Mohammadzadeh Fatemeh, Saberi Noghabi Elham, Noori Reza, Ahmadi Seyedeh Akram, Azarang Maryam, Delshad Noghabi Ali
Department of Epidemiology and Biostatistics, School of Health, Student Research Committee, Gonabad University of Medical Sciences, Gonabad, Khorasan Razavi Province, Iran.
Department of Community Health Nursing and Nursing Management, School of Nursing, Social Development and Health Promotion Research Center, Gonabad University, Gonabad, Khorasan Razavi Province, Iran.
Med Acupunct. 2022 Oct 1;34(5):325-330. doi: 10.1089/acu.2021.0084. Epub 2022 Oct 17.
Vitamin E and acupressure are 2 complementary and alternative therapies recommended for primary dysmenorrhea (PD). This study assessed the effect of acupressure at Spleen-10 (SP-10), compared to vitamin E on the pain severity of primary dysmenorrhea (PD).
A quasiexperimental study was conducted on 70 eligible young female students with self-reported primary dysmenorrhea at Gonabad University of Medical Sciences, Gonabad, Iran. Participants were assigned to 2 treatment groups: acupressure or vitamin E. Interventions were implemented at the onset of menstrual pain in each patient, for 2 consecutive periods: acupressure group ( = 35) received 20 minutes of acupressure to SP-10 on both legs; and vitamin E group ( = 35) took 1 capsule of 200 international units of vitamin E. Pain severity was assessed with a visual analogue scale for pain. Data were analyzed with a response-profile analysis in R, version 3.6.1. Significance was < 0.05.
Both treatment groups had a similar pattern of change over time. The mean level of response profiles for pain severity was the same for both groups on all occasions. The effect of time was statistically significant ( < 0.001). A decreasing trend was noted in mean severity of pain over time. Changes at the second and third measured times were significant (P < 0.001).
It seems that acupressure at SP10 point is an efficient nonpharmacologic, cost-effective, easy-to-learn way to treat primary dysmenorrhea, applicable in any time or place.
维生素E和指压疗法是推荐用于原发性痛经(PD)的两种补充和替代疗法。本研究评估了与维生素E相比,脾经-10(SP-10)穴位指压对原发性痛经(PD)疼痛严重程度的影响。
在伊朗戈纳巴德医科大学对70名自我报告有原发性痛经的符合条件的年轻女学生进行了一项半实验性研究。参与者被分为两个治疗组:指压组或维生素E组。在每位患者月经疼痛发作时进行干预,连续两个周期:指压组(n = 35)接受双腿SP-10穴位20分钟的指压;维生素E组(n = 35)服用1粒200国际单位的维生素E胶囊。用视觉模拟疼痛量表评估疼痛严重程度。在R 3.6.1版本中用反应曲线分析对数据进行分析。显著性水平为P < 0.05。
两个治疗组随时间的变化模式相似。两组在所有时间点疼痛严重程度的平均反应曲线水平相同。时间效应具有统计学显著性(P < 0.001)。随着时间的推移,疼痛平均严重程度呈下降趋势。在第二个和第三个测量时间点的变化具有显著性(P < 0.001)。
似乎SP10穴位指压是一种治疗原发性痛经的有效、非药物、经济高效且易于学习的方法,可在任何时间或地点应用。