组(55例)和常规护理组(55例)。穴位埋线组在产后6h内对产妇予以穴位埋线,穴取子宫、足三里、三阴交、脾俞、膈俞,并予常规产后护理。常规护理组仅予常规产后护理。比较两组产妇于埋线后24h、48h、72h、96h宫缩痛视觉模拟评分(VAS)及宫缩痛停止时间。结果:穴位埋线组埋线后24h、48h、72h、96h宫缩痛VAS评分均较常规护理组明显降低(3.31±0.39vs 4.31±0.29,1.86±0.29vs2.66±0.25,0.89±0.21vs 1.59±0.24,0.35±0.10vs 0.69±0.13,均P<0.05);穴位埋线组宫缩痛停止时间为(72.06±6.83)h,常规护理组为(123.42±11.12)h,穴位埋线组宫缩痛停止时间明显缩短(P<0.01)。结论:对产后初产妇6h内实施穴位埋线干预,能有效地防治产后宫缩痛。

Objective To observe the impacts of the acupoint catgut implantation on postpartum pain of uterine contraction with qi and blood deficiency. Methods One hundred and ten primiparas of natural delivery differentia- ted as qi and blood deficiency pattern in TCM were selected as the subjects. They were randomized into an acupoint catgut implantation group （55 cases） and a routine nursing group （55 cases）. In the acupoint catgut implantation group, the catgut was implanted in Zigong （EX-CA 1）, Zusanli （ST 36）, Sanyinjiao （SP 6）, Pishu （BL 20） and Geshu （BL 17） in 6 h after delivery; additionally, the routine post-delivery nursing was adopted. In the routine nursing group, the routine post-delivery nursing was applied simply. Visual analogue scale （VAS） and the pain re- lief time of uterine contraction were compared in 24 h, 48 h, 72 h and 96 h after acupoint catgut implantation between the two groups. Results VAS Scores in 24 h, 48 h, 72 h and 96 h after acupoint catgut implantation in the acupoint catgut implantation group were lower apparently than those in the routine nursing group （3.31±0.39 vs 4.31±0.29, 1.86±0.29 vs 2.66±0.25, 0.89±0.21 vs 1.59±0.24, 0. 35±0.10 vs 0. 69±0.13, all P〈0.05）. The pain relief was achieved in （72.06±6.83） h in the acupoint catgut implantation group and was （123.42±11.12） h in the routine nursing group. The pain relief in the acupoint catgut implantation group was achieved more quickly （P〈0.01）. Conclusion The intervention of acupoint catgut implantation in 6 h after natural delivery in primiparas prevents effectively postpartum pain of uterine contraction.