CAJ | 학술논문

目的观察针灸治疗对分娩过程中产程进展的影响.方法以545例住院分娩的产妇为研究对象,排除剖宫产指征,年龄22 ～30岁,接受试产的初产妇按照自愿原则分为观察组(n=162)及对照组(n=383),观察组产妇在潜伏期进行针灸治疗,对比两组第一产程、第二产程时间,宫缩乏力例数,试产失败转剖宫产比率,产后出血量,围生儿结局.结果对照组、观察组第一产程时间分别为(178.55±56.87) min、(130.70±77.22) min,第二产程时间分别为(53.87±22.33) min、(33.25±15.55) min,两组差异均有统计学意义(t=3.97、4.11,均P＜0.05)；两组试产失败转剖宫产比率(14.2％与13.6％)、产后出血及围生儿结局差异无统计学意义.结论针灸治疗可以促进产程进展.
목적 관찰침구치료대분면과정중산정진전적영향.방법 이545례주원분면적산부위연구대상,배제부궁산지정,년령22 ～30세,접수시산적초산부안조자원원칙분위관찰조(n=162)급대조조(n=383),관찰조산부재잠복기진행침구치료,대비량조제일산정、제이산정시간,궁축핍력례수,시산실패전부궁산비솔,산후출혈량,위생인결국.결과 대조조、관찰조제일산정시간분별위(178.55±56.87) min、(130.70±77.22) min,제이산정시간분별위(53.87±22.33) min、(33.25±15.55) min,량조차이균유통계학의의(t=3.97、4.11,균P＜0.05)；량조시산실패전부궁산비솔(14.2％여13.6％)、산후출혈급위생인결국차이무통계학의의.결론 침구치료가이촉진산정진전.
Objective To observe the influence of acupuncture treatment on parturition process.Methods 545 pregnant women delivered in our hospital were selected,excluding those with cesarean section indication.On voluntary principle and randomized principle,primipara aged from 22 to 30 who agreed with natural labor were divided into two groups:observation group and control group.Pregnant women in observation group were received acupuncture treatment during latent phase.The following indexes of the two groups were recorded and compared:labor time of the first stage and the second stage,the case for inertia of uterus,cesarean sections,postpartum hemorrhage amount and Apgar score of new-born.Results The labor time of the first stage and the second stage of the control group were (178.55 ± 56.87) min and (130.70 ± 77.22) min,and which of the observation group were (53.87 ±22.33) min and (33.25 ± 15.55) min,there was significant differenec between the two groups(t =3.97,4.11,all P ＜0.05).The differences in the pilot failed to cesarean section rate(14.2％ and 13.6％),postpartum hemorrhage and the perinatal outcome were not significant between the two groups.Conclusion Acupuncture and moxibustion can accelerate labor.