| 引用本文:杨柳，谢翠云，韩焕梅，蔡立军.中医针灸联合艾灸三阴交、Foley尿管水囊及缩宫素用于足月妊娠促宫颈成熟和引产的效果比较[J].世界中医药,2017,(01):. |
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| 中医针灸联合艾灸三阴交、Foley尿管水囊及缩宫素用于足月妊娠促宫颈成熟和引产的效果比较 |
| Comparison among Acupuncture with Moxibustion on SP 6，Foley Urine Tube Water Sac and Oxytoc in Promoting Cervical Maturity and Induced Labor in Full-Term Pregnancy |
| 投稿时间：2016-04-08 |
| DOI：10.3969/j.issn.1673-7202.2017.01.039 |
| 中文关键词: 促宫颈成熟 引产 针灸 艾灸 足月妊娠 |
| English Keywords:Promote cervical maturity Induced labor Acupuncture Moxibustion Full-term pregnancy |
| 基金项目:广西梧州市科学研究与技术开发计划项目(编号:201102003) |
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| 中文摘要: |
| 目的：探讨中医针灸联合艾灸三阴交、Foley尿管水囊及缩宫素用于足月妊娠促宫颈成熟和引产的效果。方法：选取2012年5月至2016年3月期间我院需引产的足月妊娠产妇156例，依据随机分配原则分为中医组、水囊组和缩宫素组，每组52例，中医组产妇通过中医针灸联合艾灸三阴交进行引产，水囊组产妇通过Foley尿管水囊进行引产，缩宫素组产妇通过静脉注射缩宫素（2.5 U）进行引产，所有产妇采用宫颈成熟度评分法（Bishop）评估宫颈成熟程度，统计分析所有产妇促宫颈成熟效果、第1、2产程时间、产后2 h出血量及分娩结局。结果：中医组、水囊组和缩宫素组产妇促宫颈成熟有效率分别为92.31%、76.92%、57.69%，中医组>水囊组>缩宫素组，差异有统计学意义（P<0.05）；在第1、2产程时间、产后2 h出血量方面，中医组<水囊组<缩宫素组，差异有统计学意义（P<0.05）；中医组、水囊组和缩宫素组产妇剖宫产率分别为11.54%、30.77%、46.15%，中医组<水囊组<缩宫素组，差异有统计学意义（P<0.05）。结论：中医针灸联合艾灸三阴交疗法在足月妊娠促宫颈成熟和引产效果方面优于Foley尿管水囊及缩宫素，具有温通气血、扶正祛邪之功效，可有效缩短产妇产程和降低剖宫产的发生，有利于加快产妇产后恢复，值得临床作进一步推广。 |
| English Summary: |
| To discuss the effect of acupuncture with moxibustion on SP 6，Foley urine tube water sac and oxytoc in promoting cervical maturity and induced labor in full-term pregnancy.Methods:A total of 156 women in full-term pregnancy were selected from May 2012 to March 2016 in our Hospital.According to the random distribution，all women were divided into Chinese medicine group，water capsule group and oxytocin group，52 cases in each group，Chinese medicine group received acupuncture joint moxibustion on SP 6 to induce labor，water capsule group received Foley urine tube water sac，oxytocin group oxytocin(2.5 U).The cervical maturity score(Bishop)was used to assess all pregnancy of cervical maturity.The cervical mature promoting effect,1,2，labor time，2 h postpartum blood loss and birth outcomes of all the cases were observed.Results:The effective rate of promoting cervical maturity of Chinese medicine group，water capsule group and oxytocin group were 92.31%，76.92% and 92.31% respectively，Chinese medicine group>water capsule group>oxytocin group，the differences were statistically significant(P<0.05)； In 1，2 h 2 labor time，in terms of the postpartum blood loss，Chinese medicine group |
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