穴位按压对产后会阴疼痛的影响：系统回顾和荟萃分析

IF 1.7 Q2 Medicine

Advances in integrative medicine Pub Date : 2025-02-24 DOI:10.1016/j.aimed.2025.02.007

Atefeh Ebrahimian , Fatemeh Razavinia , Mina Iravani

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引用次数: 0

摘要

背景会阴疼痛是分娩后的自然并发症之一。这种疼痛会造成一些问题，使母亲无法照顾自己和婴儿。在这项研究中，穴位按压对分娩后会阴疼痛的影响进行了研究。方法系统检索PubMed、Cochrane Library （Central）、Web of Science、谷歌Scholar、ScienceDirect、Scopus等国际数据库以及SID、Magiran、IranDoc等波斯语数据库，检索时间截止到2023年，以确定相关研究。本荟萃分析仅纳入随机对照试验（rct），排除非随机研究、先导试验、病例报告和指南。采用具有标准化平均差异的固定效应模型综合结果，并使用I²指数评估异质性。纳入研究的偏倚风险使用Cochrane指南中概述的偏倚风险工具进行评估。结果meta分析纳入3项研究，包括370名女性。三项研究评估了穴位按压对分娩后、干预前和干预后会阴疼痛的影响。基于这一分析，干预前后存在显著差异，I2 = 70 %异质性[SMD - 0.34, 95 % CI(-0.58, - 0.10)]。两项研究评估了穴位按压对分娩后、干预前和干预后1小时会阴疼痛的影响。基于此分析，干预前后存在显著差异，I2 = 81 %异质性[SMD - 1.64, 95 % CI(-2.06,-1.22)]。结论穴位按压是治疗分娩后会阴疼痛的有效方法，干预后疼痛强度明显减轻。然而，该研究的局限性，如穴位的异质性和纳入的研究数量少，需要考虑。

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The effect of acupressure on postpartum perineal pain: A systematic review and meta-analysis

Background

Perineal pain is one of the natural complications after childbirth. This pain can cause problems by creating limitations and the inability of the mother to take care of herself and the baby. In this study, the effect of acupressure on perineal pain after childbirth has been investigated.

Methods

To identify relevant studies, a systematic search was conducted in international databases, including PubMed, Cochrane Library (Central), Web of Science, Google Scholar, ScienceDirect, and Scopus, as well as Persian databases such as SID, Magiran, and IranDoc, up to 2023. Only randomized controlled trials (RCTs) were included in this meta-analysis, while non-randomized studies, pilot trials, case reports, and guidelines were excluded. Results were synthesized using a fixed-effects model with standardized mean differences, and heterogeneity was assessed using the I² index. The risk of bias in the included studies was assessed using the risk of bias tool outlined in the Cochrane Guidelines.

Results

3 studies, including 370 women, were included in the meta-analysis. Three studies evaluated the effect of acupressure on perineal pain after childbirth, before and immediately after the intervention. Based on this analysis, there is a significant difference before and after the intervention with I2 = 70 % heterogeneity [SMD −0.34, 95 % CI (-0.58, −0.10)]. Two studies evaluated the effect of acupressure on perineal pain after childbirth, before and one hour after the intervention. Based on this analysis, there is a significant difference before and after the intervention with I2 = 81 % heterogeneity [SMD −1.64, 95 % CI (-2.06,-1.22)].

Conclusion

Acupressure is an effective method for managing perineal pain after childbirth, with a noticeable reduction in pain intensity immediately after the intervention. However, the study's limitations, such as heterogeneity in acupressure points and the small number of studies included, need to be considered.

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来源期刊

Advances in integrative medicine INTEGRATIVE & COMPLEMENTARY MEDICINE-

CiteScore

3.20

自引率

11.80%

发文量

审稿时长

15 weeks

期刊介绍： Advances in Integrative Medicine (AIMED) is an international peer-reviewed, evidence-based research and review journal that is multi-disciplinary within the fields of Integrative and Complementary Medicine. The journal focuses on rigorous quantitative and qualitative research including systematic reviews, clinical trials and surveys, whilst also welcoming medical hypotheses and clinically-relevant articles and case studies disclosing practical learning tools for the consulting practitioner. By promoting research and practice excellence in the field, and cross collaboration between relevant practitioner groups and associations, the journal aims to advance the practice of IM, identify areas for future research, and improve patient health outcomes. International networking is encouraged through clinical innovation, the establishment of best practice and by providing opportunities for cooperation between organisations and communities.