透灸法促进产后子宫复旧：随机对照试验

高崚; 陈王璐; 高希言; 陈新旺; 范雅丽; 杨旭光; 褚文明; 曹原

doi:10.13703/j.0255-2930.20220609-0005

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透灸法促进产后子宫复旧：随机对照试验

临床研究 | 更新时间：2024-06-03

- 透灸法促进产后子宫复旧：随机对照试验
- Postpartum uterine involution promoted by penetrating-moxibustion therapy: a randomized controlled trial
- 中国针灸 2024年44卷第4期页码：400-404
- 作者机构：
  
  1.河南中医药大学，郑州 450046
  2.永城市人民医院康复科
  3.河南中医药大学针灸推拿学院针灸学科
  4.河南中医药大学第三附属医院
- 作者简介：
  
  高崚，讲师。E-mail：376971452@qq.com
- 基金信息：
  
  河南省中医药文化专项资助项目(TCMCB2023006)
- DOI：10.13703/j.0255-2930.20220609-0005
  中图分类号：
- 收稿：2022-06-09，
  
  修回：2024-01-12，
  
  网络首发：2024-01-26，
  
  纸质出版：2024-04-12
- 稿件说明：
移动端阅览
高崚,陈王璐,高希言,等.透灸法促进产后子宫复旧：随机对照试验[J].中国针灸,2024,44(4):400-404.

GAO Ling,CHEN Wanglu,GAO Xiyan,et al.Postpartum uterine involution promoted by penetrating-moxibustion therapy: a randomized controlled trial[J].Chinese Acupuncture & Moxibustion,2024,44(04):400-404.
高崚,陈王璐,高希言,等.透灸法促进产后子宫复旧：随机对照试验[J].中国针灸,2024,44(4):400-404. DOI： 10.13703/j.0255-2930.20220609-0005.

GAO Ling,CHEN Wanglu,GAO Xiyan,et al.Postpartum uterine involution promoted by penetrating-moxibustion therapy: a randomized controlled trial[J].Chinese Acupuncture & Moxibustion,2024,44(04):400-404. DOI： 10.13703/j.0255-2930.20220609-0005.

摘要

目的

观察透灸法对产后子宫复旧的影响。

方法

将80例产妇随机分为观察组和对照组，每组40例。对照组予缩宫素注射液静脉滴注，每次20 U，每日1次；在对照组治疗基础上，观察组采用透灸法治疗，穴取神阙、气海、关元，每次30~40 min，每日2次。均从产后第1天开始，共治疗3 d。比较两组产妇治疗前后及产后42 d子宫体积、治疗1~3 d子宫底下降高度、治疗1~3 d宫缩痛视觉模拟量表（VAS）评分、治疗1~3 d阴道血性恶露量和恶露持续时间，并评定两组临床疗效。

结果

观察组治疗后子宫体积小于对照组（

0.01），治疗1~3 d子宫底下降高度均大于对照组（

0.01），治疗1~3 d宫缩痛 VAS评分均低于对照组（

0.05，

0.01），治疗1~3 d阴道血性恶露量均少于对照组（

0.01），血性恶露及恶露持续时间短于对照组（

0.01）。观察组子宫复旧良好率为95.0%（38/40），高于对照组的75.0%（30/40，

0.05）。

结论

透灸法能加速产后子宫体积恢复，缓解宫缩痛，缩短恶露持续时间，减少恶露排出量，促进子宫复旧。

Abstract

Objective

To observe the effect of penetrating-moxibustion therapy on postpartum uterine involution.

Methods

Eighty puerpera were randomized into an observation group and a control group

40 cases in each one. In the control group

oxytocin injection was administered by intravenous drip

20 U each time

once daily. In the observation group

on the base of the treatment as the control group

the penetrating-moxibustion therapy was used at Shenque (GV 8)

Qihai (CV 6) and Guanyuan (CV 4)

30 min to 40 min each time

twice a day. The intervention of each group started from the first day after childbirth and lasted 3 days. The uterine volume before and after treatment

and in 42 days of postpartum

the height decrease of the fundus of the uterus

the score of visual analogue scale (VAS) for uterine contraction

the volume of lochia rubra in 1 to 3 days of treatment

and lochia duration were compared between the two groups; and the clinical effect was evaluated.

Results

The uterine volume in the observation group was smaller than that of the control group after treatment (

0.01). In 1 to 3 days of treatment

the height decrease of the fundus of the uterus in the observation group was larger (

0.01)

VAS scores of uterine contraction were lower (

0.05

0.01)

the lochia rubra volume was less (

0.01) than those in the control group. The duration of lochia rubra and lochia was shorter (

0.01) in the observation group when compared with that of the control group. The favorable rate of uterine involution in the observation group was 95.0% (38/40)

higher than that of the control group (75.0%

30/40

0.05).

Conclusion

Penetrating-moxibustion therapy accelerates the recovery of the uterine volume

relieves uterine contraction

shortens the duration of lochia

reduces the lochia volume and promotes the postpartum uterine involution.

关键词

Keywords

references

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