Effect of Anrou-pressing and kneading Hegu(LI 4)and Sanyinjiao(SP 6)on uterine inertia during painless parturition

按揉合谷和三阴交对无痛分娩产程中宫缩乏力的影响

Objective:To observe the effect of Anrou-pressing and kneading Hegu(LI 4)and Sanyinjiao(SP 6)on uterine inertia during painless parturition.Methods:A total of 100 cases of patients with uterine inertia during painless parturition were randomized into an acupoint group and a medicine group by the SPSS programming,with 50 cases in each group.Patients in the acupoint group received the treatment of Anrou-pressing and kneading bilateral Hegu(LI 4)and Sanyinjiao(SP 6),while patients in the medicine group received intravenous oxytocin.The labor time and maternal-child safety were evaluated,and the labor stage was compared.Results:The latent and active phases in the 1st labor stage and the 2nd labor stage in the acupoint group were substantially shorter than those in the medicine group,and the between-group comparisons showed statistical significance(all P<0.05).The between-group comparison of the 3rd labor stage showed no statistical significance(P>0.05).The postpartum hemorrhage amount in both groups was within the safe range,and the between-group comparison showed no statistical significance(P>0.05).The newborn 1 min Apgar score was ranged 8-10 points,and the between-group comparison showed no statistical significance(P>0.05).The between-group comparison of the labor stage efficacy showed statistical significance(P<0.01),with a better progression in the acupoint group.Conclusion:Anrou-pressing and kneading Hegu(LI 4)and Sanyinjiao(SP 6)is both effective and safe for uterine inertia during painless parturition.

目的:观察按揉合谷和三阴交对无痛分娩产程中宫缩乏力的影响.方法:应用SPSS编程法将100例无痛分娩产程中宫缩乏力的产妇随机分为穴位组和药物组,每组50例.穴位组按揉双侧合谷和三阴交,药物组静滴缩宫素.对两组的产程时间及母婴安全进行评价,并比较两组产妇产程进展疗效.结果:穴位组第1产程潜伏期、第1产程活跃期和第2产程时间均明显短于药物组,组间差异均有统计学意义(均P<0.05);第3产程两组差异无统计学意义(P>0.05).两组产妇分娩后出血量均在正常范围,组间差异无统计学意义(P>0.05).两组新生儿1 min内Apgar评分均在8~10分,组间差异无统计学意义(P>0.05).两组产妇产程进展疗效差异有统计学意义(P<0.01),穴位组的产程进展情况优于药物组.结论:按揉合谷和三阴交穴治疗无痛分娩产程中宫缩乏力的疗效肯定,安全性高.