Faculty of Acupuncture and Moxibustion, Tianjin University of Traditional Chinese Medicine, Tianjin, China.
Acupuncture and Moxibustion Research Institute, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin, China; Tianjin Key Laboratory of Acupuncture and Moxibustion, Tianjin, China; National Clinical Research Center for Traditional Chinese Medicine, China.
Complement Ther Clin Pract. 2020 May;39:101126. doi: 10.1016/j.ctcp.2020.101126. Epub 2020 Feb 29.
Acupressure, as part of Traditional Chinese Medicine, has shown promise as an effective method of pain relief in labour and birth. This systematic review and meta-analysis aims to critically assess the effect of acupressure on pain reduction during first stage of labour.
Five major electronic databases were searched in November 2018 to screen English articles. Only randomized controlled trials (RCTs) comparing acupressure with placebo and/or no intervention were selected. Intensity of labour pain was considered for primary outcome and pooled analysis.
Ten RCTs were included in this review. LI4 and SP6 were the most commonly used acupoints. At the active and transitional phase, acupressure significantly reduced labour pain when compared to placebo (pooled MD -1.91; 95% CI -2.73,-1.08; pooled MD -3.03; 95% CI -5.03,-1.02, respectively). Acupressure was also superior to no intervention group at the active (pooled MD -3.00; 95% CI -3.88,-2.13) and transitional phase (pooled MD -2.03; 95% CI -3.72,-0.35).
Acupressure can provide significant pain relief during first stage of labour. However, further clinical trials with standardized intervention procedures are required for the creation of evidence-based guidelines.
作为中医的一部分，穴位按压已被证明是一种缓解分娩疼痛的有效方法。本系统评价和荟萃分析旨在批判性地评估穴位按压对第一产程疼痛减轻的效果。
2018 年 11 月，我们检索了五个主要的电子数据库，以筛选英文文章。仅选择了比较穴位按压与安慰剂和/或无干预的随机对照试验（RCT）。主要结局是评估分娩疼痛强度，并进行汇总分析。
本综述纳入了 10 项 RCT。LI4 和 SP6 是最常用的穴位。在活跃期和过渡期，穴位按压与安慰剂相比显著减轻了分娩疼痛（汇总 MD-1.91；95%CI-2.73，-1.08；汇总 MD-3.03；95%CI-5.03，-1.02）。与无干预组相比，穴位按压在活跃期（汇总 MD-3.00；95%CI-3.88，-2.13）和过渡期（汇总 MD-2.03；95%CI-3.72，-0.35）也具有优势。
穴位按压可在第一产程中提供显著的疼痛缓解。然而，需要进一步进行具有标准化干预程序的临床试验，以制定基于证据的指南。
