艾灸在产褥期子宫恢复中的应用

The Application of Moxa-moxibustion to Uterine Recovery in Puerperal Period

目的:探讨艾灸子宫穴位对产褥期子宫复旧的影响。方法:将自然分娩后的产妇1 000例按促进产后子宫恢复的不同方法分为研究组和对照组各500例。研究组于产后2小时进行子宫穴位艾灸;对照组肌肉注射缩宫素。观察2组产妇的宫底高度、恶露量,同时应用B超测子宫大小。结果:产后2组产妇子宫逐渐缩复,产后2天研究组子宫缩复优于对照组(P<0.05);恶露量研究组少于对照组(P<0.05);B超所测子宫三径研究组小于对照组(P<0.05)。结论:艾灸子宫穴位在自然分娩后产褥期子宫恢复中有显著疗效,是一项易于产妇接受的中医适宜技术。

Objective： To survey the effects of moxa-moxibustion on the uterine points on the involution of the uterus in puerperal period. Methods： Altogether 1 000 delivery women after spontaneous labor were allocated to the study group and the control group according to different methods of promoting uterine recovery after the labor, 500 cases each group. The study group accepted moxa-moxibustion on the uterine points in two hours after the labor; the control group intramuscular injection of oxytocin. The amount of lochia, the height of fundus of the delivery women were observed in both groups, and the size of the uterus was detected by B-ultrasound. Results： The uterus of the delivery woman gradually retracted in both groups after the labor, the study group was superior to the control group notably in two days after the labor; the study group was less than the control group in the amounts of lochia; the study group was smaller than the control group in three uterine diameters detected by B-ultrasound （P〈0.05）. Conclusion： Moxa-moxibustion on the uterine points show notable effects in the uterine recovery in puerperal period after spontaneous labor, and it＇s an appropriate technique of TCM, which could be accepted by the delivery woman easily.