Khorsand Ali, Tadayonfar Moosa Al-Reza, Badiee Shapour, Aghaee Monavar Afzal, Azizi Hoda, Baghani Sara
1 Department of Complementary and Chinese Medicine, School of Persian and Complementary Medicine, Mashhad University of Medical Sciences , Mashhad, Iran .
2 School of Nursing and Midwifery, Sabzevar University of Medical Sciences, Sabzevar, Iran .
J Altern Complement Med. 2015 Dec;21(12):774-80. doi: 10.1089/acm.2014.0270. Epub 2015 Sep 24.
Appendicitis is the most common cause of severe abdominal pain in the world, and the associated postsurgical pain, as occurs with other surgical procedures, is one of the most common problems. Today, there is a growing tendency toward nondrug methods and alternative medicine to reduce the adverse effects of drugs. Reflexology involves applying pressure on certain areas of the palms, feet, and ears in order to reduce stress and pain in certain areas of the body. The aim of this study was to determine the effect of reflexology massage on pain relief after appendectomy.
This clinical trial was conducted at the surgical emergency unit of Imam Reza Hospital of Mashhad, Iran, in 2013. Pain intensity and analgesic consumption were compared between 105 patients before and immediately, 1 hour, 6 hours, and 24 hours after the intervention in three groups of intervention, control, and placebo. Patients in all three groups received analgesics, as required. The experimental group received pressure on a defined area of the right foot for about 10 minutes and the Shen Men point of the ear for 1 minute. This pressure in the placebo group was applied on the left foot and the left earlobe. Patients in the control group received routine care only. The results were evaluated at a 95% confidence level, and data were analyzed using SPSS software version 12 (SPSS, Inc., Chicago, IL).
At the beginning of the study, the mean pain intensity in different groups according to analysis of variance was not significantly different (p = 0.439); however, there was a notable difference in pain intensity between the intervention and other groups after reflexology therapy. In addition, methadone consumption was significantly lower in the reflexology group than in the other two groups (p ≤ 0.001).
Reflexology is effective for reducing pain after appendectomy surgery.
阑尾炎是全球严重腹痛最常见的病因，与其他外科手术一样，术后疼痛是最常见的问题之一。如今，减少药物不良反应的非药物方法和替代医学的趋势日益增长。反射疗法是通过对手掌、足部和耳部的特定区域施加压力，以减轻身体特定部位的压力和疼痛。本研究旨在确定反射疗法按摩对阑尾切除术后疼痛缓解的效果。
本临床试验于2013年在伊朗马什哈德伊玛目礼萨医院的外科急诊室进行。在干预组、对照组和安慰剂组的105例患者中，比较干预前及干预后即刻、1小时、6小时和24小时的疼痛强度和镇痛药消耗量。三组患者均按需使用镇痛药。实验组在右脚的特定区域施加压力约10分钟，并在耳部的神门穴施加压力1分钟。安慰剂组在左脚和左耳垂施加这种压力。对照组患者仅接受常规护理。结果以95%置信水平进行评估，数据使用SPSS 12版软件（SPSS公司，伊利诺伊州芝加哥）进行分析。
在研究开始时，根据方差分析，不同组的平均疼痛强度无显著差异（p = 0.4
