مروری سیستماتیک بر گیاهان دارویی مورد استفاده در درمان پس‌درد زایمان در ایران

نوع مقاله : مروری

نویسندگان

1 دانشجوی کارشناسی ارشد مامایی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی شهید بهشتی تهران، تهران، ایران.

2 دکترای بهداشت باروری، گروه مامایی و بهداشت باروری، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی شهید بهشتی تهران، تهران، ایران.

چکیده

مقدمه: درد پس از زایمان یکی از مشکلات مهم و شایع مادران پس از زایمان می­باشد که برای تسکین آن به دلیل اثرات جانبی داروهای شیمیایی ضد درد، به گیاهان دارویی روی آورده‌اند. طی سال‌های اخیر، با روشن شدن لزوم عملکرد بالینی مبتنی بر شواهد، به اطلاعات با کیفیت و مناسب نیاز است، لذا مطالعه مروری حاضر با هدف بررسی مطالعات کارآزمایی بالینی انجام شده در رابطه با گیاهان دارویی مورد استفاده در درمان پس‌درد زایمان در ایران انجام شد.
روش‌کار: در این مطالعه مرور سیستماتیک اطلاعات مربوط به تأثیر گیاهان دارویی بر پس درد زایمان از پایگاه­های PubMed، SID، Iran Medex، Google scholar، Magiran، Science Direct،MedLib ، Scopus، Cochranelibra، Web of science و سایت کتابخانه دانشگاه علوم پزشکی شهید بهشتی با کلمات کلیدی فارسی مراقبت پس از زایمان، برنامه پس از زایمان، درد، طب گیاهی، گیاهان دارویی، کارآزمایی بالینی و کلید واژه­های انگلیسی Postnatal care، Postpartum care، Postpartum program، Pain، Herbal medicine، Medicinal plants و Clinical trial و بدون محدودیت زمانی جستجو شد. بر اساس معیار جداد، مقالاتی که نمره 3 و بیشتر را گرفتند، وارد مطالعه شدند. تجزیه و تحلیل داده­ها به صورت کیفی انجام شد..
یافته‌ها: در این مطالعه 9 کارآزمایی بالینی شامل 10 نوع از گیاهان دارویی (اسطوخودوس، زیره سیاه، زیره سبز، زنجبیل، انیسون، کرفس، زعفران، شوید، رازیانه و بابونه)  مورد بررسی قرار گرفتند. تمام گیاهان در تسکین درد پس از زایمان تأثیر مطلوبی داشتند. اکثر این گیاهان بدون عوارض جانبی و یا دارای حداقل عوارض بودند. به دلیل اینکه متدولوژی مطالعات از نظر کیفیت ناهمگون بود، لذا امکان انجام متاآنالیز وجود نداشت.
نتیجه‌گیری: به طور کلی تمام گیاهان دارویی مورد استفاده (اسطوخودوس، زیره سیاه، زیره سبز، زنجبیل، انیسون، کرفس، زعفران، شوید، رازیانه و بابونه) باعث کاهش پس‌درد زایمان شده بودند، اما تعداد این مطالعات برای هر گیاه کم است، لذا شواهد بالینی کافی جهت کاربرد عملی برای هر یک از گیاهان وجود ندارد و نیاز به مطالعات بیشتری در این زمینه می­باشد.

کلیدواژه‌ها

عنوان مقاله [English]

A systematic on the medicinal plants used in the treatment of postpartum pain in Iran

نویسندگان [English]

  • Ladan Parsa 1
  • Giti Ozgoli 2
1 M.Sc. Student in Midwifery, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
2 Ph.D in Reproductive Health, Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
چکیده [English]

Introduction: Postpartum pain is one of the major and common problems of mothers after childbirth and in order to relieve the pain and to avoid the side effects of chemical drugs, doctors are turning to medicinal herbs. In recent years, with the clear need for evidence-based clinical practice, appropriate and valid information is needed. Therefore, this study was performed with aim to evaluate the clinical trials studies on the medicinal plants used in the treatment of postpartum pain in Iran.
Methods: In this a systematic review, the data on the effects of medicinal plants on the postpartum pains were collected, without a time limitation, by Persian and English languages keywords, from the databases of PubMed, SID, Iran Medex, IRCT, Google Scholar, Magiran, Science Direct, MedLib, Scopus, Cochranelibra, Web of science and the library site of Shahid Beheshti Medical University and using the keywords of Postnatal care, Postpartum care, Postpartum program, Pain, Herbal medicine, Medicinal plants and Clinical trial. According to the Jadad standard, the articles which obtained the score of ≥3 were entered to the study. The data analysis was conducted qualitatively.
Results: In this study, nine clinical trials including 10 types of medicinal plants (Lavender, Carum carvil, Cuminum cyminum, Ginger, Pimpinella anisum, Apium graveolens, Saffron, Anethum gravelens, Foeniculum and Chamomile) were evaluated. All plants had the desired effects in relieving postpartum pains. Most of these herbs had no side effects or the least side effects. Since the methodology of the studies were non-heterogeneous in terms of quality, meta-analysis was not possible to be done.
Conclusion: Although all plants (Lavender, Carum carvil, Cuminum cyminum, Ginger, Pimpinella anisum, Apium graveolens, Saffron, Anethum gravelens, Foeniculum and Chamomile) reduced postpartum pain and are effective, but the number of such studies for each herb is low; thus, there is no sufficient clinical evidence for the practical application of each of the herbs, and more studies are needed in this field.

کلیدواژه‌ها [English]

  • Clinical trial
  • Herbal Medicine
  • Pain
  • postnatal care
  • postpartum program

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مجله زنان، مامایی و نازایی ایران
دوره 20، شماره 5
مرداد 1396
صفحه 84-96

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