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

中国针灸 Pub Date : 2025-07-12 Epub Date: 2025-05-22 DOI:10.13703/j.0255-2930.20240405-k0001

Zixiao Cheng, Ziyun Song, Xiaoli Feng, Xiaoli Cao, Yanlong Xu, Zhirong Dai, Qianqian Zhang

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引用次数: 0

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, 5, 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 (P<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 (P<0.001), the intrapartum blood loss and massive hemorrhage rate were lower than those in the control group (P<0.001, P<0.05). After acupuncture, the VAS and HAMA scores were decreased compared with those before acupuncture in the acupuncture group (P<0.001), the VAS and HAMA scores were increased compared with those before acupuncture in the control group (P<0.001). In the acupuncture group, the VAS and HAMA scores after acupuncture were lower than those in the control group (P<0.001), the changes of the VAS and HAMA scores before and after acupuncture were larger than those in the control group (P<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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针刺合谷穴（LI4）、太中穴（LR3）、三阴角穴（SP6）对初产妇产程的影响[j]。

目的：探讨针刺合谷穴（LI4）、太冲穴（LR3）、三阴角穴（SP6）对初产妇疼痛、焦虑、产时出血量、产程及新生儿结局的影响。方法：100例初产妇随机分为针刺组（50例，剔除1例）和对照组（50例）。对照组给予常规产科护理。针刺组在对照组干预的基础上，在双侧合谷（LI4）、太中（LR3）、三阴交（SP6）处针刺。比较两组分娩方式和产程，针刺前后子宫收缩疼痛视觉模拟评分（VAS）和汉密尔顿焦虑评分（HAMA），分娩1、5、10 min时产中/产后出血量和大出血，新生儿Apgar评分。结果：针刺组剖宫产率为4.1%(2/49)，优于对照组10.0% (5/50)（PPPPPPPP0.05）。结论：针刺合谷穴（LI4）、太冲穴（LR3）、三阴角穴（SP6）可有效缓解产妇的疼痛和焦虑，缩短产程，减少产时出血量和大出血发生率，促进自然分娩，从而提高初产妇的舒适度和安全性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

中国针灸

自引率

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发文量

18644

期刊介绍： Chinese Acupuncture and Moxibustion (founded in 1981, monthly) is an authoritative academic journal of acupuncture and moxibustion under the supervision of China Association for Science and Technology and co-sponsored by Chinese Acupuncture and Moxibustion Society and Institute of Acupuncture and Moxibustion of China Academy of Traditional Chinese Medicine. It is recognised as a core journal of Chinese science and technology, a core journal of Chinese language, and is included in the core journals of China Science Citation Database, as well as being included in MEDLINE and other international well-known medical index databases. The journal adheres to the tenet of ‘improving, taking into account the popularity, colourful and realistic’, and provides valuable learning and communication opportunities for the majority of acupuncture and moxibustion clinical and scientific research workers, and plays an important role in the domestic and international publicity and promotion of acupuncture and moxibustion disciplines.