Asadi Nasrin, Maharlouei Najmeh, Khalili Azadeh, Darabi Yalda, Davoodi Sarah, Raeisi Shahraki Hadi, Hadianfard Mohammadjavad, Jokar Azam, Vafaei Homeira, Kasraeian Maryam
Maternal-Fetal Medicine Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
Health Policy Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
J Acupunct Meridian Stud. 2015 Oct;8(5):249-54. doi: 10.1016/j.jams.2015.08.003. Epub 2015 Sep 11.
Nowadays, acupuncture is widely used to manage pain, and childbirth is a condition requiring appropriate pain management interventions. The efficacy of acupuncture in the management of labor pain has recently been studied, but the results are not satisfactory and conflicts exist. In this study, we investigated the effects of acupuncture on labor pain, serum cortisol level, and duration of labor. We conducted a randomized, single-blind, controlled trial that included 63 nulliparous women: 32 in the study group and 31 in the control group. Acupuncture was performed at the SP-6 and the LI-4 points in the study group, and sham acupuncture was performed at the same points in the control group. Pain scores and serum cortisol levels were measured before and after the intervention. Changes in these measures and in the duration of labor were compared between the groups. No significant variations in pain scores or serum cortisol levels were observed between the two control groups. However, the duration of labor was significantly lower (p < 0.001) in the group receiving real acupuncture. Our results show that acupuncture is significantly associated with a decreased duration of labor, even though it was no better than a placebo for the treatment of labor pain.
如今，针灸被广泛用于疼痛管理，而分娩是一种需要适当疼痛管理干预的情况。最近对针灸在分娩疼痛管理中的疗效进行了研究，但结果并不令人满意且存在矛盾。在本研究中，我们调查了针灸对分娩疼痛、血清皮质醇水平和产程的影响。我们进行了一项随机、单盲、对照试验，纳入了63名初产妇：研究组32名，对照组31名。研究组在三阴交穴和合谷穴进行针灸，对照组在相同穴位进行假针灸。在干预前后测量疼痛评分和血清皮质醇水平。比较两组在这些指标以及产程方面的变化。两个对照组之间在疼痛评分或血清皮质醇水平上未观察到显著差异。然而，接受真针灸的组产程显著缩短（p < 0.001）。我们的结果表明，针灸与产程缩短显著相关，尽管在治疗分娩疼痛方面并不比安慰剂效果更好。
