Effect of Massage Therapy on Labor Pain Reduction in Primiparous Women: A Systematic Review and Meta-analysis of Randomized Controlled Clinical Trials in Iran.
Effect of Massage Therapy on Labor Pain Reduction in Primiparous Women: A Systematic Review and Meta-analysis of Randomized Controlled Clinical Trials in Iran.
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DOI：
10.4103/ijnmr.ijnmr_109_16
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发表时间：
2017-07
影响因子：
1.1
通讯作者：
Shamsi M
中科院分区：
文献类型：
--
作者：
Ranjbaran M;Khorsandi M;Matourypour P;Shamsi M
疼痛是女性在分娩过程中的常见经历。因此，产妇在分娩过程中的止痛护理非常重要。这项荟萃分析旨在评估按摩疗法对减轻初产妇分娩疼痛的功效。在这项荟萃分析中，检索了Web of Knowledge、PubMed、Scopus、Cochrane、Iranmedex、科学信息数据库（SID）和Magiran的数据库，查找截至2016年1月发表的英语和波斯语文章。在这些研究中，根据纳入和排除标准，选择了10项研究。使用Stata软件11版对数据进行分析，并计算按摩治疗效果的标准均差（SMD）。研究之间的异质性通过基于卡方的 Q 检验和 I2 统计来评估。基于 Q 检验和 I2 统计的卡方结果显示，潜伏期（Q = 63.52，P 值 < 0.001，I2 = 87.4%）、活跃期（Q = 26.42，P 值 < 0.001，I2 = 77.3%）和过渡期（Q = 104.84，P 值 <0.001，I2 = 77.3%）研究之间存在异质性。 I2 = 95.2%）。结果显示，按摩疗法可减轻潜伏期（SMD = -1.23，95% CI：-1.73至-0.74）、活跃期（SMD = -1.59，95% CI：-2.06至-1.12）和过渡期（SMD = -1.90，95% CI：-3.09至-0.71）的分娩疼痛。这项研究为伊朗按摩疗法缓解分娩疼痛的效果提供了有效的证据。因此，建议初产妇使用按摩疗法。
Pain is a common experience for women during labor. Therefore, pain relief care for mothers during labor is very important. This meta-analysis was conducted to evaluate the efficacy of massage therapy on labor pain reduction in primiparous women. In this meta-analysis, the databases of Web of Knowledge, PubMed, Scopus, Cochrane, Iranmedex, Scientific Information Database (SID), and Magiran were searched for published articles in English and Persian language up to January 2016. Among the studies, with regard to the inclusion and exclusion criteria, 10 studies were selected. Data were analyzed by using Stata software version 11, and standard mean difference (SMD) of effects of massage therapy was calculated. The heterogeneity among studies was evaluated by the Chi-square based Q-test and I2 statistics. The results of Chi-square based on Q-test and I2 statistics showed heterogeneity among studies in the latent phase (Q = 63.52, P value < 0.001 and I2 = 87.4%), active phase (Q = 26.42, P value < 0.001, and I2 = 77.3%), and transitional phase (Q = 104.84, P value <0.001, and I2 = 95.2%). Results showed that massage therapy reduces labor pain in the latent phase (SMD = −1.23, 95% CI: −1.73 to −0.74), active phase (SMD = −1.59, 95% CI: −2.06 to −1.12), and transitional phase (SMD = −1.90, 95% CI: −3.09 to −0.71). This study provides valid evidence for the effect of massage therapy in Iran for labor pain relief. Therefore, the use of massage therapy can be recommended in the primiparous women.