艾灸三阴交、合谷穴对宫缩痛的影响

Effects of moxibustion on Sanyinjiao Hegu on stages of contractions pain

目的:观察艾灸三阴交、合谷穴对第一产程活跃期宫缩痛的影响。方法:160例初产妇,采用单盲、随机方法分为三阴交组、三阴交加合谷组、非穴组、空白组四组,每组各40例。三阴交组、三阴交加合谷组分别在产妇出现规律性宫缩痛,宫口开大3cm时行三阴交穴、合谷穴联合三阴交穴施灸30min;非穴组在腕横纹桡侧端桡动脉搏动处至肘横纹肱二头肌腱桡侧端连线的中点处施灸30min;空白组不做艾灸干预。分别对产妇第一产程活跃期时间及宫缩痛进行比较。结果:三阴交组、三阴交加合谷组、非穴组、空白组患者产程活跃期时间分别为(116.11±65.89)min、(81.93±53.45)min、(123.03±76.70)min、(138.69±104.01)min,三阴交加合谷组与非穴组、空白组比较差异均有统计学意义(P均<0.05);非穴组与空白组比较差异无统计学意义(P>0.05)。四组患者第一产程时间分别为(313.22±141.15)min、(379.50±182.82)min、(393.00±196.50)min、(488.08±236.61)min,三阴交组、三阴交加合谷组与空白组比较差异均有统计学意义(P<0.05)。四组患者停艾灸治疗后2h宫颈扩张程度分别为(8.37±2.19)cm、(8.14±2.74)cm、(7.64±2.91)cm、(6.29±3.05)cm,三阴交组、三阴交加合谷组与非穴组、空白组比较差异均有统计学意义(P均<0.05);非穴组与空白组比较差异无统计学意义(P>0.05)。停艾灸治疗后优于非穴组、空白组,差异均有统计学意义(P均<0.05);非穴组与空白组比较,差异无统计学意义(P>0.05)。结论:艾灸三阴交穴与三阴交穴配伍合谷穴艾灸对产妇产程的影响效果相当,但联合穴位艾灸更能缩短产程活跃期,促进产程进展,降低宫缩痛,是安全的催产方法。

Objectives： To observe the effect of moxibustion on Sanyinjiao,Hegu acupoint on labor contractions pain at first active phase. Methods： 160 primipara,using single blind,randomized methods were divided into test group（ the Sanyinjiao acupoint group,the hegu point group,both Sanyinjiao acupoint and hegu point group）and control group（ non- acupuncture points group and the blank group）,each group with 40 cases. The patients were exerted mxibustion therapy for 30 min in the Sanyinjiao acupoint and hegu point respectively when the maternal appeared regularity uterine contraction pain and ostium of uterus opened larger than 3cm. The women of the non-acupuncture points group were exerted moxibustion therapy in the wrist horizontal stripes of radial side radial pulse place to elbow horizontal stripes biceps tendon of the midpoint of the radial side of attachment for 30min; The blank group did not receive moxibustion intervention. The time and uterine contraction pain of the first active labor stage were compared. Results： In the Sanyinjiao group,Sanyinjiao and Hegu group,non acupoint group,blank group：the labor active periods were respectively（ 11. 611 ± 65. 89）（ 81. 93 ± 53. 45）,123. 03 ± 7. 67）（ 138. 69 ±104. 01） min,with significant difference between Sanyinjiao and Hegu group and non- acupuncture group / blank group（ P〈0. 05） but no significant difference between non- acupuncture group and blank group（ P〉0. 05）. The duration of first active stage were（ 313. 22 ± 141. 15）,（ 379. 50 ± 182. 82）,（ 393. 00 ± 196. 50）,（ 488. 08 ±236. 61） min,with significant difference between Sanyinjiao group,Sanyinjiao and Hegu group and blank group（ P〈0. 05）. The cervical dilatation 2 h after treatment were（ 8. 37 ± 2. 19）,（ 8. 14 ± 2. 74）,（ 7. 64 ± 2. 91） and（ 6. 29 ± 3. 05） cm,with significant difference between Sanyinjiao group/Sanyinjiao and Hegu group and non- acupuncture group / blank group（ P〈0. 05） but no significant difference between non- acupuncture group and blank group（ P〉0. 05）. After the termination of treatment,the effect of Sanyinjiao group and Sanyinjiao and Hegu group was better than the non- acupuncture group and blank group（ P〈0. 05） but no significant difference between non- acupuncture group and blank group（ P〉0. 05）. Conclusions： Sanyinjiao and Hegu acupoint moxibustion can shorten the duration of the active labor period and promote the production process,while reduce uterine contraction pain,while is a relatively safe method of oxytocin.