摘要
目的:观察艾灸至阴穴联合胸膝卧位应用于孕晚期单胎臀位的安全性和矫正效果,探讨其对分娩方式和母婴结局的影响。方法:198例单胎臀位孕妇根据不同矫正方法将孕妇随机分为3组:艾灸至阴穴联合胸膝卧位组(观察组)66例,胸膝卧位组(对照组1)66例,艾灸至阴穴组(对照组2)66例。比较3组孕产妇的胎位矫正成功率、阴道分娩率、早产儿发生率、产后出血量、新生儿Apgar评分及脐动脉血气pH值。结果:(1)观察组矫正胎位成功率为89.4%(59/66),对照组1为59.1%(39/66),对照组2为68.1%(45/66),观察组与两组对照组比较,差异有统计学意义(P<0.05)。(2)观察组矫正胎位后复转臀位率6.8%(4/59),对照组1为20.5%(8/39),对照组2为15.6%(7/45),观察组低于两组对照组(P<0.05)。(3)观察组胎膜早破发生率为7.6%(5/66),对照组1为21.2%(14/66),对照组2为9.1%(6/66),观察组低于两组对照组(P<0.05)。(4)观察组阴道分娩率为62.1%(41/66),对照组1为28.8%(19/66),对照组2为36.4%(24/66),观察组高于两组对照组(P<0.05)。(5)观察组早产儿发生率为6.1%(4/66),对照组1为19.7%(13/66),对照组2为9.1%(6/66),观察组低于两组对照组(P<0.05)。(6)观察组产后出血量为(342.42±142.04)mL,对照组1为(426.21±158.86)mL,对照组2为(428.63±163.93)mL,观察组出血量少于两组对照组(P<0.05)。(7)3组分娩孕周、新生儿体质量、新生儿Apgar评分、脐动脉血气pH值比较,差异均无统计学意义(P>0.05)。结论:艾灸至阴穴联合胸膝卧位矫正孕晚期单胎臀位安全有效,可有效提高自然分娩率,降低母婴并发症的发生。
Objective:To observe the safety and correction effect of moxibustion at Zhiyin acupoint combined with chest-knee position in the third trimester of pregnancy,and to explore its effect on the mode of delivery and maternal and infant outcomes.Methods:A total of 198 pregnant women with singleton breech position were randomly divided into three groups according to different correction methods:66 cases in the moxibustion at Zhiyin acupoint combined chest and knee decubitus group(observation group),66 cases in the thoracic and knee decubitus group(control group 1),and 66 cases in the moxibustion at Zhiyin acupoint group(control group 2).The success rate of fetal position correction,vaginal delivery,incidence of preterm infants,postpartum hemorrhage,neonatal 1-minute Apgar score and umbilical artery blood gas pH were compared among the three groups.Results:(1)The success rate of fetal position correction was 89.4%(59/66)in the observation group,59.1%(39/66)in the control group 1,and 68.1%(45/66)in the control group 2,and the difference between the observation group and the two control groups was statistically significant(P<0.05).(2)The rate of relapse breech after fetal position correction was 6.8%(4/59)in the observation group,20.5%(8/39)in control group 1,and 15.6%(7/45)in control group 2,which was significantly lower than that in the two control groups(P<0.05).(3)The incidence of premature rupture of membranes was 7.6%(5/66)in the observation group,21.2%(14/66)in control group 1,and 9.1%(6/66)in control group 2,which was significantly lower in observation group than in control group(P<0.05).(4)The rate of vaginal delivery in the observation group was 62.1%(41/66),28.8%(19/66)in control group 1,and 36.4%(24/66)in control group 2,which was significantly higher in the observation group than in the two groups(P<0.05).(5)The incidence of preterm infants in the observation group was 6.1%(4/66),19.7%(13/66)in control group 1,and 9.1%(6/66)in control group 2,which was significantly lower than that in the two control groups(P
作者
林春霞
周隽
毛胜艳
唐佳
邱光银
王利桃
LIN Chunxia;ZHOU Jun;MAO Shengyan;TANG Jia;QIU Guangyin;WANG Litao(The First People′s Hospital of Longquanyi District,Chengdu/Longquan Hospital of Huaxi Hospital Affiliated to Sichuan University,Chengdu Sichuan China 610100)
出处
《中医学报》
CAS
2024年第5期1109-1113,共5页
Acta Chinese Medicine
基金
四川省中医药管理局2024年度中医药科研专项课题项目(2024MS306)。
关键词
孕晚期单胎臀位
艾灸
至阴穴
胸膝卧位
阴道分娩
breech presentation in the third trimester of pregnancy
moxibustion
Zhiyin acupoint
chest-knee position
vaginal delivery
