Charandabi Sakineh Mohammad Alizadeh, Nashtaei Maryam Shabani, Kamali Sedigheh, Majlesi Ramin
Associate Professor, Department of Midwifery, School of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran.
Iran J Nurs Midwifery Res. 2011 Fall;16(4):309-17.
BACKGROUND: There are two types of primary dysmenorrhea (spasmodic and congestive) which differ from each other in terms of the occurrence time in menstrual cycle, pain quality and other symptoms. The present study aimed to determine the effect of acupressure at the Sanyinjiao point (SP-6) on severity of menstrual symptoms (primary outcome) and the duration of resting time as well as the number of ibuprofen consumption (secondary outcome) in the two types of primary dysmenorrhea. METHODS: This was a clustered randomized controlled trial on 72 eligible students residing in dormitories of public universities of Tabriz, Iran. Determining the type of primary dysmenorrhea using a Menstrual symptoms questionnaire (MSQ), 36 participants which suffered from each type of dysmenorrhea were enrolled from the four dormitories. The dormitories were randomly divided into intervention and control groups. No intervention was carried out at the first cycle. During the two next cycles, Sanyinjiao point of the subjects in the intervention group was pressed for twenty minutes at the time of pain. The subjects in both groups were allowed to consume ibuprofen, if needed. During these three cycles, the participants recorded and reported menstrual symptoms severity, duration of resting time and the number of the used ibuprofen. RESULTS: The severity of menstrual symptoms and duration of resting time in the 2(nd) and 3(rd) cycles were significantly reduced more than control groups for both spasmodic and congestive types of primary dysmenorrhea. In addition, the aver-age numbers of ibuprofen pills taken by both intervention groups was significantly less than the control groups. There was no significant difference between the two intervention groups in terms of any of the outcomes. CONCLUSIONS: Acupressure is effective on lowering the symptoms of dysmenorrhea and duration of resting time almost equally in both spasmodic and congestive types. Therefore, using this method either alone or along with other methods is recommended to treat dysmenorrhea.
背景：原发性痛经有两种类型（痉挛性和充血性），在月经周期中的发生时间、疼痛性质和其他症状方面彼此不同。本研究旨在确定三阴交穴（SP - 6）穴位按压对两种原发性痛经的月经症状严重程度（主要结局）、休息时间长短以及布洛芬服用量（次要结局）的影响。 方法：这是一项针对伊朗大不里士公立大学宿舍中72名符合条件的学生进行的整群随机对照试验。使用月经症状问卷（MSQ）确定原发性痛经类型，从四个宿舍中招募了每种痛经类型的36名参与者。宿舍被随机分为干预组和对照组。在第一个周期不进行干预。在接下来的两个周期中，在疼痛发作时对干预组受试者的三阴交穴按压20分钟。两组受试者如有需要均可服用布洛芬。在这三个周期中，参与者记录并报告月经症状严重程度、休息时间长短以及所用布洛芬的数量。 结果：对于痉挛性和充血性两种原发性痛经类型，在第2和第3周期中，月经症状严重程度和休息时间长短均比对照组显著降低。此外，两个干预组服用布洛芬片的平均数量均显著少于对照组。两个干预组在任何结局方面均无显著差异。 结论：穴位按压对减轻痉挛性和充血性两种类型痛经的症状以及休息时间长短几乎同样有效。因此，建议单独使用此方法或与其他方法一起用于治疗痛经。
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