黄豆袋热敷联合合谷穴按摩在产程活跃期中的镇痛效果

目的探讨黄豆袋热敷联合合谷穴按摩在产程活跃期中的镇痛效果。方法选取初产妇100例作为研究对象,随机分为对照组和观察组,各50例。给予对照组综合干预方法,包括心理疗法、体位管理和拉玛泽呼吸法,在对照组的基础上于产程活跃期给予观察组黄豆袋热敷联合合谷穴按摩。比较两组的镇痛效果、顺产及中转行剖宫产比例,以及顺产产妇产程活跃期至胎儿娩出时间、阴道出血量。结果观察组产妇的疼痛程度轻于对照组,顺产比例高于对照组,顺产产妇的产程活跃期至胎儿娩出时间、阴道出血量短于或少于对照组(P<0.05)。结论在心理疗法、体位管理、拉玛泽呼吸法基础上,在产程活跃期辅以黄豆袋热敷联合合谷穴按摩可缓解初产妇的疼痛感,提高自然分娩率,缩短产程,减少产后出血量。

针药并用治疗膝骨关节炎的疗效观察及对疼痛和关节功能的影响

目的观察针刺四关穴和郄穴联合蠲痹汤治疗膝骨关节炎的临床疗效及对患者关节疼痛和关节功能的影响。方法选取100例膝骨关节炎患者,随机分为对照组(50例)和观察组(50例)。对照组予口服蠲痹汤治疗,观察组在对照组治疗基础上联合针刺四关穴和郄穴治疗。比较两组临床疗效,比较两组治疗前后疼痛视觉模拟量表(visual analog scale,VAS)评分、西安大略与麦克马斯特大学骨关节炎指数(Western Ontario and McMaster Universities osteoarthritis index,WOMAC)评分和美国特种外科医院关节功能(Hospital for Special Surgery,HSS)评分,观察两组治疗前后骨代谢指标[血清骨钙素(osteocalcin,OC)和破骨细胞抑制因子(osteoclastogenesis inhibitory factor,OPG)]和炎症因子指标[血清白介素-6(interleukin-6,IL-6)、肿瘤坏死因子-α(tumor necrosis factor-α,TNF-α)和白介素-1(interleukin-1,IL-1)]的变化。结果观察组总有效率为94.0%,高于对照组的72.0%(P<0.05)。治疗后,两组VAS评分和WOMAC总分以及血清IL-6、TNF-α和IL-1水平均较治疗前降低(P<0.05),且观察组低于对照组(P<0.05);两组HSS评分以及血清OC和OPG水平均较治疗前升高(P<0.05),且观察组高于对照组(P<0.05)。结论针刺四关穴和郄穴联合蠲痹汤治疗膝骨关节炎可有效减轻患者膝关节疼痛,改善膝关节功能及骨代谢水平,降低炎症因子水平,疗效优于单一中药治疗。

基于数据挖掘分析针灸治疗颞下颌关节紊乱综合征的选穴规律

【目的】基于数据挖掘技术分析针灸在治疗颞下颌关节紊乱综合征的选穴规律及特点。【方法】计算机检索中国知网期刊全文数据库(CNKI)、万方学术期刊全文数据库(Wanfang)、维普中文科技期刊数据库(VIP)、中国生物医学数据库(CBM)等各大数据库。检索时间为2002年1月至2022年6月。经过筛选及标准化处理针灸处方,进行数据分析,探究核心选穴及特点。【结果】共纳入92篇文献,提取有效处方108条,腧穴36个,总频次555次。其中,使用总频次前10位的高频腧穴11个,包括下关、合谷、颊车、听宫、翳风、阿是穴、足三里、颧髎、上关、风池、听会,共使用481次,占总频次的85.79%。关联规则显示下关、合谷、颊车、听宫之间存在极强的关联性及共现度,聚类分析得到4个核心聚类。【结论】针灸治疗本病主要遵循“经脉所过,主治所及”的原则,核心选穴组合为:下关-合谷-颊车-听宫。

Study on the Regulatory Effect of Electro-acupuncture on Hegu Point (LI4) in Cerebral Response with Functional Magnetic Resonance Imaging

