Effects of acupressure at the Sanyinjiao point (SP6) on the process of active phase of labor in nulliparas women
Effects of acupressure at the Sanyinjiao point (SP6) on the process of active phase of labor in nulliparas women
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DOI：
10.3109/14767050903277662
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发表时间：
2010-07-01
影响因子：
1.8
通讯作者：
Shahali, Shadab
中科院分区：
文献类型：
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作者：
Kashanian, Maryam;Shahali, Shadab
导论.减少分娩活跃期的持续时间和疼痛是一个非常重要的问题，因此一直在认真研究。本研究旨在观察三阴交穴对初产妇活跃期产程时间及疼痛的影响。对120例符合条件的初产妇进行了单盲随机临床试验，这些妇女处于分娩活跃期（宫颈扩张3- 4cm，子宫适当收缩）。这些妇女被随机分为两组。对照组（n = 60），在宫缩过程中穴位按压三阴交穴30 min。在对照组（n = 60）中，仅在该点进行触摸而不进行按摩。两小时后，进行第二次盆腔检查，在缺乏良好有力收缩的情况下，输注经典形式的催产素。比较两组产妇活跃期持续时间、疼痛程度（采用视觉疼痛评分）、催产素用量、催产素使用必要性、分娩方式，并采用SPSS 15进行统计学分析。病例组的活动期平均持续时间较短（252.37 +/- 108.50 min vs. 441.38 +/- 155.88，p = 0.0001）。病例组6例患者（10%）和对照组25例患者（41.7%）通过剖宫产分娩（p = 0.0001）。病例组的疼痛严重程度低于对照组（5.87 +/- 1.77 vs. 6.79 +/- 1.52，p = 0.003）。病例组中有25名妇女（41.7%）和对照组中有38名妇女（63.3%）需要催产素（p = 0.017）病例组中所需催产素的量少于对照组（73.33 +/- 97.19 ml vs. 126.6 +/- 97.19 ml，p = 0.003）。三阴交穴穴位按压可减少活跃期疼痛的持续时间和严重程度，降低剖宫产率，减少催产素的使用量和必要性。
Introduction. The reduction of the duration and pain of the active phase of labor is a very important issue and therefore always under serious investigation.Objective. The purpose of the present study is to evaluate the effect of acupressure at the Sanyinjiao point (SP6) on the duration and pain of the active phase of labor in nulliparas women.Method. A single blind randomized clinical trial was performed on 120 eligible nulliparas women who were at the beginning of active phase of labor (3-4 cm dilatation of cervix plus proper uterine contractions). The women were randomly assigned into two groups. The case group (n = 60), received acupressure at Sanyinjiao point (above the ankle), for 30 min during contractions. In the control group (n = 60), simply a touch at this point without massage was performed. Two hours later a second pelvic examination was performed and in the absence of good forceful contractions oxytocin in the classical form was infused. Finally, duration of active phase, severity of pain (using the Visual Analogue Scale), the amount of necessary oxytocin and necessity to administer oxytocin and the route of delivery were compared between the two groups and statistical analyses were performed using SPSS 15.Results. The mean duration of active phase was shorter in the case group (252.37 +/- 108.50 min vs. 441.38 +/- 155.88, p = 0.0001). Six patients (10%) in the case group and 25 patients (41.7%) in the control group delivered via cesarean section (p = 0.0001). The severity of pain in the case group was less than the control group (5.87 +/- 1.77 vs. 6.79 +/- 1.52, p = 0.003). Twenty-five women (41.7%) in the case group and 38 women (63.3%) in the control group needed oxytocin (p = 0.017) The amount of necessary oxytocin in the case group was less than the control group (73.33 +/- 97.19 ml vs. 126.6 +/- 97.19 ml, p = 0.003).Conclusion. Acupressure at Sanyinjiao point (SP6) reduced the duration and severity of pain of the active phase of labor, cesarean section rates, and necessity and amount of oxytocin.