CAJ | 학술논문

目的：探讨穴位按摩镇痛法在人工流产术中的效果。方法将安徽省泾县医院2011年1月～2012年12月，孕6～8周，要求终止妊娠孕妇290例，随机分为穴位组(A组)（n=100），药物麻醉组(B组)（n=90）和传统组(C组)（n=100）。A组进行穴位按摩，并给予心理护理干预。B组采用2%利多卡因宫颈3、9点处注射。C组不采用任何干预措施。结果 A组镇痛显效60例，有效21例，无效19例，镇痛总有效率为81.0%，B组显效53例，有效21例，无效16例，总有效率为82.2%，C组显效0例，有效10例，无效90例，总有效率为10.0%。A、B与C组相比差异有统计学意义(P<0.05），而A组不良反应发生率明显低于B、C组(P<0.05）。结论穴位按摩在人工流产术中镇痛效果明显，且不良反应小。
목적：탐토혈위안마진통법재인공유산술중적효과。방법장안휘성경현의원2011년1월～2012년12월，잉6～8주，요구종지임신잉부290례，수궤분위혈위조(A조)（n=100），약물마취조(B조)（n=90）화전통조(C조)（n=100）。A조진행혈위안마，병급여심리호리간예。B조채용2%리다잡인궁경3、9점처주사。C조불채용임하간예조시。결과 A조진통현효60례，유효21례，무효19례，진통총유효솔위81.0%，B조현효53례，유효21례，무효16례，총유효솔위82.2%，C조현효0례，유효10례，무효90례，총유효솔위10.0%。A、B여C조상비차이유통계학의의(P<0.05），이A조불량반응발생솔명현저우B、C조(P<0.05）。결론혈위안마재인공유산술중진통효과명현，차불량반응소。
Objective Explore the analgesic effect of acupoint massage on induced abortions. Methods 290 cases pregnant for 6 to 8 weeks were randomly divided into three groups:100 in Group A to be treated with acupoint massage plus psychological care, 90 in Group B with anesthesia of lidocaine injection at cervical spots 3 and 9, and 100 in traditional Group C without any medical intervention. Results In Group A there were 60 cases with obvious analgesic effect, 21 with some effect and 19 with no effect, and the overall effective rate was 81.0%. 53, 21 and 16 in Group B respectively, and its overall rate was 82.2%. 0, 10 and 90 in Group C respectively, and the overall effective rate was 10.0%. The differences among the groups were statistically significant (P<0.05) and Group A’s incidence for adverse reaction is significantly lower than Group B or C (P<0.05) Conclusion Acupoint massage has an evident analgesic effect on induced abortions and without much side effect.