Objective： To study, through blood oxygen level dependent functional magnetic resonance imaging （BOLD fMRI）, the cerebral activated areas evoked by electro-acupuncturing （EA） the right Hegu point （LI4） or non-acupoint points on the face, and through comparing their similarities and differences, to speculate on the specific cerebral areas activated by stimulating LI4, for exploring the mechanism of its effect in potential clinical application. Methods： EA was applied at volunteers＇ right LI4 （of 9 subjects in the LI4 group） and facial non-acupoint points （of 5 subjects in the control group）, and whole brain 3-dimensional T1 anatomical imaging of high resolution 1 × 1 × 1 mm^3 used was performed with clustered stimulatory mode adopted by BOLD fMRI. Pretreatment and statistical t-test were conducted on the data by SPM2 software, then the statistical parameters were superimposed to the 3-dimensional anatomical imaging. Results： Data from 3 testees of the 9 subjects in the LI4 group were given up eventually because they were unfit to the demand due to different causes such as movement of patients＇ location or machinery factors. Statistical analysis showed that signal activation or deactivation was found in multiple cerebral areas in 6 subjects of LI4 group and 5 subjects of the control group （P〈0.01）. In the LI4 group, the areas which showed signal activation were： midline nuclear group of thalamus, left supra marginal gyrus, left supra temporal gyrus, right precuneous lobe, bilateral temporal pole, left precentral gyrus and left cerebellum; those which showed signal deactivation were： bilateral hippocampus, parahippocampal gyrus, amygdala body area, rostral side/audal side of cingulate gyrus, prefrontal lobe and occipital lobe as well as left infratemporal gyrus. In the control group, areas which showed signal activation were： bilateral frontal lobe, postcentral gyrus, Reil＇s island lobe, primary somato-sensory cortex, cingulate gyrus, superior temporal gyrus, occipital cuneiform gyrus and/or precuneus gyrus and right brainstem; and the area that showed deactivation was left median frontal lobe. Conclusion： The effects of EA LI4 in regulating cerebral activities could be displayed and recorded through BOLD fMRI, the distribution of signally deactivated area evoked by EA LI4 was similar to the known distribution of anatomical orientation of pain in brain, and closely related to the anatomic structure of limbic system, which areas are possibly the acupuncture analgesic effect＇s cerebral regulating area. Furthermore, activated portion of left central anterior gyrus, which represent the movement of oral facial muscles, and the activated portion of cerebellum are possibly related with the effect of using EA LI4 in treating facial palsy and facial muscle spasm. As for the mechanism of signal deactivation of cerebral activities exhibited in the present study that is unable to be elucidated, it awaits for further research.

Effect of electroacupuncture at Ximen(PC 4) and Hegu(LI 4) on expression of Akt in rats with myocardial ischemia-reperfusion injury

OBJECTIVE: To investigate the effect of electroacupuncture(EA) at acupoints on the pericardium meridian on the expression of phosphorylated Akt(p-Akt) protein in rat myocardium after ischemia and reperfusion.METHODS: Seventy Wistar rats were evenly randomized into seven groups: the sham operation group(group A), ischemia-reperfusion model Ⅰgroup(group B), ischemia-reperfusion model Ⅱgroup(group C), EA at Neiguan(PC 6) group(group D), EA at Ximen(PC 4) group(group E), EA at Hegu(LI 4) group(group F), and LY294002 + EA at Neiguan(PC 6) group(group G). All processes were monitored by electrocardiography. In group A, the left anterior descending coronary artery was only threaded without ligation for 100 min. In group B,the left anterior descending coronary artery was ligated for 40 min and reperfused for 60 min. The left anterior descending coronary artery in group C was ligated for 40 min and reperfused for 100 min.Groups D, E, and F received EA for 20 min before undergoing ischemia for 40 min, and then received EA for 20 min before undergoing reperfusion for 60 min. Before modeling, group G was injected with LY294002(0.3 mg/kg) into the tail vein, and then underwent the same intervention as the other EA groups. After reperfusion, myocardial tissue from the left cardiac ventricle was collected to enable Western blot analysis of the p-Akt level, and analysis of electrocardiographic changes.RESULTS: In groups B and C, electrocardiography showed obvious elevation of the ST-segment Ⅱlead(ECG-STⅡ), while the ECG-STⅡvalues were significantly lower in groups D, E, and G(P < 0.01). The p-Akt levels in groups D and E were significantly greater than those in groups B and C(P < 0.01).Compared with all other groups, group G showed a significantly different expression of p-Akt(P < 0.01).CONCLUSION: The expression of p-Akt protein in cardiomyocytes was significantly greater in rats that were injected with LY294002 and received EA at Ximen(PC 4) compared with all other groups.This suggests that EA at Ximen(PC 4) resulted in activation of the phosphoinositide 3-kinase/Akt signaling pathway and phosphorylation of Akt.

