电针合谷对子宫收缩乏力产妇宫缩时间的影响

目的:评价合谷穴对子宫收缩乏力的治疗作用与应用价值。方法:3个中心共276例产妇入组,所有病例随机分为针药组和药物组。药物组采用静脉滴注催产素治疗,针药组在药物组治疗基础上加电针合谷。观察电针合谷对子宫收缩乏力的影响,以及对宫缩持续时间和间歇时间的影响。结果:针药组对子宫收缩乏力的总有效率为97·1%,而药物组为70·3%,两组比较,差异有非常显著性意义(P<0·01);与药物组相比,针药组在治疗后0·5、1、1·5、2小时,对宫缩持续时间和间歇时间的影响差异有显著或非常显著性意义(P<0·05,P<0·01)。结论:由于产力异常而导致的难产可采用电针合谷的方法。

Study on effect of electroacupuncture at Hegu (LI 4) on the uterotonic time in parturients of uterus inertia

Objective To evaluate the therapeutic effect and applying value of Hegu (LI 4) for inertia of uterus. Methods In three centers, 276 cases enrolled were randomly assigned to a western medicine group and an acupuncture and western medicine group. The western medicine group were treated with intravenous drip of oxytocin, and the acupuncture and western medicine group were treated with electroacupuncture at Hegu (LI 4) and intravenous drip of oxytocin. Changes of inertia of uterus and duration and interval of uterine contraction were investigated in the two groups. Results The total effective rate was 97.1% in the acupuncture group, and 70.3% in the western medi-cine group with a very significant difference between the two groups (P<0.01). There was a significant difference in the duration and the interval of uterine contraction between the two groups (P<0.01,P<0.05). Conclusion Electroacupuncture at Hegu (LI 4) can be adopted for treatment of dystocia due to abnormality of force of labor.