کاربرد طب فشاری گوش در حوزه زنان و مامایی: مرور سیستماتیک کارآزمایی‌های بالینی

نوع مقاله : مروری

نویسندگان

1 دانشجوی دکترای بهداشت ‌باروری، کمیته تحقیقات دانشجویی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی مشهد، مشهد، ایران.

2 استادیار گروه مامایی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی مشهد، مشهد، ایران.

3 دانشجوی دکترای بهداشت باروری، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی مشهد، مشهد، ایران.

4 استادیار گروه طب سنتی، دانشکده طب سنتی و مکمل، دانشگاه علوم پزشکی مشهد، مشهد، ایران.

چکیده

مقدمه: طب فشاری گوش، یک تکنیک غیرتهاجمی و ایمن ذکر شده و یکی از مواردی است که پزشکان، ماماها، پرستاران و حتی خود بیماران می­توانند از آن استفاده کنند. مطالعات متعددی در خصوص طب فشاری گوش در درمان بیماری‌ها و مشکلات مختلف زنان انجام شده است، لذا مطالعه­ حاضر با هدف مروری بر کاربردهای طب فشاری گوش در زنان و مامایی انجام شد.
روش‌کار: در این مطالعه مروری مقالات نمایه شده در پایگاه­های اطلاعاتی Pumped، Google scholar، Magiran، Irandoc، Medline، Scoupus، Web of Science در بازه­ زمانی 2006-2018 با استفاده از کلید واژه­های مبتنی بر MeSHشامل طب گوش یا طب فشاری گوش (OR Auriculotherapy Acupressure) با استفاده از AND با کلید واژه‌های دیسمنوره، یائسگی، تهوع و استفراغ، یبوست، کمردرد، زایمان، بارداری و ناباروری به صورت جداگانه مورد بررسی قرار گرفتند. معیارهای ورود به مطالعه شامل درج کلمات مورد جستجو در بخش عنوان و کلید واژه­های مقالات در کارآزمایی­های بالینی انتشار یافته به زبان فارسی و انگلیسی بود. مقالاتی که طب فشاری و سوزنی را به صورت ترکیبی استفاده کرده بودند، از مطالعه خارج شدند. جهت ارزیابی کیفیت مقالات از ابزار جداد استفاده شد.
یافته‌ها: در این مطالعه 12 کارآزمایی بالینی بررسی شد. از 3 مقاله مرتبط با یائسگی، 1 مقاله تأثیر معنادار با طب فشاری گوش را نشان داد؛ از 2 مقاله مرتبط با دیسمنوره، 1 مقاله تأثیر معنادار طب فشاری گوش در کاهش درد و عواطف منفی را نشان داد؛ از 2 مقاله مرتبط با درد زایمان، 1 مقاله تأثیر معنادار طب فشاری گوش در کاهش درد را گزارش کرد و از 2 مقاله مرتبط با اضطراب بعد از سزارین، 1 مقاله طب فشاری گوش را در کاهش اضطراب معنادار گزارش کردند. مقاله مرتبط با یبوست نیز بهبود معنادار را در صورت استفاده از طب فشاری گوش نشان داد و در مورد تهوع و ناباروری نتایج معنی‌دار نبود.
نتیجه‌گیری: طب فشاری گوش می­تواند در بهبود مشکلات زنان کمک کننده باشد و به عنوان یک روش مکمل و جایگزین دارودرمانی پیشنهاد شود، اما با توجه به کم بودن تعداد مطالعات انجام شده در این زمینه، گزارش نتایج ضد و نقیض و همچنین محدودیت برخی مطالعات، انجام پژوهش­های بیشتر با رفع محدودیت­ها و اشکالات مطالعات قبل، پیش از بکارگیری در بالین پیشنهاد می­شود.

کلیدواژه‌ها

عنوان مقاله [English]

The Usage of Ear Acupressure in Gynecology and Obstetrics: A Systematic Review of Clinical Trials

نویسندگان [English]

  • Zahra Hadizadeh Talasaz 1
  • Talat Khadivzadeh 2
  • Mahboube Firoozi 3
  • Hoda Azizi 4
  • Morvarid Irani 1
1 PhD candidate of Reproductive Health, Student Research Committee, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.
2 Assistant Professor, Department of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.
3 PhD candidate of Reproductive Health, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.
4 Assistant Professor, Department of Traditional Medicine, School of Traditional and Complementary Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
چکیده [English]

Introduction: Ear Acupressure is a non-invasive and safe technique and is one of the approaches which can be used by doctors, midwives, nurses, and even patients themselves. Several studies have been conducted on ear acupressure in treatment of various diseases and problems of women. Therefore, the present study was conducted with aim to review the usage of ear acupressure on gynecology and obstetrics.
Methods: In this review study, the articles indexed in databases of Pumped, Google scholar, Magiran, Irandoc, MEDLINE, Scoupus, and Web of Science were searched during 2006-2018 using the keywords based on MeSH including ear acupressure OR auriculotherapy by using AND with the keywords of dysmenorrhea, menopause, nausea and vomiting, constipation, low back pain, delivery, pregnancy, and infertility. The inclusion criteria included the insertion of search words in the title section and the articles' keywords in the clinical trials published in Persian and English. The articles which had used acupuncture and needles in combination were excluded from the study. The Jadad scale was used to assess the quality of the articles.
Results: In this study, 12 clinical trials were reviewed. Out of three menopause-related articles, one had a significant effect with ear acupressure. Out of two dysmenorrhea-related articles, one showed a significant effect of ear acupressure on pain and negative emotions. Out of two labor pain-related articles, one reported significant effects of ear acupressure on pain relief. Out of two articles related to anxiety after cesarean section, one reported a significant reduction in anxiety. The article related to constipation also showed a significant improvement by using ear acupressure; no significant results were reported regarding nausea and infertility.
Conclusion: Ear acupressure can be helpful in improving women's problems and is suggested as a complementary and alternative approach. However, due to the limited number of studies which were conducted in this area, as well as the limitation of some studies, it is recommended to perform further studies with removing the limitations and defects of previous studies before using it in clinical medicine.

کلیدواژه‌ها [English]

  • Childbirth
  • Dysmenorrhea
  • Ear acupressure
  • Menopause
  • nausea and vomiting

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مجله زنان، مامایی و نازایی ایران
دوره 21، ویژه نامه
شهریور 1397
صفحه 42-54

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