Chen Qiubo, Lu Qisun, Sheng Xiuyu, Qiu Yueying (Department of Fertility Control, Maternity Health Institute of Zhejiang Medical College)
"Artificial abortion syndrome" denotes a series of clinical manifastion of vagotonic reactions which were induced by local excitation of the cervix and the uterine wall by instruments or by the negative pressure during the process of artificial abortion. In normal cases, recovery usually takes place in 5-10 minutes after the operation. However, if the pregnant women were patients of some forms of cardiovascular disorders, such reactions would liable to result in sudden cardiac arrest and, once it should happen, the resuscitation measures would less likely be successful. So the life of the patient might be threatened if emergency measure was not taken in time. In an attempt to prevent such accident, from April 1977 to Nov. 1978, prophylactic measure was taken with acupuncture analgesia during the operations on 100 cases of such patients and the results were found favorable.
Acupuncture procedure and result: In cases of pregnancy less than 80 days, "Zhungji" point was chosen, while in cases of 80 days, "Guanyuan" point was selected. The depth of acupuncture needle insertion was about one inch, but might vary according to the thickness of the subcutaneous fat tissue. Generally the appropriate depth of needle insertion should touch the muscular sheath. Once the acupuncture was taken the needle should remain in situ for as long as 10 minutes after the operation. During the operation one should twist the needle consistently, and avoid pulling out the needle too early.
From July to Oct. 1977, artificial abortions were performed on 263 normal cases without acupuncture, the incidence of "artificial abortion syndrome" was 12.54%. While in the 100 cases with cardio-vascular disorders to whom acupuncture was used as a prophylactic measure of the reactions, the incidence was only 3%. The difference between these two series was statistically significant (x{2}=6.36, P<0.025). Moreover, all of these 100 cases with cardio-vascular disorders got through the operations successfully without receiving any other adjunctive treatments.
In this paper, reports were also made on the classification of the cardio-vascular disorders of the patients and their cardiac compensatory states, and the clinical manifistations of "artificial abortion syndrome". Finally the histories of some typical cases and their EKG pictures were also presented.
"Artificial abortion syndrome" denotes a series of clinical manifastion of vagotonic reactions which were induced by local excitation of the cervix and the uterine wall by instruments or by the negative pressure during the process of artificial abortion. In normal cases, recovery usually takes place in 5-10 minutes after the operation. However, if the pregnant women were patients of some forms of cardiovascular disorders, such reactions would liable to result in sudden cardiac arrest and, once it should happen, the resuscitation measures would less likely be successful. So the life of the patient might be threatened if emergency measure was not taken in time. In an attempt to prevent such accident, from April 1977 to Nov. 1978, prophylactic measure was taken with acupuncture analgesia during the operations on 100 cases of such patients and the results were found favorable.
Acupuncture procedure and result: In cases of pregnancy less than 80 days, "Zhungji" point was chosen, while in cases of 80 days, "Guanyuan" point was selected. The depth of acupuncture needle insertion was about one inch, but might vary according to the thickness of the subcutaneous fat tissue. Generally the appropriate depth of needle insertion should touch the muscular sheath. Once the acupuncture was taken the needle should remain in situ for as long as 10 minutes after the operation. During the operation one should twist the needle consistently, and avoid pulling out the needle too early.
From July to Oct. 1977, artificial abortions were performed on 263 normal cases without acupuncture, the incidence of "artificial abortion syndrome" was 12.54%. While in the 100 cases with cardio-vascular disorders to whom acupuncture was used as a prophylactic measure of the reactions, the incidence was only 3%. The difference between these two series was statistically significant (x{2}=6.36, P<0.025). Moreover, all of these 100 cases with cardio-vascular disorders got through the operations successfully without receiving any other adjunctive treatments.
In this paper, reports were also made on the classification of the cardio-vascular disorders of the patients and their cardiac compensatory states, and the clinical manifistations of "artificial abortion syndrome". Finally the histories of some typical cases and their EKG pictures were also presented.
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