艾箱灸用于无痛人工流产术后恢复的临床效果观察

目的:探讨艾箱灸在无痛人工流产术后恢复的临床疗效。方法:将180例早孕行无痛人工流产术者,随机分为治疗组和对照组各90例,进行前瞻性随机对照研究。治疗组术后30min及第1天分别予艾箱灸关元、中极穴30min;对照组不予艾箱灸,其余治疗方法相同。结果:治疗组术后1h和第1天宫缩痛的VAS(视觉模拟)评分,术后1h和第1天出血量,术后总出血量,出血持续时间,术后腹痛VAS评分和腹痛持续时间均低于对照组(P<0.01)。术后首次月经来潮时间及经期腹痛情况均优于对照组(P<0.01)。结论:无痛人工流产术后使用艾箱灸能明显减轻术后宫缩痛及腹痛的程度,缩短术后腹痛持续时间及出血时间,减少出血量,促进术后月经周期恢复,减轻经期腹痛,且安全无不良反应,值得临床推广应用。

Application of moxibustion with moxa box in recovery of painless induced abortion

Objective ： To explore the clinical efficacy of moxibustion with moxa box on recovery of pairLless induced abortion. Methods： A total of 180 early pregnant women seeking for painless induced abortion were equally and randomly divided into the treatment group and the control group. Women in the treatment group were treated with moxibustion with moxa box for 30 minutes on Guanyuan （ RN 4） and Zhongji （ RN 3 ） at half an hour after the operation and on the first p.3stoperative day, while those in the control group received routine treatment without moxibustion with moxa box. Results： Visual analogue scale （VAS） scores of postpartum pain one hour after operation and on the first postoperative day in the treatment group were lower than those in the control group. The amount and the duration of vaginal bleeding in the treatment group were less than those of the control group. And VAS scores of abdominal pain were lower and the duration of abdominal pain were less in the treatment group than those of the control group （ P all 〈 0.01 ）. The amount of the first normal menstruation after induced abortion was less and the VAS score of menstrual cramps was lower than those of the control group （ P 〈 0.01 ）. Conclusion ： The moxibustion with moxa box could significantly alleviate the postoperative pain, shorten the duration of abdominal pain and vaginal bleeding, reduce the amount of vaginal bleeding, promote the recovery of menstruation, and relieve menstrual cramps. It is safe and worth for clinical use.