目的:观察艾灸三阴交穴对初产妇分娩时的作用效应。方法:60例初产妇分为艾灸三阴交组、艾灸非穴组和空白组,当产妇宫口直径开大至2~3cm进入宫缩活跃期进入待产室后开始施灸.艾灸三阴交组患者在三阴交穴施灸,艾灸非穴组患者选孔最穴上2寸向桡侧旁开1寸处施灸.均灸30min。空白组不做艾灸干预。分娩结束后比较3组产妇第1、第2、第3产程时间及产后2h出血量。结果:艾灸三阴交组第1产程活跃期持续时间与艾灸非穴组和空白组相比,明显缩短(P〈0.05,P〈0.01);艾灸三阴交组第2产程持续时间与艾灸非穴组和空白组相比,亦明显缩短(均P〈0.05);艾灸三阴交组的产后2h出血量低于其他组,与空白组之间的差异有统计学意义(P〈0.05)。结论:艾灸三阴交穴可以显著缩短第1产程活跃期及第2产程的持续时间,并能明显减少产后2h出血量.提高阴道分娩的安全性。艾灸非穴组的疗效则不明显。
Objective To observe the effect of moxibustion at Sanyinjiao (SP 6) on delivery stage of primipara. Methods Sixty cases of primipara were divided into a moxibustion at Sanyinjiao group, a non-acupoint group and a blank group. When the diameter of wormb mouth opened to 2-3 cm, showing that it entered into active stage of u- terine contraction, moxihustion at Sanyinjiao (SP 6) for primipara was applied in moxibustion at Sanyinjiao group; moxibustion was applied at 1 cun towards radialis from the region where 2 cun above Kongzui (LU 6) in non-aeu- point group, 30 minutes treatment was for both groups. There was no intervention in blank group. After delivery, the time of first, second and third delivery stages and postpartum bleeding 2 hours after delivery were compared among three groups. Results The active duration of first delivery stage in moxibustion at Sanyinjiao group was significantly shorter than that in the other two groups (P~0.05,P%0.01); the duration of the second delivery stage in moxibustion at Sanyinjiao group was significantly shorter than that in the other two groups (both P〈 0.05) as well: the postpartum bleeding 2 hours after delivery in moxibustion at Sanyinjiao group was less than other two groups and the difference was statistic significant between moxibustion at Sanyinjiao group and blank group (P〈0.05). Conclusion By moxibustion at Sanyinjiao (SP 6), the active duration of first delivery stage and the duration of second delivery stage are markedly shortened, postpartum bleeding 2 hours after delivery is obviously reduced, and the safety of vaginal delivery is increased.