Safdari Ali, Khazaei Salman, Biglarkhani Mahdi, Mousavibahar Seyed Habibollah, Borzou Seyed Reza
Student Research Committee, Hamadan University of Medical Sciences, Hamadan, Iran.
Department of Epidemiology, Research Center for Health Sciences, Hamadan University of Medical Sciences, Hamadan, Iran.
BMC Complement Med Ther. 2024 Jan 25;24(1):55. doi: 10.1186/s12906-024-04360-1.
Despite the widespread use of extracorporeal shock wave lithotripsy (ESWL) as a treatment for kidney stones, it is essential to apply methods to control pain and improve patient comfort during this procedure. Therefore, this study aimed to investigate the effect of acupressure at the Qiu point on pain intensity and physiological indices in patients undergoing ESWL.
This randomized, sham-controlled clinical trial was conducted at the Shahid Beheshti Educational-medical Center in Hamadan City (western Iran) from May to August 2023. Seventy-four eligible patients were split into intervention (n = 37) and sham (n = 37) groups. Ten minutes before lithotripsy, the intervention group received acupressure at the Qiu point, while the sham group received touch at a neutral point. The primary outcomes were pain intensity measured by the Visual Analog Scale (VAS) and physiological indices such as blood pressure and heart rate at baseline, 1, 10, 20, 30, 40, and 50 min after the intervention. The secondary outcomes included lithotripsy success and satisfaction with acupressure application.
The analysis of 70 patients showed no significant differences in the demographic and clinical information of the patients across the two groups before the study (P > 0.05). Generalized estimating equations revealed that the interaction effects of time and group in pain and heart rate were significant at 30 and 40 min (P < 0.05). The results of this analysis for systolic blood pressure revealed a significant interaction at 30 min (P = 0.035). However, no significant interaction effects were found for diastolic blood pressure changes (P > 0.05).
Acupressure at the Qiu point positively impacts pain in patients undergoing ESWL treatment and increases their satisfaction. However, these results for physiological indices require further studies. Thus, acupressure can be considered a simple, easy, and effective option for pain management in patients during this procedure.
[ https://en.irct.ir/trial/69117 ], identifier [IRCT20190524043687N4].
尽管体外冲击波碎石术（ESWL）作为治疗肾结石的方法被广泛应用，但在该手术过程中应用控制疼痛和提高患者舒适度的方法至关重要。因此，本研究旨在探讨丘墟穴穴位按压对接受ESWL治疗患者的疼痛强度和生理指标的影响。
本随机、假对照临床试验于2023年5月至8月在伊朗西部哈马丹市的沙希德·贝赫什提教育医疗中心进行。74名符合条件的患者被分为干预组（n = 37）和假手术组（n = 37）。在碎石术前10分钟，干预组接受丘墟穴穴位按压，而假手术组在非穴位点进行触摸。主要结局指标为通过视觉模拟量表（VAS）测量的疼痛强度以及干预后基线、1、10、20、30、40和50分钟时的血压和心率等生理指标。次要结局指标包括碎石术成功率和对穴位按压应用的满意度。
对70名患者的分析显示，研究前两组患者的人口统计学和临床信息无显著差异（P > 0.05）。广义估计方程显示，时间和组在疼痛和心率方面的交互作用在30和40分钟时具有显著性（P < 0.05）。该分析对收缩压的结果显示在30分钟时有显著交互作用（P = 0.035）。然而，舒张压变化未发现显著交互作用（P > 0.05）。
丘墟穴穴位按压对接受ESWL治疗的患者的疼痛有积极影响，并提高了他们的满意度。然而，这些生理指标的结果需要进一步研究。因此，穴位按压可被视为该手术过程中患者疼痛管理的一种简单、易行且有效的选择。