基于“面口合谷收”治疗颞下颌关节紊乱的临床疗效研究

目的探究基于“面口合谷收”治疗颞下颌关节紊乱(TMD)的临床疗效。方法选取2020年1月至2022年6月成都第一骨科医院颞下颌专科及口腔科门诊TMD患者60例作为研究对象,通过EXCEL电子表格产生随机数字表的方法分为试验组和对照组,试验组采用健侧合谷穴注射维生素B12治疗,1次/d,5次/疗程,每个疗程结束后患者停止治疗3 d,连续进行两个疗程。对照组采用口服布洛芬缓释胶囊治疗,2次/d,1粒/次,口服药物时间为2周。结果治疗后2周,两组患者关节疼痛程度较治疗前明显减轻,但视觉模拟评分(VAS)差异无统计学意义(P>0.05);试验组患者治疗后最大开口度明显改善,效果优于对照组,差异有统计学意义(P<0.05);试验组颞下颌关节指数(CMI)优于对照组,差异有统计学意义(P<0.05);试验组患者总有效率为93.33%,对照组患者总有效率为83.33%,但两组差异无统计学意义(P>0.05)。结论采用合谷穴注射维生素B12的方法治疗TMD,可减轻患者颞下颌关节区疼痛,改善下颌运动功能,提高患者生活质量。

Differences in thermal effects of moxibustion at Zusanli(ST 36) and Hegu(LI 4) on various facial areas in healthy people

OBJECTIVE:To study the effects of temperature on different facial areas by suspended moxibustion at two points,Zusanli(ST 36) and Hegu(LI 4),and probe the phenomena underlying self-regulation in the human body after thermal stimulation.METHODS:Thirty healthy volunteers accepted moxibustion over Zusanli(ST 36) and Hegu(LI 4),and the order of moxibustion points was randomly determined.Moxibustion method:suspension of moxibustion over Zusanli(ST 36) and Hegu(LI 4) on both sides was performed using an ignited moxa stick stuck in a support for 20 min.Observation method:An infrared thermal image of the face was taken before and after suspended moxibustion using a CK350 medical infrared thermal imaging instrument.Data analysis:A thermal microscopic section view system(TMTSys) was used to analyze the change in temperature in special facial areas.Statistical analysis was carried out using SPSS 14.0 software.RESULTS:Before moxibustion was suspended,the facial thermal image showed a T-shaped thermal area related to the vascular distribution with even temperature and good symmetry on both sides.Suspended moxibustion over Zusanli(ST 36) have a very significant increase in temperature at the forehead,around the nose,at the corners of the mouth,and at the cheeks and lips(P<0.01).Suspended moxibustion over Hegu(LI 4) also have a significant(P<0.05) increase in temperature around the nose,the corners of the mouth,the cheeks,and lips,where has a new high temperature area was formed(P<0.01).Suspended moxibustion over Hegu(LI 4) raised the temperature at the middle point of the lips more obviously than did Zusanli(ST 36) in the same person,(P<0.05).After 10 min of moxibustion over Zusanli(ST 36) and Hegu(LI 4),the change in temperature in the facial area reached its peak value.CONCLUSIONS:Facial infrared thermography of healthy people revealed a T-shaped thermal area reflecting a physiological thermal area.Moxibustion over Zusanli(ST 36) or Hegu(LI 4) raised the temperature in this facial T-shaped thermal area.Hegu(LI 4) led to the formation of a new thermal area in the lips.The time required for moxibustion to regulate human body temperature was 10 min.

