针刺治疗产后宫缩痛临床疗效观察

Clinical curative effect of acupuncture therapy on postpartum uterine contractions pain

目的:观察针刺治疗产后宫缩痛的临床疗效。方法:将80例自然分娩后出现腹痛的患者随机分为两组,对照组和治疗组各40例。对照组宫缩痛时给予热敷、按摩下腹部、精神安慰等,治疗组给予穴位针刺治疗。观察两组治疗后宫缩痛缓解情况、阴道出血量、母乳喂养率及不良反应,并分别于治疗前及治疗后48 h抽取外周静脉血,检测血浆?-内啡肽(?-EP)含量。结果:治疗组宫缩痛减轻的时间明显短于对照组,且宫缩痛程度明显轻于对照组(P<0.05),差异显著。治疗后48h治疗组?-EP含量降低,与对照组比较,P<0.05,差异有统计学意义。两组24h、48h阴道出血量比较,P>0.05,差异无统计学意义。产后1周,两组纯母乳喂养率比较,P<0.05,差异有统计学意义。两组均无明显不良反应。结论:针刺治疗产后宫缩痛有较好疗效。

Objective:To observe the clinical effect of acupuncture therapy on postpartum uterine contractions pain.Methods:80cases of patients with abdominal pain after the natural delivery were randomly divided into two groups,with40cases in each group.The control group was treated with hot compress,massage on the lower abdomen and spiritual consolation while the treatment group was treated with acupuncture therapy.The uterine pain relief,vaginal bleeding volume,breast feeding rate and adverse reactions of the two groups were compared.Peripheral venous blood was taken before treatment and48hours after treatment respectively,and the content of plasmaβ-endorphin was detected.Results:The uterine contraction pain relief time of the treatment group was significantly shorter than that of the control group,the extent of the pain of contractions were significantly lighter than that of the control group(P<0.05),the difference was statistically significant.β-EP content reduced48hours after treatment,compared with the control group,the difference was statistically significant(P<0.05).The24hours,48hours vaginal bleeding of two groups was compared,the difference was not statistically significant(P>0.05).One week after delivery,pure breast feeding rates of two groups were compared,the difference was statistically significant(P<0.05).There were no obvious adverse reactions in two groups.Conclusion:Acupuncture had good curative effect in the treatment of postpartum uterine pain.