脐针结合艾盒灸对提高备孕二胎妇女妊娠率的有效性研究

Study on the effectiveness of umbilical needle combined with moxibustion with moxa box in improving pregnancy rate of women with second pregnancy

目的研究脐针结合艾盒灸对提高备孕二胎妇女妊娠率的有效性。方法选取2012年11月至2015年11月本院治未病中心收治的备孕二胎妇女60例作为对照组,予以常规备孕干预治疗;另选取2015年12月至2018年12月收治的备孕二胎妇女60例作为研究组,在常规备孕干预治疗的基础上予以脐针结合艾盒灸治疗。分别比较两组妇女妊娠率,治疗前后血清FSH、LH、E2水平,治疗前后生活质量变化情况,两组成功妊娠妇女孕8周的血β-HCG、孕酮水平。结果研究组成功妊娠率高于对照组,早期自然流产率低于对照组,差异有统计学意义(P<0.05)。治疗后研究组血清FSH、LH水平高于对照组,E2水平低于对照组,差异有统计学意义(P<0.05)。研究组治疗前后各项生活质量评分差值高于对照组,差异有统计学意义(P<0.05)。研究组成功妊娠妇女孕8周的血β-HCG、孕酮水平均高于对照组,差异有统计学意义(P<0.05)。结论脐针结合艾盒灸对提高备孕二胎妇女妊娠率的效果显著,有利于改善妇女血清性激素水平,同时可明显提高妇女生活质量,值得临床推广应用。

Objective To study the effectiveness of umbilical needle combined with moxibustion with moxa box in improving pregnancy rate of women with second pregnancy. Methods From November 2012 to November 2015, 60 women who were admitted to our hospital for the second pregnancy were selected as the control group and given routine pregnancy preparation intervention treatment. A total of 60 women from December 2015 to December 2018 were selected as the study group who were treated with umbilical needle combined with moxibustion with moxa box on the basis of routine for pregnant intervention treatment. Pregnancy rate, serum FSH, LH and E2 levels before and after treatment, changes of quality of life before and after treatment, and serum β-HCG, progesterone levels in two groups of successful pregnant women at 8 weeks of pregnancy were compared between the two groups. Results The rate of successful pregnancy in the study group was higher than that in the control group, while the rate of early spontaneous abortion was lower than that in the control group, with statistically significant differences(P<0.05). After treatment, serum FSH and LH levels in the study group were higher than those in the control group, while E2 levels were lower than those in the control group, with statistically significant differences(P<0.05). The changes of quality of life scores before and after treatment in the study group were higher than those in the control group, and the difference was statistically significant(P<0.05). The β-HCG and progesterone levels at 8 weeks of pregnancy of pregnant women in the study group were higher than those in the control group, and the differences were statistically significant(P<0.05). Conclusion The combination of umbilical needle and moxibustion with moxa box is effective to increase the pregnancy rate of women with secondary pregnancy and improve women’s serum sex hormone levels, it can also obviously improve the quality of women’s lives. It is worthy of clinical application.