Analgesic effect of acupuncture at Hegu (LI 4) on transvaginal oocyte retrieval with ultrasonography

OBJECTIVE: To observe the analgesic effect of acupuncture at Hegu (LI 4) in vitro fertilization-embryo transfer (IVF-ET) transvaginal oocyte retrieval using ultrasonography and explore its mechanism. METHODS: Ninety patients undergoing IVF-EF oocyte retrieval were randomly divided into three groups: an acupuncture group with needles inserted into bilateral Hegu (LI 4) points, a placebo group given placebo needles, and a control group with routine oocyte retrieval. Each group had an indometacin enema 30 min before the operation. We compared the pain-rated index (PRI), visual analogy scale (VAS), and present pain intensity (PPI) immediately after operation and 1 h after operation. We also determined the neuropeptide Y (NPY) level of the follicular fluid. RESULTS: PRI, VAS, and PPI after operation and 1 hafter operation in the acupuncture group were significantly lower than those in the control group (P< 0.01). No obvious difference (P>0.05) was observed in PRI,VAS, and PPI after operation and 1 h after operation between the placebo group and the control group.The NPY level of the follicular fluid in the acupuncture group was significantly higher than that in the control group (P<0.01). No obvious difference (P>0.05) was observed in the NPY level of the follicular fluid between the placebo group and the control group. CONCLUSION: The analgesic effect of acupuncture at Hegu in transvaginal oocyte retrieval using ultrasonography may be related to the increase in the NPY level of the follicular fluid.

Effects of Hegu (LI 4) and Taichong (LR 3) on Vascular Dilation and Constriction in Migraine Patients

Hegu(LI 4)and Taichong(LR 3)are the Yuan-Primaryacupoints of the Large Intestine and LiverMeridian,and are collectively named as Si Guan(four gates)point.Combined use of these twoacupoints can harmonize yin and yang,regulate

Forty-five Cases with Epigastric Pain Treated with Puncturing Hegu(LI 4)

Epigastric pain,also known as stomach pain,is presented with frequently recurrent pain in the upper abdomen or stomach area,which is mainly caused by exogenous pathogen,improper diet or internal injuries due to seven emotions.All 45 cases with epigastric pain caused by various factors were treated with mainly needling Hegu(LI 4)between November 2010 and November 2012,and the report is given as follows.

“气伤痛”理论指导下针刺合谷穴、太冲穴治疗颈椎病临床观察

目的:观察“气伤痛”理论指导下针刺合谷穴、太冲穴治疗颈椎病的临床疗效。方法:选取2020年1月至2022年7月上海市静安区中医医院收治的颈椎病患者112例,按照随机数字表法分为对照组与研究组各56例。对照组给予常规针刺治疗,研究组在对照组治疗的基础上行“气伤痛”理论指导下针刺合谷穴、太冲穴治疗。观察两组患者治疗前后症状评分、疼痛视觉模拟评分(visual analogue scale, VAS)、血清肿瘤坏死因子-α(tumor necrosis factor-α,TNF-α)、C反应蛋白(C-reactive protein, CRP)、P物质(substance p, SP)、血管阻力指数(resistant index, RI)、搏动指数(pulsitility index, PI)、收缩期峰值血流速度(peak systolic velocity, PSV)及临床疗效。结果:研究组有效率为94.64%,对照组有效率为82.14%,研究组有效率高于对照组,差异有统计学意义(P<0.05);研究组治疗后症状评分高于对照组,VAS评分低于对照组,差异有统计学意义(P<0.05);研究组治疗后TNF-α、CRP、SP低于对照组,差异有统计学意义(P<0.05);研究组治疗后RI、PI低于对照组,PSV高于对照组,差异有统计学意义(P<0.05)。结论:“气伤痛”理论指导下针刺合谷穴、太冲穴治疗颈椎病,能有效减轻患者疼痛,改善患者症状。

The Safety of Electroacupuncture at Hegu(LI 4) plus Oxytocin for Hastening Uterine Contraction of Puerperants—A Randomized Controlled Clinical Observation

Objective:To investigate the safety of electroacupuncture plus oxytocin for uterine contraction of puerperants.Methods:276 puerperants with difficult labor were randomly divided into a medication group,treated with intravenous dripping of oxytocin,and an acupuncture plus medication group,in the medication group,intravenous dripping of oxytocin was given,and in the other group,acupuncture at bilateral Hegu(LI 4) was added.Heart rate,respiratory frequency,blood pressure of puerperants,fetal heart rate and birth process were observed.Results:During laboring,the indices observed,including heart rate,respiratory frequency,blood pressure,fetal heart rate and birth process,were all in normal range in all of the 276 cases,with better effects in acupuncture plus medication Group M.Conclusions:Electroacupuncture at bilateral Hegu(LI 4) plus intravenous dripping of oxytocin can intensify the uterine contraction,shorten the birth process to avoid probable systemic exhaustion due to excessive consumption,and with no side effects on life signs of the puerperants and newborns.

