合谷穴指压对分娩疼痛强度及产程的影响：一项随机对照试验。
The Effect of LI4 Acupressure on Labor Pain Intensity and Duration of Labor: A Randomized Controlled Trial.
作者信息
Dabiri Fatemeh, Shahi Arefeh
机构信息
Department of Midwifery, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.
出版信息
Oman Med J. 2014 Nov;29(6):425-9. doi: 10.5001/omj.2014.113.
OBJECTIVE
To evaluate the effect of LI4 acupressure on labor pain and duration during the first stage of labor.
METHODS
Parturient women (n=149) with singleton pregnancies in the active phase of spontaneous labor, without any medical or obstetric problems, were enrolled in this single-blinded, randomized, clinical trial. Participants were placed into one of three groups: an LI4 acupressure group, a touching group, and a control group in which no pharmacological or non-pharmacological methods of pain relief were used. Pain intensity was measured by visual analog scale before and after the intervention in the first stage of labor. Pressure or touch was applied for 30 minutes during uterine contractions.
RESULTS
The difference in the pain scores between the acupressure and control group was statistically significant (p<0.001) but there was no statistically significant (p=0.942) difference in the duration of the first stage of labor between the three groups.
CONCLUSION
Acupressure is an effective, non-invasive, and easily applicable technique to reduce labor pain.
目的
评估针刺合谷穴对第一产程产痛及产程时长的影响。
方法
选取149例单胎妊娠、处于自然分娩活跃期且无任何内科或产科问题的产妇，纳入这项单盲、随机临床试验。参与者被分为三组之一：合谷穴针刺组、触摸组和未采用任何药物或非药物镇痛方法的对照组。在第一产程干预前后，通过视觉模拟评分法测量疼痛强度。在子宫收缩期间施加压力或触摸30分钟。
结果
针刺组与对照组之间的疼痛评分差异具有统计学意义（p<0.001），但三组之间第一产程时长差异无统计学意义（p=0.942）。
结论
针刺是一种有效、无创且易于应用的减轻产痛的技术。
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