穴位按壓對產程時間與止痛劑使用之成效

Effects of Acupressure on Duration of Labor and Analgesic Use

陳崇萱(Chung-Hsuan Chen) ； 高美華(Mei-Hua Kao)

《長庚護理》 20卷1期 (2009/03) Pp. 16-25

https://doi.org/10.6386/CGN.200903_20(1).0002

摘要

Acupressure could increase cervical dilatation and relieve labor pain. The purpose of this study was to determine the effects of acupressure massage on duration of labor, analgesic use, and other obstetric outcomes. In this quasi-experiment, 70 primiparas who delivered during August, 2005 to January, 2006 were assigned to experimental and control groups. Thirty five subjects were included in each group. Subjects in experimental group received LI3 and BL31-34 acupressure while subjects in the control group received regular nursing care. Data were collected by a structured questionnaire. The results of the study showed that: (1) the duration of the first stage of labor and total labor time of the experimental group were significantly shorter than those of the control group, in 4.5 hours (p＜.001) and 4.3 hours (p=.001), correspondingly; (2) the proportion of analgesic used during labor in the experimental group was significantly lower (p=.001) than that of the control group; (3) the proportions of cesarean section and vacuum delivery of the experimental group were 20% (p＜.05) and 77.8% (p＜.05) lower than those of the control group. Neither degree of perineum laceration (p＞ .05) nor Apgar score of newborns (p＞.05) was significantly different between these two groups. Results of this study supported the hypothesis that LI3 and BL31-34 acupressure may shorten the length of delivery time, and reduce the need for analgesic use and cesarean section. Acupressure massage may be considered in the regular nursing care.

關鍵字

穴位按壓 ； 另類療法 ； 產痛 ； 止痛

並列摘要

Acupressure could increase cervical dilatation and relieve labor pain. The purpose of this study was to determine the effects of acupressure massage on duration of labor, analgesic use, and other obstetric outcomes. In this quasi-experiment, 70 primiparas who delivered during August, 2005 to January, 2006 were assigned to experimental and control groups. Thirty five subjects were included in each group. Subjects in experimental group received LI3 and BL31-34 acupressure while subjects in the control group received regular nursing care. Data were collected by a structured questionnaire. The results of the study showed that: (1) the duration of the first stage of labor and total labor time of the experimental group were significantly shorter than those of the control group, in 4.5 hours (p＜.001) and 4.3 hours (p=.001), correspondingly; (2) the proportion of analgesic used during labor in the experimental group was significantly lower (p=.001) than that of the control group; (3) the proportions of cesarean section and vacuum delivery of the experimental group were 20% (p＜.05) and 77.8% (p＜.05) lower than those of the control group. Neither degree of perineum laceration (p＞ .05) nor Apgar score of newborns (p＞.05) was significantly different between these two groups. Results of this study supported the hypothesis that LI3 and BL31-34 acupressure may shorten the length of delivery time, and reduce the need for analgesic use and cesarean section. Acupressure massage may be considered in the regular nursing care.

並列關鍵字

acupressure ； alternative therapy ； labor pain ； analgesic