针刺治疗对剖宫产术后子宫复旧的影响

艾雅琴，钱爱玉

(河北北方学院附属第二医院，河北 张家口 075100)

摘要：目的观察中医针刺疗法对剖宫产术后产妇子宫复旧的影响。方法选取2013年1月—2013年8月于我院行剖宫产分娩的产妇100例,随机分为观察组与对照组，观察组产妇术后在常规处置的基础上加用针刺合谷、三阴交、气海、关元，对照组产妇术后只采用常规处置。结果2组产妇产后当天及产后第1天宫底高度比较差异均无统计学意义，观察组产妇产后第2～5天每日宫底高度均显著低于对照组(P<0.05);观察组产妇产后第1～5天每日宫底下降高度显著优于对照组(P<0.05);观察组产妇产后48 h出血量及恶露持续时间均显著低于对照组(P<0.05);2组产妇产后第2天血HGB、RBC水平均较产前显著下降(P<0.05)；观察组产妇产后第2天血HGB、RBC水平显著低于对照组(P<0.05)。结论剖宫产术后配合针刺治疗，可有效促进产妇子宫收缩，缩短恶露持续时间，减少产后出血量，加快子宫复旧。

关键词：剖宫产;针灸;子宫复旧;穴,合谷;穴,三阴交;穴,气海;穴,关元

DOI:10.13463/j.cnki.jlzyy.2015.02.033

中图分类号：R246.3文献标志码： A

文章编号：1003-5699(2015)02-0201-03

基金项目:张家口市科技进步项目(2014JB2037-06)。

作者简介:艾雅琴(1972-)，女，大学本科，讲师，主治医师，主要从事妇产科研究。

收稿日期:(责任编辑：赵玉芝2014-10-29)

Acupuncture treatment on uterine involution after cesarean section

AI Yaqin,QIAN Aiyu

(The Second Hospital Affiliated to Hebei North University,Zhangjiakou 075100,Hebei Province,China)

Abstract:ObjectiveTo observe the effect of Chinese acupuncture treatment on the uterine involution after cesarean section.MethodsA total of 100 delivery women who were admitted in our hospital and underwent cesarean section from January,2013 to August,2013 were enrolled in our study and randomized into the observation group and the control group.Based on the conventional treatment,acupuncture of Hegu,Sanyinjiao,Qihai,and Guanyuan was added to promote the uterine involution in the observation group;while the patients in the control group were only given routine treatment.ResultsThe comparison of the fundus height between the day and the first day after delivery in the two groups was no statistically different.The fundus height from the second to the fifth day after delivery in the observation group was significantly lower than that in the control group(P<0.05).The descending height of the fundus from the first to the fifth day after delivery in the observation group was significantly higher than that in the control group(P<0.05).The amount of patients’ postpartum bleeding 48h after delivery and the duration of lochia in the observation group were obviously lower than control group(P<0.05).The HGB and RBC levels on the second day after delivery in two groups were significantly reduced when compared with those before delivery(P<0.05).The HGB and RBC levels the second day after delivery in the observation group were significantly lower than control group(P<0.05).ConclusionAcupuncture treatment for patients after cesarean section can effectively promote the uterine contraction,shorten the duration of lochia,reduce the amount of postpartum bleeding,and quicken the uterine involution.

Keywords:cesarean section;acupuncture;uterine involution;point,Hegu L14;point,Sanyinjiao SP6;point,Qihai CV6;point,Guanyuan RN4

近年来剖宫产率呈逐渐上升趋势，但剖宫产术后产妇子宫复旧明显差于自然分娩产妇[1-3]。因此,剖宫产术后有效促进子宫复旧，对产妇产褥期康复有积极意义[4]。目前西医对促进子宫快速复旧无特效方法，主要通过药物刺激子宫收缩来达到促进子宫复旧的目的，但该疗法存在药物半衰期短、子宫强直收缩导致产妇宫缩痛及胃肠道反应等问题[5]。中医学根据产妇产后“多瘀多虚、瘀血内阻”的特点，制定了活血祛瘀、养血益气治疗方案，对促进产后子宫复旧效果显著[6]。笔者为观察中医针刺疗法对剖宫产术后子宫复旧的影响，总结2013年1月—8月于我院行剖宫产分娩的产妇，在术后常规处置的基础上配合针刺疗法的疗效，现报道如下。……