Clinical Observation on the Effect of Electroacupuncture of Sanyinjiao (SP 6) on Labor

MA Wen-zhu; ZHOU Pei-juan; ZHANG Yi; YUAN Ying; WU Ying1; ZHAO Chun-hua2; XIA Ying-li3

doi:10.13702/j.1000-0607.2010.03.011

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Clinical Observation on the Effect of Electroacupuncture of Sanyinjiao (SP 6) on Labor

更新时间：2023-08-11

- Clinical Observation on the Effect of Electroacupuncture of Sanyinjiao (SP 6) on Labor
- Acupuncture Research Vol. 35, Issue 3, Pages: 217-221(2010)
- 作者机构：
  
  1. 北京中医药大学针灸学院
  2. 北京顺义区医院妇产科
  3. 北京石景山医院妇产科
  4. 清华大学第一附属医院妇产科
- 作者简介：
- 基金信息：
- DOI：10.13702/j.1000-0607.2010.03.011
  CLC：
- Published：2010
- 稿件说明：
移动端阅览
MA Wen-zhu, ZHOU Pei-juan, ZHANG Yi, et al. Clinical Observation on the Effect of Electroacupuncture of Sanyinjiao (SP 6) on Labor[J]. Acupuncture research, 2010, 35(3): 217-221.
DOI：

MA Wen-zhu, ZHOU Pei-juan, ZHANG Yi, et al. Clinical Observation on the Effect of Electroacupuncture of Sanyinjiao (SP 6) on Labor[J]. Acupuncture research, 2010, 35(3): 217-221. DOI： 10.13702/j.1000-0607.2010.03.011.

摘要

目的:观察电针三阴交对分娩质量的影响

并评价其疗效。方法:随机将入选的349例病例分到空白组、安慰组和电针组。对全部病例用视觉模糊评分法量化针刺前后分娩疼痛的程度。同时剔除各组中剖宫产病例

观察286例自然分娩的病例各产程所需时间。针刺于宫口扩张2～3cm时进行。电针组选取三阴交穴

并接韩氏穴位神经刺激仪

刺激频率为2Hz/100Hz

电流强度约20mA

留针30min;安慰组是将套管中心的针取出

空弹套管

使产妇感觉到被针刺

然后迅速将已用胶布包住针尖的毫针贴于三阴交

用医用胶布固定

电针方式与电针组相同

但其中一根连接线被剪断;空白组不作任何治疗

仅在相应时间点观察记录。结果:分娩疼痛程度3组比较差异有统计学意义(P<0.05)

电针组疼痛程度最轻。第一产程活跃期3组比较差异有统计学意义(P<0.05)

电针组时间最短;第二产程和第三产程3组比较差异均无统计学意义(P>0.05)。结论:电针三阴交可以达到很好的镇痛效果

同时缩短第一产程活跃期

对减少产妇痛苦

提高分娩质量具有积极意义。

Abstract

Objective To observe the effect of electroacupuncture (EA) of Sanyinjiao (SP 6) on labor in parturients. Methods A total of 349 parturients were randomly divided into EA (n=117)

sham-EA (n=117) and control (n=115) groups. The visual analog scale (VAS) was used to assess the pain intensity of puerperas with labor before and after acupuncture intervention. After excluding those puerperas with cesarean section

the time required for each stage of labor and the total duration of labor were observed in 286 cases of natural delivery women including 92 cases in the control group

94 cases in the sham-EA group and 100 cases in the EA group. EA (2 Hz/100 Hz

20 mA) was given to the puerperas for 30 min after the needle in a cannula was tapped into Sanyinjiao(SP 6)and when the dilatation of cervix was about 2-3 cm wide. For puerperas of sham-EA group

the operation was similar

but no real acupuncture needle and no real electric current were given. Results The VAS score for childbirth pain intensity was significantly lower in EA group than in control group(P<0.05)and had no significant difference between sham-EA and control group (P>0.05). The duration of the active phase of the first stage of labor was significantly lower in EA group than in sham-EA group (P<0.05)

but had no significant difference between sham-EA and control groups (P>0.05). No significant differences were found among the 3 groups in the latency of the first stage of labor

in the duration of the 2nd and the 3rd stages of labor and in the total phase of labor (P>0.05). Conclusion EA of SP 6 can relieve the pain intensity of the labor and shorten the duration of the active period of first stage of labor in puerperas

suggesting an improvement of the quality of deli-very after EA.

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