Central Baptist Hospital, Lexington, Kentucky, USA.
J Pain Symptom Manage. 2011 Oct;42(4):589-603. doi: 10.1016/j.jpainsymman.2011.01.007. Epub 2011 Apr 30.
Acupressure is a noninvasive strategy used to manage various symptoms.
The purpose of this article was to review randomized controlled trials that investigated the efficacy of acupressure for the management of symptoms.
A literature search was conducted in the Cumulative Index to Nursing and Allied Health Literature, Medline, and PubMed using the key words acupressure, clinical trial, human, and/or randomized. Randomized clinical trials published between January 1, 2000 and January 31, 2010, which used acupressure as the sole intervention for one group, were included when they were written in English and when there were four or more studies of the efficacy of acupressure for that particular symptom.
Forty-three studies were included in this review. Investigators in 16 of 23 studies concluded acupressure was effective, primarily for the management of nausea and vomiting in patients during pregnancy and during chemotherapy. Investigators in nine of 10 studies concluded that acupressure was effective for pain in patients with dysmenorrhea, during labor and after trauma. Investigators of four studies concluded that acupressure was effective in the management of dyspnea and investigators in six studies concluded that acupressure was effective in improving fatigue and reducing insomnia in a variety of populations. However, evaluation of the randomized controlled trial reports indicated a significant likelihood of bias.
Acupressure may be a useful strategy for the management of multiple symptoms in a variety of patient populations, but rigorous trials are needed. Inclusion of acupressure as an intervention may improve patient outcomes.
按压疗法是一种用于治疗各种症状的非侵入性策略。
本文旨在综述评价按压疗法对管理症状的疗效的随机对照试验。
在 Cumulative Index to Nursing and Allied Health Literature、Medline 和 PubMed 中使用“按压疗法、临床试验、人类、和/或随机”等关键词进行文献检索，纳入了 2000 年 1 月 1 日至 2010 年 1 月 31 日发表的、仅采用按压疗法作为单一干预措施的、且为英文、有 4 项或以上按压疗法对某一特定症状疗效研究的随机临床试验。
共有 43 项研究纳入本综述。23 项研究中的 16 项研究的研究者认为按压疗法有效，主要用于妊娠和化疗期间孕妇的恶心呕吐、痛经期间、分娩中和创伤后的疼痛管理。10 项研究中的 9 项研究的研究者认为按压疗法对痛经患者的疼痛有效，4 项研究的研究者认为按压疗法对呼吸困难的管理有效，6 项研究的研究者认为按压疗法对改善各种人群的疲劳和减少失眠有效。然而，对随机对照试验报告的评价表明存在明显的偏倚可能性。
按压疗法可能是管理各种患者人群多种症状的有效策略，但需要更严格的试验。纳入按压疗法作为干预措施可能会改善患者的结局。
