双针刺疗法联合米索前列醇在118例孕足月产妇催产中的应用及对产妇宫颈成熟的影响＊

目的 研究118例孕足月产妇催产中采用双针刺疗法联合米索前列醇的效果对其宫颈成熟的影响。方法 选取2019年6月-2020年6月在我院就诊的足月催产患者118例，按照随机数字分配法分为米索前列醇治疗组和联合治疗组，各59例。米索前列醇治疗组给予米索前列醇片进行治疗，联合治疗组在米索前列醇治疗组的基础上给予双针刺疗法针刺双侧合谷、三阴交穴位。统计两组患者宫颈成熟、子宫活动力、宫口扩张速度、出血量、产程、分娩方式、新生儿情况及催产效率。结果 联合治疗组宫颈口扩张、宫颈管消退、先露位置、宫颈硬度、宫口位置指标均大于米索前列醇治疗组，有统计学差异（P < 0.05）。联合治疗组子宫活动力、宫口扩张速度均大于米索前列醇治疗组，产时出血量、产后2 h出血量均低于米索前列醇治疗组，有统计学差异（P < 0.05）。联合治疗组第一产程、第二产程、第三产程、总产程均小于米索前列醇治疗组，有统计学差异（P < 0.05）。联合治疗组阴道分娩患者例数多于米索前列醇治疗组，剖宫产患者例数少于米索前列醇治疗组，有统计学差异（P < 0.05）。联合治疗组催产效率高于米索前列醇治疗组，有统计学差异（P < 0.05）。结论 双针刺疗法联合米索前列醇在足月产妇催产中应用能促进患者宫颈成熟，减少产后出血量，缩短产程，促进阴道分娩，催产效率高。

Application of Double Acupuncture Therapy Combined with Misoprostol in Induction of Labor in 118 Full-term Pregnant Women and Its Influence on Cervical Ripening

Objective To study the efficacy and effects of double acupuncture combined with misoprostol on cervix maturation in 118 full-term parturient women.Methods A total of 118 full-term oxytocin patients in our hospital from June 2019 to June 2020 were selected and divided into misoprostol treatment group and combined treatment group according to random number allocation method, with 59 cases in each group. The misoprostol treatment group was given misoprostol tablets for treatment, and the combined treatment group was given double acupuncture therapy on the basis of the misoprostol treatment group to acupuncture the bilateral Hegu (LI4) and Sanyinjiao (SP6) acupoints. Cervical maturation, uterine activity, uterine dilation rate, blood loss, labor process, delivery mode, neonatal conditions and oxytocin efficiency in 2 groups were statistically analyzed.Results The indexes of cervical dilatation, cervical canal regression, presentation position, cervical stiffness, and position of the uterus in the combined treatment group were all greater than those in the misoprostol treatment group, with statistical differences (P < 0.05). The uterine motility and uterine orifice expansion speed in the combined treatment group were higher than those in the misoprostol treatment group, and the amount of bleeding during delivery and 2 h postpartum hemorrhage was lower than those in the misoprostol treatment group, with statistical difference (P < 0.05). The first stage of labor, the second stage of labor, the third stage of labor, and the total stage of labor in the combined treatment group were all smaller than those in the misoprostol treatment group, with statistical differences (P < 0.05). The number of vaginal delivery patients in the combined treatment group was larger than that in the misoprostol treatment group, and the number of cesarean section patients was smaller than that in the misoprostol treatment group, with statistical difference (P < 0.05). The efficiency of induced labor in the combined treatment group was higher than that in the misoprostol treatment group, and there was a statistical difference (P < 0.05).Conclusion The application of double acupuncture therapy combined with misoprostol in the oxytocin of full-term parturiens can promote the cervix maturation of patients, reduce postpartum blood loss, shorten the labor process, promote vaginal delivery, and have high oxytocin efficiency.