耳穴疗法减轻分娩焦虑：一项随机临床试验研究

Katayon Vakilian; Mehrnoush Ghaemmaghami; Narges Sheikhganbari; Fatemeh Shabani; Fatemeh Shabani

doi:10.1007/s11655-021-3452-0

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耳穴疗法减轻分娩焦虑：一项随机临床试验研究

Acupuncture Research | Updated：2022-06-27

- 耳穴疗法减轻分娩焦虑：一项随机临床试验研究
- Reducing Labor Anxiety with Auriculotherapy:A Randomized Clinical Trial Study
- Chinese Journal of Integrative Medicine 2022年28卷第5期页码：440-444
- Affiliations：
  
  1.Department of Midwifery, School of Medicine, Traditional and Complementary Medicine Research Center, Arak University of Medical Sciences, Arak (3848176941), Iran
  2.Medical School,Arak University of Medical Sciences, Arak (3848176941), Iran
  3.Medical School, Arak University of Medical Sciences, Arak(3848176941), Iran
  4.Nursing-Midwifery School, Iran University of Medical Sciences, Tehran (1996713883), Iran
- Author bio：
  
  Dr. Mehrnoush Ghaemmaghami, E-mail:ghaem.m@arakmu.ac.ir
- Funds：
  
  Arak University of Medical Sciences(2939)
- DOI：10.1007/s11655-021-3452-0
  中图分类号：
- 纸质出版日期：2022-05-01，
  
  网络出版日期：2021-09-28，
  
  录用日期：2021-01-13
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Katayon Vakilian, Mehrnoush Ghaemmaghami, Narges Sheikhganbari, 等. 耳穴疗法减轻分娩焦虑：一项随机临床试验研究[J]. Chinese Journal of Integrative Medicine, 2022,28(5):440-444.

Katayon Vakilian, Mehrnoush Ghaemmaghami, Narges Sheikhganbari, et al. Reducing Labor Anxiety with Auriculotherapy:A Randomized Clinical Trial Study[J]. Chinese Journal of Integrative Medicine, 2022,28(5):440-444.
Katayon Vakilian, Mehrnoush Ghaemmaghami, Narges Sheikhganbari, 等. 耳穴疗法减轻分娩焦虑：一项随机临床试验研究[J]. Chinese Journal of Integrative Medicine, 2022,28(5):440-444. DOI： 10.1007/s11655-021-3452-0.

Katayon Vakilian, Mehrnoush Ghaemmaghami, Narges Sheikhganbari, et al. Reducing Labor Anxiety with Auriculotherapy:A Randomized Clinical Trial Study[J]. Chinese Journal of Integrative Medicine, 2022,28(5):440-444. DOI： 10.1007/s11655-021-3452-0.

摘要

目的:

探讨耳穴疗法对减轻分娩焦虑的作用.

方法:

在这项随机临床试验中

纳入伊朗Izadi医院产科病房的 166 名初产妇

并通过随机区组设计分配至两组. 干预组 (83例) 分别于宫口扩张至4、6、8 cm时

在 "神门、丘脑、零、脑、脑干" 给予耳穴疗法

双耳分别刺激30 s

间隔1 h. 同时对照组接受常规护理. 在干预前和干预后采用Spielberger Inventory对产妇的焦虑状态和焦虑特质评分并进行组间比较.

结果:

与对照组相比

耳穴疗法能有效减轻干预组产妇的焦虑状态 (

=0.001) . 干预组产妇焦虑状态评分在宫口扩张至4、6、8 cm时分别降低了7.0、8.0和11.0 U. 干预组的焦虑特质评分在三个时间点分别降低了 3.8、4.0 和 8.3 U. 组间比较

分娩方式、新生儿体重、Apgar评分差异无统计学意义 (

0.05) . 两组均未观察到出血等不良事件.

结论:

由于大多数妇女在分娩过程中存在焦虑

耳穴疗法似乎是一种减轻分娩焦虑的简便安全方法. (注册号: irct20121230011944n4)

Abstract

Objectives:

To investigate the effect of auriculotherapy on reducing labor anxiety.

Methods:

In this randomized clinical trial

166 nulliparous pregnant women admitted to the Labor Ward of Izadi Hospital in Qom

Iran were included and assigned to two groups by randomized block design. In the intervention group (83 cases)

auriculotherapy in "Shenmen

Thalamic

Zero

Brain

and Brain stem" was performed in dilatations of 4

6 and 8 cm

between the contractions for 30 s in both ears at interval 1 h. While the control group received routine care. The Spielberger Inventory were completed pre- and post-interventions.

Results:

The auriculotherapy was effective to reduce anxiety state in the intervention group compared to the control group (

=0.001). The score of state anxiety in the intervention group reduced for 7.0

8.0 and 11.0 U in 4

and 8 cm dilatations after the intervention. The score of trait anxiety in the intervention group reduced for 3.8

4.0 and 8.3 U in 4

and 8 cm dilatations after the intervention. There was no significant difference of delivery mode and newborns' weight and Apgar score between groups (

0.05). No adverse postpartum outcome such as hemorrhage has been observed in both groups.

Conclusion:

Since most women are anxious during labor

it seems that auriculotherapy can be an easy and safe method to reduce labor anxiety. (Trial registration No. irct20121230011944n4)

关键词

Keywords

auriculotherapychildbirthpainanxiety

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