Bazarganipour Fatemeh, Taghavi Seyed-Abdolvahab, Allan Helen, Beheshti Fatemeh, Khalili Asma, Miri Fahimeh, Rezaei Marziyeh, Mojgori Mahbobeh, Imaninasab Fatemeh, Irani Fahimeh, Salari Shohreh
Hormozgan Fertility & Infertility Research Center, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.
Centre for Critical Research in Nursing & Midwifery, School of Health & Education, Middlesex University, London, United Kingdom.
Complement Ther Med. 2017 Apr;31:65-70. doi: 10.1016/j.ctim.2017.02.003. Epub 2017 Feb 21.
To evaluate the effect of simple acupressure protocol in LIV3, LI4 and placebo points on the quality of life (QOL) in women with premenstrual syndrome (PMS).
This paper reports a randomized, single blinded clinical trial. 97 participants (students in of Hormozgan University of Medical Sciences, Iran) with PMS were allocated to three groups to receive 20min acupressure on different acupoints for 14days before menstruation for three consecutive menstrual cycles (training and then two cycles self applied acupressure). The acupoints were LIV3 and LI4; one group received acupressure at a placebo point. Each participant completed the PSST scale (to determine PMS severity), HADS scale (for depression and anxiety), and quality of life SF12.
The number of people with moderate/severe PMS decreased in LIV3 and LI4 acupressure groups by the second and third cycles compared with the placebo group (p<0.04). Moreover, depression and anxiety scores significantly decreased in the LIV3 and LI4 groups by the second and third cycles compared with the placebo group (p<0.05).Analyzing the score of SF12 fields in the second and third cycles showed a significant difference in all dimensions between the intervention and placebo groups. There was no significant difference between LIV3 and LI4 acupressure groups in decrease of PMS symptoms, anxiety and depression and improving SF12scores (p<0.05).
Performing the simple acupressure protocol at LIV3 and LI4 is an effective method to decrease the severity of PMS symptoms, anxiety and depression, and to improve the QOL. Pressure at LIV3 and LI4 appears to be equally effective.
评估对肝经3穴、大肠经4穴及安慰剂穴位进行简单指压疗法对经前综合征（PMS）女性生活质量（QOL）的影响。
本文报告一项随机、单盲临床试验。97名患有经前综合征的参与者（伊朗霍尔木兹甘医科大学的学生）被分为三组，在月经前14天对不同穴位进行20分钟指压，连续三个月经周期（先进行训练，然后两个周期自行指压）。穴位为肝经3穴和大肠经4穴；一组在安慰剂穴位进行指压。每位参与者完成PSST量表（用于确定经前综合征严重程度）、HADS量表（用于评估抑郁和焦虑）以及生活质量SF12量表。
与安慰剂组相比，肝经3穴和大肠经4穴指压组在第二个和第三个周期中，中度/重度经前综合征患者数量减少（p<0.04）。此外，与安慰剂组相比，肝经3穴和大肠经4穴组在第二个和第三个周期中抑郁和焦虑评分显著降低（p<0.05）。对第二个和第三个周期的SF12各领域得分进行分析显示，干预组和安慰剂组在所有维度上均存在显著差异。肝经3穴和大肠经4穴指压组在经前综合征症状减轻、焦虑和抑郁改善以及SF12得分提高方面无显著差异（p<0.05）。
对肝经3穴和大肠经4穴进行简单指压疗法是减轻经前综合征症状严重程度、焦虑和抑郁以及改善生活质量的有效方法。对肝经3穴和大肠经4穴施加压力似乎同样有效。
