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LI4和BL 67穴位按压对第一产程分娩疼痛和子宫收缩的影响。

Effects of LI4 and BL 67 acupressure on labor pain and uterine contractions in the first stage of labor.

作者信息

Chung Ue-Lin, Hung Li-Chiao, Kuo Su-Chen, Huang Chun-Liang

机构信息

National Taipei College of Nursing, No. 365 Ming-Te Road, Peitou, Taipei 112, Taiwan, ROC.

出版信息

J Nurs Res. 2003 Dec;11(4):251-60. doi: 10.1097/01.jnr.0000347644.35251.c1.

Abstract

Acupressure is said to promote the circulation of blood and qi, the harmony of yin and yang, and the secretion of neurotransmitters, thus maintaining the normal functions of the human body and providing comfort. However, there has been little research-based evidence to support the positive effects of acupressure in the area of obstetric nursing. The purpose of this study is to determine the effect of LI4 and BL67 acupressure on labor pain and uterine contractions during the first stage of labor. An experimental study with a pretest and posttest control group design was utilized. A total of 127 parturient women were randomly assigned to three groups. Each group received only one of the following treatments, LI4 and BL67 acupressure, light skin stroking, or no treatment/conversation only. Data collected from the VAS and external fetal monitoring strips were used for analysis. Findings indicated that there was a significant difference in decreased labor pain during the active phase of the first stage of labor among the three groups. There was no significant difference in effectiveness of uterine contractions during the first stage of labor among the three groups. Results of the study confirmed the effect of LI4 and BL67 acupressure in lessening labor pain during the active phase of the first stage of labor. There were no verified effects on uterine contractions.

摘要

据说指压能促进血液循环和气的运行,阴阳调和以及神经递质的分泌,从而维持人体正常功能并带来舒适感。然而,在产科护理领域,几乎没有基于研究的证据来支持指压的积极效果。本研究的目的是确定合谷穴(LI4)和至阴穴(BL67)指压对第一产程中分娩疼痛和子宫收缩的影响。采用了带有前测和后测对照组设计的实验研究。总共127名产妇被随机分为三组。每组仅接受以下一种治疗:合谷穴和至阴穴指压、轻柔的皮肤抚摸或不进行治疗/仅进行交谈。从视觉模拟评分法(VAS)和外部胎儿监护条带收集的数据用于分析。研究结果表明,三组在第一产程活跃期分娩疼痛减轻方面存在显著差异。三组在第一产程子宫收缩效果方面没有显著差异。研究结果证实了合谷穴和至阴穴指压在减轻第一产程活跃期分娩疼痛方面的效果。对子宫收缩没有得到证实的影响。

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