بررسی تأثیر طب سوزنی در کاهش دردها و مدت زایمان طبیعی: یک کارآزمایی بالینی تصادفی شده یک‌سوکور

نوع مقاله : اصیل پژوهشی

نویسندگان

1 پزشک عمومی، واحد توسعه تحقیقات بالینی شهید اکبرآبادی، دانشکده علوم پزشکی، دانشگاه علوم پزشکی ایران، تهران، ایران.

2 استادیار گروه زنان و مامایی، واحد توسعه تحقیقات بالینی شهید اکبرآبادی، دانشکده علوم پزشکی، دانشگاه علوم پزشکی ایران، تهران، ایران.

چکیده

مقدمه: ترس از لیبر، منجر به افزایش بی‌رویه سزارین شده و به‌دلیل عوارض متعدد مادری و جنینی روش‌های بی‌دردی دارویی، روش‌های غیردارویی مورد توجه قرار گرفته است. مطالعه حاضر با هدف بررسی آثار طب سوزنی بر شدت درد زایمان انجام شد.
روش‌کار: این مطالعه کارآزمایی بالینی تصادفی طی سال‌های 1400-1399 بر روی 32 نفر از زنان باردار در بیمارستان شهید اکبرآبادی تهران انجام شد. افراد به‌طور تصادفی به دو گروه طب سوزنی "واقعی" و "کاذب" تقسیم شدند. زنان در فاز فعال زایمان از نظر شدت درد قبل از طب سوزنی، 15، 30 و 45 دقیقه پس از طب سوزنی مورد ارزیابی قرار گرفتند. برای ارزیابی درد از مقیاس بصری آنالوگ استفاده شد. تجزیه و تحلیل داده‌ها با استفاده از نرم‌افزار آماری SPSS (نسخه 18) و آزمون‌های کای اسکوئر و تی دانشجویی انجام شد. میزان p کمتر از 05/0 معنی‌دار در نظر گرفته شد.
یافته­ ها: میانگین شدت درد گروه مداخله در مقایسه با گروه شاهد 30 و 45 دقیقه بعد از طب سوزنی کمتر بود (045/0=p، 001/0>p)، در حالی‌که قبل از مداخله و 15 دقیقه اول بعد از مداخله اختلاف معناداری نداشت (29/0=p، 68/0=p). همچنین طب سوزنی تأثیر معناداری در نمره آپگار نوزاد و میزان نیاز به اکسی‌توسین نداشت (05/0<p). مدت مرحله دوم در گروه مورد و شاهد به‌ترتیب 130±193 و 129±305 دقیقه بود که در گروه مورد به‌طور معناداری کمتر بود (022/0=p).
نتیجه­ گیری: طب سوزنی می‌تواند باعث کاهش درد زایمان و مدت زمان فاز زایمان شود، درحالی‌که تأثیری بر کاهش نیاز بر اکسی‌توسین و نمره آپگار نوزاد ندارد.

کلیدواژه‌ها

عنوان مقاله [English]

The effect of acupuncture on pain and duration of vaginal delivery: a single-blind randomized clinical trial

نویسندگان [English]

  • Mohammad Reza Hashtroudi 1
  • Maryam Rahimi 2
1 General Physician, Shahid AkbarAbadi Clinical Research Development Unit (ShACRDU), Faculty of Medicine, Iran University of Medical Sciences, Tehran, Iran.
2 Assistant Professor, Department of Obstetrics and Gynecology, Shahid AkbarAbadi Clinical Research Development Unit (ShACRDU), Faculty of Medicine, Iran University of Medical Sciences, Tehran, Iran.
چکیده [English]

Introduction: Fear of labor leads to an excessive increase in cesarean section. Due to the many maternal and fetal complications of pharmacological analgesia, mothers tend to use non-pharmacological methods. The present study was performed aimed to investigate the effects of acupuncture on labor pain intensity.
Methods: This randomized clinical trial study was conducted on 32 pregnant women in Shahid Akbarabadi Hospital in Tehran during 2020-2021. The subjects were randomly allocated into two groups: "real" acupuncture and "pseudo" acupuncture. The women were evaluated during active phase of labor and compared for pain intensity before, 15, 30, and 45 minutes after acupuncture. Visual Analogue Scale (VAS) was used to assess pain. Data were analyzed by SPSS software (version 18) andChi-square and Student t-test. P<0.05 was considered statistically significant.
Results: The mean pain intensity of the case group was less than the control group at 30 and 45 minutes after acupuncture (P=0.045) and (P<0.001); while before the intervention and in the first 15 minutes after the intervention, there was no significant difference (P=0.29) and (P=0.68), respectively). Acupuncture had no significant effect on neonatal Apgar score and need to oxytocin (p> 0.05). The duration of the second stage of labor in the case and control groups was 193 ± 130 and 305 ±129 minutes, respectively, which was significantly lower in the case group (p = 0.022).
Conclusion: Acupuncture is a safe and tolerable method that can reduce labor pain and duration of active phase of labor, while it has no effect on Apgar score and need to oxytocin.

کلیدواژه‌ها [English]

  • Acupuncture
  • Delivery
  • Duration of delivery
  • Labor pain

مراجع

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مجله زنان، مامایی و نازایی ایران
دوره 25، شماره 8
آبان 1401
صفحه 58-67

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