Najafi Fatemeh, Jaafarpour Molouk, Sayehmiri Kourosh, Khajavikhan Javaher
Department of Nursing, Faculty of Nursing and Midwifery, Ilam University of Medical Sciences, Ilam, Iran.
Psychosocial Injuries Research Center, Ilam University of Medical Sciences, Ilam, Iran.
Iran J Nurs Midwifery Res. 2018 Jan-Feb;23(1):1-7. doi: 10.4103/ijnmr.IJNMR_184_15.
In this study, the effects of SP6 and LI4 acupressure on the pain severity and length of labor are examined.
This systematic review and meta-analysis study was performed on articles published in 2004-2015. The articles, published in the English and Farsi languages, related to the effects of acupressure on the SP6 and LI4 points on the length and pain severity of labor. Data were collected by searching medical databases, including PubMed, ISI, MagIran, Google Scholar, Iran Medex, SID, Irandoc, and EMBASE, for relevant material.
Women who received SP6 acupressure experienced less pain immediately after the intervention [-0.56, 95% confidence interval (CI): -0.77, -0.36] than women in the touch group and exhibited decrease in the length of labor (-0.99, 95% CI: -1.39, -0.39), the active phase (0.95, 95% CI: -1.30, -0.61), and the second stage of labor (-0.39, 95% CI: -0.74, -0.03). Women who received LI4 acupressure experienced less pain immediately after the intervention (-0.94, 95%, CI: -1.36, -0.53) than women in the touch group and exhibited shorter active phase (-0.91, 95%, CI: -1.18, -0.63) and second stage of labor (-0.55, 95%, CI: -0.95, -0.15) lengths.
The use of SP6 and LI4 acupressure shows promise as a method for managing the length and pain severity of labor, but further study is required to establish its effectiveness along with other pharmacological and nonpharmacological methods.
在本研究中，探讨了针刺三阴交穴和合谷穴对疼痛严重程度及产程的影响。
本系统评价和荟萃分析研究针对2004年至2015年发表的文章开展。这些文章以英文和波斯文发表，涉及针刺三阴交穴和合谷穴对产程及疼痛严重程度的影响。通过检索医学数据库收集数据，这些数据库包括PubMed、ISI、MagIran、谷歌学术、伊朗医学数据库、SID、伊朗文献数据库和EMBASE，以查找相关资料。
接受三阴交穴针刺的女性在干预后即刻的疼痛程度低于触摸组女性[-0.56，95%置信区间（CI）：-0.77，-0.36]，且产程缩短（-0.99，95%CI：-1.39，-0.39），活跃期缩短（0.95，95%CI：-1.30，-0.61），第二产程缩短（-0.39，95%CI：-0.74，-0.03）。接受合谷穴针刺的女性在干预后即刻的疼痛程度低于触摸组女性（-0.94，95%CI：-1.36，-0.53），且活跃期缩短（-0.91，95%CI：-1.18，-0.63），第二产程缩短（-0.55，95%CI：-0.95，-0.15）。
针刺三阴交穴和合谷穴有望成为一种控制产程及疼痛严重程度的方法，但需要进一步研究以确定其与其他药物及非药物方法相比的有效性。