健康成人合谷穴、后溪穴的针刺fMRI比较研究

目的:利用fMRI探讨针刺合谷穴和后溪穴主治疾病的中枢神经生理学机制及两穴功能的相对特异性。方法:共募集40名健康志愿者,均为右利手。分为针刺合谷穴组与针刺后溪穴组,每组各20名。采用改良后的组块设计方案,用相同的磁共振扫描序列采集针刺两组健康志愿者左侧合谷穴或后溪穴任务态fMRI数据。利用AFNI程序分析脑激活区,对所有的功能数据进行组分析和组间分析,并利用Monte Carlo方法对分析结果进行多重比较校正(P=0.002,α≤0.05)。结果:针刺左侧合谷穴激活脑区包括:双侧中央前回、顶上小叶、颞上回、豆状核、壳核、小脑,右侧中央后回、顶下小叶、额中回、颞中回、缘上回、丘脑、丘脑底核、尾状核、扣带回,左侧额下回、枕中回和脑岛;针刺左侧后溪穴激活脑区包括:双侧脑岛、小脑,右侧中央前回、额中回、尾状核头和体,左侧扣带回、丘脑和腹后内侧核;针刺左侧合谷穴和后溪穴,组间分析结果有统计学意义,合谷穴组较后溪穴组右侧额中回、额下回激活减弱,左侧扣带回、左侧中央前回激活增强。结论:本研究为"面口合谷收""后溪通督脉"理论提供了客观的证据,一定程度上解释了合谷穴治疗汗症、后溪穴治疗颈项腰背部疾病以及两穴的镇痛作用的中枢神经机制;并进一步从中枢神经层面表明了部位相近的穴位存在功能相对特异性。

针刺合谷穴对脑功能成像的研究

目的研究针刺合谷穴引起的脑功能的即刻效应和后效应(时间变化规律)。方法用改进时间簇分析(modified temporal cluster analysis,MTCA)方法对12名健康志愿者针刺合谷穴功能磁共振成像(fMRl)的数据进行处理,得到针刺后脑功能变化的时间和趋势。结果针刺合谷穴在进针后7～9s和拔针后高峰后,还会不规律出现一些小的高峰。结论针刺合谷穴对中枢神经系统影响具有时间特性。

“面口合谷收”的形态学基础

目的:探讨合谷穴与口面部联系的形态学基础。方法:采用荧光素单标记和双标记法,将荧光素碘化丙啶(PI)和双苯甲亚胺(Bb)分别注入“合谷”穴区和“四白”穴区,取同侧脊神经节颈1～颈8,胸1～胸2,颈上、中、下交感节及三叉神经半月节,荧光显微镜下观察计数。结果:在脊神经节颈5～颈8观察到大量PI单标记细胞,主要分布于颈6～颈7,在三叉神经半月节也可见大量Bb单标记细胞,另外在三叉神经半月节可见少量PI～Bb双标记细胞,占标记细胞的4.5％。结论:三叉神经半月节有向“合谷”穴和“四白”穴的分支投射,这可能是“面口合谷收”的形态学基础。

电针不同穴位对大鼠子宫平滑肌电活动的影响

目的：比较电针不同穴区对子宫肌电活动的影响。方法：共79只Wistar大鼠,包括40只正常未孕和39只已孕18-19 d的临产大鼠,用1.5%氯醛糖（50 mg/kg）和25%乌拉坦（420 mg/kg）混合液腹腔麻醉。前者随机分为对照、内关、合谷、三阴交组,每组10只;后者随机分为对照、内关和三阴交组,每组13只。腹壁切开后,于左侧中段子宫浆膜下埋藏一对针式不锈钢电极,记录子宫平滑肌肌电活动。电针取双侧“内关”“合谷”“三阴交”,刺激参数为：频率2/15 Hz,强度1-2 mA,持续20 min。结果：1）在正常非孕鼠上,与对照组比,电针“三阴交”后,子宫肌电爆发波的频率及幅度、慢波的幅度明显增加（P〈0.05）;电针“合谷”对爆发波的频率有类似“三阴交”的作用;而电针“内关”穴后,爆发波的频率及幅度和慢波的频率明显降低（P〈0.05）。与内关组比较,“三阴交”“合谷”电针期间和停电针后0-5 min大多数指标均有显著性差异（P〈0.05,0.001）。2）在妊娠后期大鼠上,与对照组比,电针“三阴交”后,子宫肌电的爆发波频率和幅度及慢波的幅度增加（P〈0.05）且持久;电针“内关”穴后,子宫肌电爆发波、慢波的频率明显减低（P〈0.05）;两组相比,爆发波的频率和幅度、慢波波幅电针期间和停针后许多时程均有显著性差异（P〈0.05）。结论：电针“三阴交”和“合谷”穴可兴奋子宫平滑肌的电活动,“三阴交”穴的作用更强,而电针“内关”穴则抑制子宫肌的电活动,不同穴位的作用具有相对特异性。

