بررسی تأثیر زالو و بادکش‌درمانی در مقایسه با قرص ضدبارداری ال‌دی بر بهبود دیسمنوره: یک کارآزمایی بالینی تصادفی شده

نوع مقاله : اصیل پژوهشی

نویسندگان

1 دانشجوی کارشناسی ارشد مامایی، کمیته تحقیقات دانشجویی، دانشکده پزشکی، دانشگاه علوم پزشکی گناباد، گناباد، ایران.

2 مربی گروه آمار‌ زیستی و اپیدمیولوژی، مرکز تحقیقات عوامل اجتماعی مؤثر بر سلامت، دانشکده بهداشت، دانشگاه علوم پزشکی گناباد، گناباد، ایران.

3 استادیار گروه مامایی، مرکز تحقیقات توسعه اجتماعی و ارتقاء سلامت، دانشکده پزشکی، دانشگاه علوم پزشکی گناباد، گناباد، ایران.

4 پزشک عمومی، مجتمع پزشکی طب سنتی و مدرن حاج طالبی، بجنورد، ایران.

5 دکترای تخصصی طب سنتی، گروه پزشکی اجتماعی، دانشکده پزشکی، دانشگاه علوم پزشکی گناباد، گناباد، ایران.

6 متخصص زنان و زایمان، دانشکده پزشکی، دانشگاه علوم پزشکی مشهد، مشهد، ایران.

10.22038/ijogi.2022.20100

چکیده

مقدمه: دیسمنوره، یکی از شایع­ترین اختلالات دستگاه تناسلی زنان می­باشد که موجب عدم توانایی فرد در انجام کارهای روزمره و اختلال در ارتباط با اعضاء خانواده می­شود. مطالعه حاضر با هدف تأثیر زالو و بادکش‌درمانی در مقایسه با قرص ضد‌بارداری ال‌دی بر بهبود دیسمنوره انجام شد.
روش‌کار: این مطالعه کارآزمایی بالینی تصادفی‌شده در سال 1400-1399 بر روی 40 نفر از زنان مبتلا به دیسمنوره اولیه انجام‌ شد. افراد به دو گروه مداخله تقسیم شدند. در گروه مداخله 1، زالو و بادکش‌درمانی بعد از اتمام قاعدگی، به‌مدت 3 جلسه (هر هفته) در هر ماه به‌مدت 2 ماه انجام شد. در گروه مداخله 2، قرص ال‌دی از روز اول قاعدگی به‌مدت 21 روز مصرف شد و بعد از 7 روز فاصله، بسته بعدی شروع شد. میزان درد افراد قبل مداخله، ماه اول، دوم و سوم بعد از مداخله با استفاده از پرسشنامه VAS اندازه­گیری شد. در این مطالعه، مداخله به‌مدت 2 ماه انجام شد، ولی افراد به‌مدت 3 ماه پیگیری شدند. تجزیه و تحلیل داده‌ها با استفاده از نرم‌افزار آماری SPSS (نسخه 16) و آزمون‌های من‌ویتنی، فریدمن، تی‌مستقل و کای‌اسکوئر انجام شد. میزان p کمتر از 05/0 معنی‌دار در نظر گرفته‌ شد.
یافته­ها: میانگین شدت درد در ماه اول، دوم و سوم پس از مداخله در گروه قرص ضدبارداری ال‌دی بیشتر از گروه زالو و بادکش‌درمانی بود و این دو گروه در ماه دوم (048/0=p) و سوم (022/0=p) با یکدیگر تفاوت آماری معنی­داری داشتند، ولی در ماه اول پس از مداخله تفاوت آماری معنی‌داری نداشتند (061/0=p).
نتیجه­گیری: بهره­گیری از زالو و بادکش‌درمانی در نقاط خاص قوزک، کمر و رحم در مقایسه با قرص ضدبارداری ال‌دی، باعث کاهش شدت درد قاعدگی می­شود.

کلیدواژه‌ها


عنوان مقاله [English]

The effect of leeches and cupping therapy in comparison with LD contraceptive pill on the improvement of dysmenorrhea: A randomized clinical trial

نویسندگان [English]

  • Ainaz Khodaverdian 1
  • Nasim Khajavian 2
  • Roghayeh Rahmani Beilandi 3
  • Hassan Haj Talebi 4
  • Hossein Mohammadzadeh Moghadam 5
  • Mehri Moradifar 6
1 M.Sc. Student of Midwifery, Student Research Committee, Faculty of Medicine, Gonabad University of Medical Sciences, Gonabad, Iran.
2 Instructor, Department of Biostatistics and Epidemiology, Research Center for social Factors Affecting Health, School of Health, Gonabad University of Medical Sciences, Gonabad, Iran.
3 Assistant Professor, Department of Midwifery, Social Development and Health Promotion Research Center, Faculty of Medicine, Gonabad University of Medical Sciences, Gonabad, Iran.
4 General Practitioner, Haj Talebi Traditional and Modern Medicine Medical Institute, Bojnourd, Iran.
5 PhD in Traditional Medicine, Department of Social Medicine, Faculty of Medicine, Gonabad University of Medical Sciences, Gonabad, Iran.
6 Gynecologist, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
چکیده [English]

Introduction: Dysmenorrhea is one of the most common disorders of the female reproductive system that causes the inability of a person to perform daily activities and disorders in communication with family members. Therefore, this study was performed with aim to evaluate the effect of leech and cupping therapy in comparison with LD contraceptive pill on the improvement of dysmenorrhea.
Methods: This randomized clinical trial study was performed in 2020-2021 on 40 women with primary dysmenorrhea. The subjects were divided into two intervention groups. In the intervention group1, after menstruation, leeches and cupping therapy for 3 sessions (each week) in each month was performed for two months.  In the intervention group 2, the LD pill was taken for 21 days from the first day of menstruation and after 7 days, the next pack was started. Pain levels before the intervention, first, second and third months after the intervention were measured using a VAS questionnaire. In this study, the intervention was performed for two months, but the subjects were followed up for three months. Data were analyzed by SPSS software version 16) and Mann-Whitney, Friedman, Chi-square and Independent t-tests. P<0.05 was considered statistically significant.Results: The mean pain intensity in the first, second and third months after the intervention was higher in the LD contraceptive pill group than the leech and cupping therapy group and the two groups were significantly different in the second (P=0.048) and third (P=0.022) months, but in the first month after the intervention, there was no statistically significant difference (P=0.061).
Conclusion: The use of leeches and cupping therapy in specific areas of the ankle, back and uterus in comparison with LD contraceptive pills reduces the severity of menstrual pain.

کلیدواژه‌ها [English]

  • Cupping therapy
  • Dysmenorrhea
  • Leech
  • Oral contraceptive pill
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