耳穴埋豆壓迫法對經痛療效的初探

本研究的目的在探討耳穴埋豆壓迫法對經痛之療效。研究對象來自中部某科技大學自覺月經疼痛之女學生24位，乃自願參加且填寫同意書。採準實驗法，分實驗組16位及對照組8位。所有個案先做經痛評估後，介入經期中醫保健與經痛處理衛生教育，實驗組給予減輕經痛的耳穴埋豆壓迫法，對照組介入不影響生殖功能的耳穴埋豆壓迫點。實驗組耳穴為子宮、肝、內分泌、神門、脾、皮質下；對照組包括膝點、肘點、肩關節點、扁桃點、顏面點、牙痛點。貼耳豆時教導個案一天按壓三次，一次三分鐘，研究員每週二、五替個案更換耳豆，並加強衛教，持續介入兩個月。介入前、中及結束時做經痛評估，評估表為自擬之結構式問卷，經專家表面及內容效度檢測。結果顯示1．實驗組與對照組間的經痛得分無顯著差異。2．所有個案在介入前後之經痛得分及生理狀況改變有顯著差異。建議配合中醫辨證，進行耳穴埋豆壓迫法，並給予中醫經期保健之指導，以預防及減輕經痛的發生。

關鍵字

耳穴埋豆壓迫法；經期中醫保健衛教；經痛

並列摘要

This study investigated how auricular acupressure affects caring dysmenorrhea. This quasi-experimental study enrolled 24 volunteers from a technological college. Subjects were randomly assigned to a treatment group (n=16) and a control group (n=8). All the subjects were educated about traditional Chinese medicine menstrual care. Auricular outpoints were confirmed by an auricular measurement tool, and plant’s seeds were placed at the selected outpoints. The auricular acupoints in the treatment group were Zigong, Liver, Endocrine, Shenmen, Spleen, and Pezui. The control group acupoints were Knee, Elbow, Shoulder, Tonsil, Face, and Teeth. The intervention procedure comprised applying acupressure to the first 3 auricular acupoints in each group 3 times daily for 3 minutes each time. The first 3 acupoints for each group were replacedat a 3-day intervals with their respective remaining 3 acupoints continuously over a 2-month period. The dysmenorrhea assessment data was gathered at the experiment start, after 1 month of treatment and treatment end. Data analysis obtained the following findings: (1) dysmenorrhea scores of were not significantly different between the two groups; (2) all subject dysmenorrhea scores and physical condition were significantly different after intervention. Experimental findings suggest that dysmenorrhea treatment should employ Chinese medical identification for appropriate application of auricular acupressure and traditional Chinese medical education of menstrual care to prevent and alleviate dysmenorrhea.