电针“合谷”“三阴交”穴促分娩作用机理的实验研究

目的 :通过动物实验探讨电针“合谷”“三阴交”穴促分娩的作用机理。方法 :选健康成年Wistar大鼠 55只 ,分正常对照组、模型对照组、“合谷”组、“三阴交”组、“合谷”加“三阴交”组。以子宫颈及子宫体组织前列腺素E2 (PGE2 )、血清及羊水雌二醇 (E2 )和孕酮 (P)为指标。结果 :电针“合谷”穴使晚孕大鼠宫体及宫颈组织PGE2 、血清E2 、羊水中P含量显著升高 ;电针“三阴交”穴仅使晚孕大鼠羊水中P含量显著升高 ;同时电针“合谷”“三阴交”穴对本实验所测各项内分泌指标影响不显著。

针刺合谷与太冲fMRI脑功能成像的比较研究

目的 :探讨针刺不同穴位对脑组织fMRI功能成像的影响。方法 :将健康受试者随机分为针刺合谷组、太冲组、合谷配伍太冲组各 7人 ,分别观察fMRI脑功能成像。结果 :针刺合谷穴诱导额叶和枕叶脑组织血流量和血流容积的增加 ;针刺太冲穴仅诱导颞叶脑组织血流量和血流容积的增加 ;针刺合谷配太冲穴诱导额叶和颞叶脑组织血流量和血流容积的增加。 结论 :针刺不同穴位激发不同脑区的脑组织变化 ,而两个穴位配伍并不是两个穴位引起脑组织fMRI功能改变作用的叠加 ,而是引起脑组织fMRI功能重新分布。

溃疡性结肠炎患者大肠经原穴与下合穴红外光谱的比较研究

目的:探讨穴位红外光谱对溃疡性结肠炎的诊断价值。方法:使用PHE 201型高灵敏度红外光谱分析仪检测34名溃疡性结肠炎患者大肠经原穴合谷与大肠经下合穴上巨虚的红外光谱。结果:在59个检查波长中,溃疡性结肠炎患者右侧合谷穴共有28个波长的红外辐射强度与正常人有显著差异(P<0.05或P<0.01),左侧有13个波长的红外辐射强度与正常人有显著差异(P<0.05)。右侧上巨虚穴共有16个波长的红外辐射强度与正常人有显著差异(P<0.05或P<0.01),左侧有17个波长的红外辐射强度与正常人有显著差异(P<0.05或P<0.01)。患者左右合谷有18个波长的辐射强度有显著差异(P<0.05或P<0.01),正常人左右合谷7个波长上有显著差异(P<0.05)。患者左右上巨虚共有4个波长的辐射强度有显著差异(P<0.05或P<0.01),而正常人左右上巨虚有1个波长的辐射强度有显著差异(P<0.01)。结论:上巨虚与合谷穴均能在红外辐射光谱上反映出肠道病变,而合谷穴似乎更明显一些。

电针合谷、三阴交对药物流产近期副反应的影响

目的：探讨减轻药物流产近期副反应的治疗方法。方法：将90例早孕患者随机分为3组：对照组只服用药物；电针1组在服用米索前列醇后30～60分钟内同时电针合谷、三阴交；电针2组在服用米索前列醇后30～60分钟内依次电针合谷、三阴交。结果：电针组电针后近期副反应减轻程度较对照组明显（P〈0．05），且先电针合谷后电针三阴交减轻腹痛的程度有更为显著的趋势。结论：电针合谷、三阴交可以减轻药物流产近期副反应，其中先电针合谷后电针三阴交减轻腹痛的程度更为显著。