Mucuk Salime, Baser Muruvvet
Department of Gynecology and Obstetric Nursing, Health Science Faculty, Erciyes University, Kayseri, Turkey.
J Clin Nurs. 2014 Jun;23(11-12):1603-10. doi: 10.1111/jocn.12256. Epub 2013 Jun 20.
To evaluate the effects of noninvasive electroacupuncture at LI4 or SP6 acupuncture points on labour pain and duration.
The management of labour pain is one of the main goals of obstetrical care. Acupuncture has been reported to be useful for reducing labour length and for pain relief during labour.
This was an experimental study with a control group.
The study was conducted at the Kayseri Maternity Hospital in Turkey. The participants were in the active phase of labour and were divided into three groups. In the LI4 group (n = 40), bilateral LI4 acupuncture points were stimulated using transcutaneous electrical nerve stimulation-acupuncture pen. In the SP6 group (n = 40), the acupuncture points of both legs were stimulated. The same procedure that was performed for the LI4 group was used for the SP6 group. The control group (n = 40) did not receive any stimulation. Visual Analog Scale was used for the assessment of pain.
Duration of labour from initiation of the intervention was 6·2 ± 6·0 hours in the LI4 group, 7·2 ± 6·1 hours in the SP6 group and 8·2 ± 9·9 hours in the control group. Pain scores in the LI4 group were found as 8·0 (4-10) in the 30th minute after the intervention, while they were 9·0 (4-10) in the SP6 group and 10·0 (2-10) in the control group. There was not a statistically significant difference between the groups in terms of labour duration and pain scores measured during contraction and between contractions.
Although they were not statistically significant, labour pain scores and labour duration were lower in the acupuncture groups, especially in the LI4 group.
Noninvasive electroacupuncture on the LI4 acupuncture point could be used easily during labour for labour pain relief.
评估在合谷穴（LI4）或三阴交穴（SP6）进行无创电针刺激对产痛及产程的影响。
产痛管理是产科护理的主要目标之一。据报道，针灸有助于缩短产程并缓解分娩时的疼痛。
这是一项设有对照组的实验研究。
该研究在土耳其开塞利妇产医院进行。参与者处于产程活跃期，被分为三组。合谷穴组（n = 40）使用经皮电神经刺激 - 针灸笔刺激双侧合谷穴。三阴交穴组（n = 40）刺激双腿的三阴交穴位。对三阴交穴组采用与合谷穴组相同的操作流程。对照组（n = 40）未接受任何刺激。采用视觉模拟评分法评估疼痛。
从干预开始计算，合谷穴组的产程为6.2±6.0小时，三阴交穴组为7.2±6.1小时，对照组为8.2±9.9小时。干预后第30分钟，合谷穴组的疼痛评分为8.0（4 - 10），三阴交穴组为9.0（4 - 10），对照组为10.0（2 - 10）。在宫缩期和宫缩间期测量的产程及疼痛评分方面，各组之间无统计学显著差异。
尽管无统计学显著差异，但针灸组尤其是合谷穴组的产痛评分和产程较短。
在分娩过程中，可轻松采用对合谷穴进行无创电针刺激来缓解产痛。
