Akbarzade Marzieh, Ghaemmaghami Mehrnoush, Yazdanpanahi Zahra, Zare Najaf, Mohagheghzadeh Abdolali, Azizi Amir
Maternal-Fetal Medicine Research Center, Department of Midwifery, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran.
Departments of Midwifery, Faculty of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran.
J Reprod Infertil. 2016 Jan-Mar;17(1):39-46.
Perineal pain is a major morbidity in the first few days after delivery. This study aimed to investigate the effect of dry cupping therapy and acupressure at BL23 point on the intensity of postpartum perineal pain based on the short-form of McGill pain questionnaire (SMPQ).
The present clinical trial was conducted on 150 subjects in 3 groups of 50 cases. After at least 4-8 hr of delivery, cupping therapy was performed for 15-20 min up to 3 times a week (once a day) and acupressure was performed for 15-20 min based on clockwise model. The short-form of McGill pain questionnaire was completed both before and after the intervention. The SPSS statistical software was used to analyze the data using repeated measures ANOVA. Besides, p<0.05 was considered statistically significant.
In the cupping therapy group, mean of the perineal pain intensity reduced from 37.5±6.8 before the intervention to 11.1±6.1, 6.9±4.7, and 3.8±3.6 immediately, 24 hr, and 2 weeks after the intervention, respectively. The results of study showed that the differences between the intervention and control groups were statistically significant (p<0.01). Mean difference of the perineal pain intensity in the acupressure group reached from 35.6±8.1 before the intervention to 10.4±5.5 two weeks after the intervention, so the variation between intervention and control groups was statistically significant.
The study findings showed that cupping therapy and acupressure reduced perineal pain. Therefore, they may be considered as effective treatments for reducing pain intensity of allowing delivery.
会阴疼痛是分娩后最初几天的主要并发症。本研究旨在基于麦吉尔疼痛问卷简表(SMPQ),探讨闪罐疗法和针刺BL23穴对产后会阴疼痛强度的影响。
本临床试验共纳入150名受试者,分为3组,每组50例。分娩至少4 - 8小时后,进行闪罐疗法,每次15 - 20分钟,每周最多3次(每天1次),并按顺时针模式进行针刺BL23穴15 - 20分钟。干预前后均完成麦吉尔疼痛问卷简表。采用SPSS统计软件,运用重复测量方差分析对数据进行分析。此外,p<0.05被认为具有统计学意义。
闪罐疗法组中,会阴疼痛强度均值在干预前为37.5±6.8,干预后即刻、24小时及2周时分别降至11.1±6.1、6.9±4.7和3.8±3.6。研究结果显示,干预组与对照组之间的差异具有统计学意义(p<0.01)。针刺BL23穴组会阴疼痛强度均值从干预前的35.6±8.1降至干预后2周的10.4±5.5,干预组与对照组之间的差异具有统计学意义。
研究结果表明,闪罐疗法和针刺BL23穴可减轻会阴疼痛。因此,它们可被视为减轻分娩后疼痛强度的有效治疗方法。