台北市中医师公会中医药研究论丛

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222.3 病历回溯探讨艾灸至阴穴对胎位不正的疗效

TJ TCM.22(2) : 25-30, 2019

DOI : 10.6516/TJTCM.201909_22(2).0003

病历回溯探讨艾灸至阴穴对胎位不正的疗效

Moxibustion Stimulation at Zhiyin in Treating Fetal Malposition

曾伦娜1　吴佩青2　林志宇2　刘东桓3*

1 佛教慈济医疗财团法人台北慈济医院妇产科，新北，台湾

2 佛教慈济医疗财团法人台北慈济医院中医部，新北，台湾

3 新光医疗财团法人新光吴火狮纪念医院复健科，台北，台湾

【摘要】

前言：探讨艾灸至阴穴对於胎位不正的治疗关於传统膝胸卧式的治疗是否有显着的差异。

方法：回溯型病历对照研究，收集2011 年至2014 年08 月在台北慈济医院里来院产检之胎位不正孕妇，筛选出符合本研究条件的病患加以分析研究。其中，有接受中医艾灸治疗之病患作为实验组，仅接受膝胸卧式卫教者作为对照组。

结果：共收集有对照组135 位个案与实验组20 位个案。经无母数检定方法（Mann-Whitney U 检定）及罗吉斯回归分析(Logistic regression) 统计分析後，统计结果显示艾灸治疗转胎成功相对於膝胸卧式治疗的胜算比(odds ratio)为9.633 倍，故艾灸治疗相较膝胸卧式治疗更容易转胎成功(P<0.01)。

结论：本病历回溯研究发现本院胎位不正妇女使用艾灸至阴穴转正胎位机率明显高於膝胸卧式，可建议胎位不正的孕妇使用此方式治疗。

【关键词】胎位不正、灸、至阴穴

Lunna Saing1　Pei-Ching Wu2　Chih Yu Lin2　Dung-Huan Liu3*

1Department of Obstetrics and Gynecology, Taipei Tzu Chi Hospital, Buddhist Tzu Chi

Medical Foundation, New Taipei City, Taiwan

2Department of Chinese Medicine, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical

Foundation, New Taipei City, Taiwan

3Department of Physical Medicine and Rehabilitation, Shin Kong Wu Ho-Su Memorial

Hospital, Taipei City, Taiwan

【Summary】

Reviewing the data of pregnant women with fetal malposition in Taipei Tzu-Chi hospital from 2011 to Aug. 2014 and they also underwent “Hands and Knees Posture” or “Moxibustion Stimulation at Zhiyin” treatment. We found that 135 pregnant women underwent “Hands and Knees Posture” and 20 pregnant women underwent “Moxibustion Stimulation at Zhiyin” for treating fetal malposition. Through Mann-Whitney U test and Logistic regression analysis, the results show that the odds ratio of success rate of correcting fetal malposition (“Moxibustion Stimulation at Zhiyin” compared to “Hands and Knees Posture”) is 9.633 times. In conclusion, compared with the “Hands and Knees Posture” treatment, the “Moxibustion Stimulation at Zhiyin” may be a better, more simple and safe

treatment in treating fetal malposition (p<0.01).

【Keywords】fetal malposition, moxibustion, Zhiyin (BL-67)

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