Effect of acupuncture at Hegu (LI4), Taichong (LR3) and Sanyinjiao (SP6) on labor stage in primiparas

CHENG Zixiao; SONG Ziyun; FENG Xiaoli; CAO Xiaoli; XU Yanlong; DAI Zhirong; ZHANG Qianqian

doi:10.13703/j.0255-2930.20240405-k0001

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Effect of acupuncture at Hegu (LI4), Taichong (LR3) and Sanyinjiao (SP6) on labor stage in primiparas

Clinical Research | 更新时间：2025-07-17

- Effect of acupuncture at Hegu (LI4), Taichong (LR3) and Sanyinjiao (SP6) on labor stage in primiparas
- Chinese Acupuncture & Moxibustion Vol. 45, Issue 7, Pages: 927-931(2025)
- 作者机构：
  
  甘肃中医药大学针灸推拿学院，兰州　730030
  西安医学院第三附属医院
  甘肃省中医院针灸一科，兰州　730050
  甘肃省中心医院
- 作者简介：
- 基金信息：
- DOI：10.13703/j.0255-2930.20240405-k0001
  CLC：
- Received：05 April 2024，
  
  Online First：22 May 2025，
  
  Published：12 July 2025
- 稿件说明：
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CHENG Zixiao, SONG Ziyun, FENG Xiaoli, et al. Effect of acupuncture at Hegu (LI4), Taichong (LR3) and Sanyinjiao (SP6) on labor stage in primiparas[J]. Chinese Acupuncture & Moxibustion, 2025, 45(7): 927-931.
DOI：

CHENG Zixiao, SONG Ziyun, FENG Xiaoli, et al. Effect of acupuncture at Hegu (LI4), Taichong (LR3) and Sanyinjiao (SP6) on labor stage in primiparas[J]. Chinese Acupuncture & Moxibustion, 2025, 45(7): 927-931. DOI： 10.13703/j.0255-2930.20240405-k0001.

摘要

目的：

观察针刺合谷、太冲、三阴交对初产妇疼痛、焦虑、产时出血量、产程时间和新生儿的影响。

方法：

将100例初产妇随机分为针刺组（50例，剔除1例）和对照组（50例）。对照组给予产科常规护理；针刺组在对照组基础上给予针刺双侧合谷、三阴交、太冲干预。比较两组产妇分娩方式和产程时间，针刺前后宫缩痛视觉模拟量表（VAS）及汉密尔顿焦虑量表（HAMA）评分，产时及产后1 h出血量与大出血情况，以及新生儿出生后1、5、10 min Apgar评分。

结果：

针刺组初产妇剖宫产率为4.1%（2/49），低于对照组的10.0%（5/50，

0.05）；针刺组初产妇宫开2指潜伏期、活跃期、第一产程、第二产程和总产程均短于对照组（

0.001），产时出血量和大出血发生率低于对照组（

0.001，

0.05）。针刺后，针刺组初产妇宫缩痛VAS和HAMA评分低于针刺前（

0.001），对照组初产妇宫缩痛VAS和HAMA评分高于针刺前（

0.001）。针刺组初产妇针刺后宫缩痛VAS和HAMA评分低于对照组（

0.001）；针刺前后宫缩痛VAS和HAMA评分差值大于对照组（

0.001）。两组新生儿出生后1、5、10 min Apgar评分比较，差异无统计学意义（

0.05）。

结论：

针刺合谷、太冲、三阴交可有效改善初产妇疼痛及焦虑程度，有助于缩短产程时长，减少产时出血量，降低大出血的发生率，提高顺产概率，可更好地提高初产妇生产舒适度及安全性。

Abstract

Objective

To evaluate the effects of acupuncture at Hegu (LI4)

Taichong (LR3) and Sanyinjiao (SP6) on pain

anxiety

intrapartum blood loss

labor stage

and neonatal outcomes in primiparas.

Methods

One hundred primiparas were randomly divided into an acupuncture group (50 cases

1 case was eliminated) and a control group (50 cases). The conventional obstetrical nursing was given in the control group. On the basis of the intervention in the control group

acupuncture was applied at bilateral Hegu (LI4)

Taichong (LR3) and Sanyinjiao (SP6) in the acupuncture group. The delivery mode and labor stage

the scores of visual analogue scale (VAS) for uterine contraction pain and Hamilton anxiety scale (HAMA) before and after acupuncture

the intrapartum/postpartum blood loss and massive hemorrhage

as well as the neonatal Apgar score after 1

and 10 min of birth

were compared in the two groups.

Results

The cesarean section rate was 4.1% (2/49) in the acupuncture group

which was superior to 10.0% (

5/50) in the control group (

0.05). In the acupuncture group

the time of latent phase of 2-cm cervical dilation

active phase

first and second stages of labor

and total labor stage was shorter than that in the control group (

0.001)

the intrapartum blood loss and massive hemorrhage rate were lower than those in the control group (

0.001

0.05). After acupuncture

the VAS and HAMA scores were decreased compared with those before acupuncture in the acupuncture group (

0.001)

the VAS and HAMA scores were increased compared with those before acupuncture in the control group (

0.001). In the acupuncture group

the VAS and HAMA scores after acupuncture were lower than those in the control group (

0.001)

the changes of the VAS and HAMA scores before and after acupuncture were larger than those in the control group (

0.001). There were no statistical differences in neonatal Apgar scores between the two groups (P

0.05).

Conclusion

Acupuncture at Hegu (LI4)

Taichong (LR3) and Sanyinjiao (SP6) can effectively alleviate the pain and anxiety

shorten the labor stage

reduce the intrapartum blood loss and incidence rate of massive hemorrhage

and promote spontaneous delivery

thereby enhancing maternal comfort and safety in primiparas.

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