中西医结合方法矫正胎儿臀位的临床研究

Clinical study on combination of traditional Chinese and western medicine in the correction of breech position

目的 对比艾灸至阴穴配合膝胸卧位、耳穴磁珠贴压配合膝胸卧位与单用膝胸卧位治疗矫正胎儿臀位的临床疗效,为临床治疗提供安全性更高、疗效更佳的矫正方法,在临床上推广使用.方法 选取臀位150例,采用随机数字表法分为观察Ⅰ组、观察Ⅱ组和对照组各50例.对照组采用单用膝胸卧位矫正胎儿臀位,观察Ⅰ组采用艾灸至阴穴配合膝胸卧位矫正胎儿臀位,观察Ⅱ组采用耳穴磁珠贴压配合膝胸卧位矫正胎儿臀位.结果 观察Ⅰ组有效率为96％,观察Ⅱ组有效率为92％,均高于对照组有效率为76％,其差异均有统计学意义（χ2=5.09、4.18,均P＜0.05）;观察Ⅰ组疗效与观察Ⅱ组差异无统计学意义（P＞0.05）.结论艾灸至阴穴配合膝胸卧位和耳穴磁珠贴压配合膝胸卧位矫正臀位的这两种中西医结合方法均疗程短、成功率高,又比较经济方便、安全性高、疗效好,值得在临床推广.

Objective To compare the clinical efficacy of moxibustion Zhiyin with knee chest decubitus,ear acupoint magnetic bead press combined with knee chest decubitus and knee chest decubitus in correction of breech position,thus to provide more safe and effective correction method for the clinical treatment.Methods 150 pregnant women with breech were selected.They were randomly divided into observation group Ⅰ,observation group Ⅱ and control group according to the digital table,50 cases in each group.The control group was treated with knee chest decubitus to correct breech position,the observation group Ⅰ was given moxibustion Zhiyin combined with knee chest position,the observation group Ⅱ was given ear acupoint magnetic bead press combined with knee chest decubitus.Results The effective rates of the observation group Ⅰ and observation group Ⅱ were 96%,92%,respectively,which were higher than 76% of the control group,the difference were statistically significant （χ2=5.09,4.18,all P〈0.05）.The effective rate between the observation group Ⅰ and observation group Ⅱ showed no significant difference （P〉0.05）.Conclusion Moxibustion Zhiyin combined with knee chest decubitus and ear acupoint magnetic bead press combined with knee chest decubitus in the correction of breech position have short course of treatment,high success rate,and are more economical and convenient,with high safety and good curative effect,which are worthy of promotion.