Social Determinants of Health Research Center, Research Institute for Prevention of Non-Communicable Diseases, Qazvin University of Medical Sciences, Qazvin, Iran.
Mother and Child Care Research Center, School of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran.
Complement Ther Med. 2020 Jun;51:102413. doi: 10.1016/j.ctim.2020.102413. Epub 2020 Apr 22.
This study sought to compare the effects of multi-point ear and body acupressure on labor pain and the duration of labor active phase.
Three-armed randomized controlled trial.
Kowsar Hospital, Qazvin, Iran.
Participants in the body acupressure group received acupressure on GB21, GB30, BL32, LI4, and SP6 points, each for two minutes, at cervical dilation of four, six, and eight centimeters. For participants in the ear acupressure group, adhesive auriculotherapy-specific Vaccaria seeds were attached to their auricles on the zero, genitalia, Shen Men, thalamic, and uterine 1 and 2 acupoints. The seeds were compressed every thirty minutes, each time for thirty seconds. Participants in the control group received routine care services.
Labor pain intensity was assessed using a visual analogue scale at cervical dilation of four and ten centimeters.
While there was no significant difference between mean scores of pain among three groups, mean score of labor pain in both acupressure groups was significantly less than that in the control group (P < 0.001). However, the difference between the acupressure groups was not statistically significant (P = 0.12). Moreover, the duration of labor active phase in the ear acupressure group was significantly less than those in the body acupressure and the control groups (P < 0.001).
Ear acupressure was significantly effective in reducing labor pain and shortening labor active phase. However, body acupressure solely reduces labor pain. Therefore, ear acupressure can be used to reduce labor pain and shorten labor active phase.
本研究旨在比较多点耳部和身体穴位按压对分娩疼痛和活跃期持续时间的影响。
三臂随机对照试验。
伊朗戈兹万的科萨尔医院。
体部穴位按压组的参与者在宫颈扩张至 4、6 和 8 厘米时，分别对 GB21、GB30、BL32、LI4 和 SP6 点进行两分钟的穴位按压。耳部穴位按压组的参与者在其耳穴的零、生殖器官、神门、丘脑和子宫 1、2 穴位上贴上耳穴特定的王不留行籽。每 30 分钟按压一次，每次 30 秒。对照组的参与者接受常规护理服务。
在宫颈扩张至 4 和 10 厘米时，使用视觉模拟评分法评估分娩疼痛强度。
三组之间疼痛评分的平均值没有显著差异，但两种穴位按压组的平均疼痛评分均显著低于对照组（P<0.001）。然而，穴位按压组之间的差异无统计学意义（P=0.12）。此外，耳部穴位按压组的活跃期持续时间明显短于体部穴位按压组和对照组（P<0.001）。
耳部穴位按压可显著减轻分娩疼痛，缩短活跃期。然而，体部穴位按压仅能减轻分娩疼痛。因此，耳部穴位按压可用于减轻分娩疼痛并缩短活跃期。
