Niazi Azin, Moradi Maryam, Askari Vahid Reza, Sharifi Neda
School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.
Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
J Pharmacopuncture. 2021 Jun 30;24(2):41-53. doi: 10.3831/KPI.2021.24.2.41.
Cesarean sections are one of the common surgical procedures around the world. Management of cesarean section side effects, including pain, hematoma, delayed wound healing, is of particular importance in maintaining maternal health and ability to care for the baby. The tendency to use complementary medicine strategies is on the rise because of the easy treatment with low side effects. The purpose of this study was to systematically review the efficacy and safety of clinical trials performed in Iran and worldwide on the effect of complementary medicine on pain relief and wound healing after cesarean section.
PRISMA checklist was followed to prepare the report of this systematic review. The search process was carried out on databases on databases of Magiran, SID, Iran Medex, Scopus, Pub Med, Science direct, Medline and Cochrane library using keywords of cesarean, pain, wound healing, Herbal medicine, acupressure, massage, complementary medicine and their Persian equivalent and all possible combinations, from inception until February 2020. We used the Jadad scale to assess the quality of the searched articles. According to the Jadad scale, the articles with a score of at least 3 were included in the study.
Finally, 28 clinical trials (with a sample size of 3,245) scored at least 3 on the Jadad scale were included into the analysis. This article reviewed 13 articles on medicinal herbs, 4 articles on massage, 1 article on reflexology, 2 articles on acupressure.
According to the present review, the use of medicinal herbs was the most common method of complementary medicine in pain relief and wound healing after cesarean section.
剖宫产是全球常见的外科手术之一。剖宫产副作用的管理，包括疼痛、血肿、伤口愈合延迟等，对于维持产妇健康及照顾婴儿的能力尤为重要。由于补充替代医学策略治疗简便且副作用小，其使用趋势正在上升。本研究的目的是系统评价伊朗及全球范围内关于补充替代医学对剖宫产术后疼痛缓解和伤口愈合影响的临床试验的疗效和安全性。
遵循PRISMA清单来撰写本系统评价报告。检索过程于2020年2月前在Magiran、SID、Iran Medex、Scopus、Pub Med、Science direct、Medline和Cochrane图书馆等数据库中进行，使用剖宫产、疼痛、伤口愈合、草药、指压、按摩、补充替代医学及其波斯语等效词以及所有可能的组合作为关键词。我们使用Jadad量表评估检索到的文章质量。根据Jadad量表，得分至少为3分的文章纳入本研究。
最终，28项在Jadad量表上得分至少为3分的临床试验（样本量为3245）纳入分析。本文综述了13篇关于草药的文章、4篇关于按摩的文章、1篇关于反射疗法的文章、2篇关于指压的文章。
根据本综述，草药的使用是剖宫产术后疼痛缓解和伤口愈合中最常见的补充替代医学方法。
