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反射学疗法:一项随机对照试验,研究其对β-内啡肽、皮质醇和与妊娠相关压力的影响。

Reflexology: A randomised controlled trial investigating the effects on beta-endorphin, cortisol and pregnancy related stress.

机构信息

Institute of Nursing and Health Research, Ulster University, Shore Road, Newtownabbey, Co Antrim, Northern Ireland BT37 0QB, United Kingdom.

Centre for Public Health, Queens University, Belfast, Northern Ireland BT9 7BL, United Kingdom.

出版信息

Complement Ther Clin Pract. 2018 May;31:76-84. doi: 10.1016/j.ctcp.2018.01.018. Epub 2018 Feb 3.

DOI:10.1016/j.ctcp.2018.01.018
PMID:29705485
Abstract

Reflexology is used for various pregnancy related complaints. A three-armed, pilot randomised controlled trial was conducted to test changes in physiological and biochemical stress parameters. Ninety primiparous volunteers experiencing low back and/or pelvic girdle pain (LBPGP) were recruited to receive either six reflexology or footbath treatments or usual care. Primary outcome data included pain intensity and frequency measured on a visual analog scale (VAS), and salivary beta-endorphin and cortisol levels. 61 (68%) women completed the intervention. A clinically important reduction of 1.63 cm occurred for VAS pain frequency following reflexology. Beta-endorphin levels increased by 8.8% and 10.10% in the footbath and usual care groups respectively and decreased by 15.18% for the reflexology group. Cortisol increased by 31.78% for footbath participants, 31.42% in usual care and 18.82% in the reflexology group. Reflexology during pregnancy may help reduce LBPGP, and associated stress. However, antenatal reflexology is under researched and requires further investigation.

摘要

反射疗法用于各种与妊娠相关的投诉。进行了一项三臂、随机对照试验,以测试生理和生化应激参数的变化。招募了 90 名经历下背部和/或骨盆带疼痛(LBPGP)的初产妇志愿者,他们接受了 6 次反射疗法或足浴治疗或常规护理。主要结果数据包括视觉模拟量表(VAS)测量的疼痛强度和频率,以及唾液β-内啡肽和皮质醇水平。61 名(68%)女性完成了干预。反射疗法后,VAS 疼痛频率临床显著降低 1.63 厘米。足浴组β-内啡肽水平分别增加 8.8%和 10.10%,反射疗法组则降低 15.18%。足浴组皮质醇增加 31.78%,常规护理组增加 31.42%,反射疗法组增加 18.82%。妊娠期间的反射疗法可能有助于减轻 LBPGP 及其相关的压力。然而,产前反射疗法的研究还不够,需要进一步研究。

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