Nasiri Morteza, Farsi Zahra
Medical-Surgical Department, Faculty of Nursing, AJA University of Medical Sciences, Tehran, Iran.
Community Health Department, Faculty of Nursing, AJA University of Medical Sciences, Tehran, Iran.
Complement Ther Med. 2017 Jun;32:41-48. doi: 10.1016/j.ctim.2017.03.004. Epub 2017 Mar 16.
Due to adverse effects of common medications used for traumatic pain management, it is crucial to use complementary methods to alleviate this pain. Present study aimed to assess the effect of light pressure stroking massage with topical sesame oil on pain severity of patients with limbs trauma.
This triple-blinded randomized trial was conducted on 40 patients with upper or lower extremities trauma in emergency department of Busheher Amir Al-Momenian Hospital, Busheher, Iran, in 2015-2016. Patients received a 5min massage with either liquid paraffin (placebo) or sesame oil on trauma site twice a day for 9days duration. Pain severity was assessed by visual analogue scale in first day (baseline), 3th, 6th and 9th days of intervention in the both groups.
Mean changes of pain severity between two groups was significant in the 6th (-0.20±1.36; P=0.036) and 9th (-0.36±1.12; P<0.001) days of intervention. Regarding to intake of diclofenac, no significant difference was seen between sesame oil and placebo groups during 9days of intervention (575.23±3.11 and 625.13±4.23 respectively, P=0.601). There were no adverse effects during the study in the both groups.
Massage with topical sesame oil was associated with significant reduction in pain severity of patients with limbs trauma. Therefore, it is suggested to use this oil on complementary medicine for pain relief due to low cost, easy usage and lack of adverse effects.
由于用于创伤性疼痛管理的常用药物存在不良反应,采用辅助方法缓解此类疼痛至关重要。本研究旨在评估局部涂抹芝麻油进行轻压抚摸按摩对肢体创伤患者疼痛严重程度的影响。
2015 - 2016年,在伊朗布什尔市阿米尔·穆民尼安医院急诊科,对40例上下肢创伤患者进行了这项三盲随机试验。患者在创伤部位接受液体石蜡(安慰剂)或芝麻油按摩,每次5分钟,每天两次,持续9天。两组均在干预的第1天(基线)、第3天、第6天和第9天通过视觉模拟量表评估疼痛严重程度。
在干预的第6天(-0.20±1.36;P = 0.036)和第9天(-0.36±1.12;P < 0.001),两组间疼痛严重程度的平均变化具有显著性差异。关于双氯芬酸的摄入量,在9天的干预期间,芝麻油组和安慰剂组之间没有显著差异(分别为575.23±3.11和625.13±4.23,P = 0.601)。两组在研究期间均未出现不良反应。
局部涂抹芝麻油按摩可显著降低肢体创伤患者的疼痛严重程度。因此,鉴于其成本低、使用方便且无不良反应,建议在辅助医学中使用这种油来缓解疼痛。