Amjad Samira, Aziz Qamer, Nangrejo Ruqaya, Samina Mubushra
Samira Amjad, MCPS, M Phil Department of Physiology, Karachi Institute of Medical Sciences, Malir Cantonment, Karachi, Pakistan.
Qamer Aziz, PhD Department of Physiology, Baqai Medical University, Karachi Pakistan.
Pak J Med Sci. 2025 Apr;41(4):1121-1125. doi: 10.12669/pjms.41.4.10818.
This study aimed to determine the difference in pain intensity before and after acupressure at Sanyinjiao Point 6 (SP6) in medical students with Primary Dysmenorrhea (PD).
The research design was quasi-experimental adopting a single group comparing pre and post-intervention data. The study was conducted in a private medical institute in Karachi, Pakistan, from September 2022 to April 2023. To select participants, a modified menstrual symptom questionnaire was used, and to measure the pain, the Visual Analogue Scale (VAS) was used during the four months of the study. A convenient sample of 50 healthy medical students were included who suffered from PD and were not using analgesics. After taking informed written consent, in the first month, VAS scoring was done without intervention on the first three days of the menstrual cycle (MC). In the subsequent three MCs, acupressure was self-applied (after being taught by a qualified acupressurist) three times a day at acupoint SP6 for two to five minutes on both legs one by one during the first three days of each intervention MC and VAS pain scoring was done.
A statistically significant reduction in pain intensity (p<0.01) was observed in post-acupressure VAS scores during the first three days of each intervention menstrual cycle.
Acupressure at the SP6 point has been shown to effectively reduce pain intensity in medical students with primary dysmenorrhea. As a result, this alternative therapy can be recommended as a non-pharmacological option for pain management.
本研究旨在确定原发性痛经（PD）医学生三阴交穴（SP6）指压前后疼痛强度的差异。
研究设计为准实验性，采用单组比较干预前后的数据。该研究于2022年9月至2023年4月在巴基斯坦卡拉奇的一家私立医学院进行。为选择参与者，使用了改良的月经症状问卷，并且在研究的四个月期间使用视觉模拟量表（VAS）测量疼痛。纳入了50名患有原发性痛经且未使用镇痛药的健康医学生的便利样本。在获得知情书面同意后，第一个月在月经周期（MC）的前三天不进行干预进行VAS评分。在随后的三个月经周期中，在每个干预月经周期的前三天，由合格的指压师指导后，每天在SP6穴位自行指压双腿各两到五分钟，共三次，并进行VAS疼痛评分。
在每个干预月经周期的前三天，指压后VAS评分的疼痛强度有统计学显著降低（p<0.01）。
三阴交穴指压已被证明可有效降低原发性痛经医学生的疼痛强度。因此，这种替代疗法可作为疼痛管理的非药物选择推荐。
