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目的:观察按揉合谷和三阴交对无痛分娩产程中宫缩乏力的影响.方法:应用SPSS编程法将100例无痛分娩产程中宫缩乏力的产妇随机分为穴位组和药物组,每组50例.穴位组按揉双侧合谷和三阴交,药物组静滴缩宫素.对两组的产程时间及母婴安全进行评价,并比较两组产妇产程进展疗效.结果:穴位组第1产程潜伏期、第1产程活跃期和第2产程时间均明显短于药物组,组间差异均有统计学意义(均P0.05).两组产妇分娩后出血量均在正常范围,组间差异无统计学意义(P>0.05).两组新生儿1 min内Apgar评分均在8～10分,组间差异无统计学意义(P>0.05).两组产妇产程进展疗效差异有统计学意义(P0.05). The newborn 1 min Apgar score was ranged 8-10 points, and the between-group comparison showed no statistical significance (P>0.05). The between-group comparison of the labor stage efficacy showed statistical significance (P<0.01), with a better progression in the acupoint group. Conclusion: Anrou-pressing and kneading Hegu (LI 4) and Sanyinjiao (SP 6) is both effective and safe for uterine inertia during painless parturition.