背景:尽管广泛使用体外冲击波碎石术(ESWL)作为肾结石的治疗方法,在此过程中,应用控制疼痛和改善患者舒适度的方法至关重要。因此,本研究旨在探讨穴位按摩对ESWL患者疼痛强度和生理指标的影响。
方法:这是随机的,假对照临床试验于2023年5月至8月在哈马丹市(伊朗西部)的ShahidBeheshti教育医学中心进行。将74例符合条件的患者分为干预组(n=37)和假手术组(n=37)。碎石前十分钟,干预组接受丘穴穴位按摩,而假手术组在中性点接受触摸。主要结果是通过视觉模拟量表(VAS)测量的疼痛强度和基线时的血压和心率等生理指标。干预后1、10、20、30、40和50min。次要结果包括碎石成功和对穴位按压应用的满意度。
结果:对70例患者的分析显示,研究前两组患者的人口统计学和临床信息没有显着差异(P>0.05)。广义估计方程显示,在30和40min时,时间和组的疼痛和心率的交互作用显着(P<0.05)。对收缩压的分析结果表明,在30分钟时存在显着的相互作用(P=0.035)。然而,舒张压变化无显著交互作用(P>0.05)。
结论:丘点穴位按压对接受ESWL治疗的患者疼痛有积极影响,并提高了患者的满意度。然而,这些生理指标的结果需要进一步研究。因此,指压可以被认为是一个简单的,easy,以及在此过程中患者疼痛管理的有效选择。
背景:[https://en.irct.ir/trial/69117],标识符[IRCT20190524043687N4]。
BACKGROUND: Despite the widespread use of extracorporeal shock wave lithotripsy (ESWL) as a treatment for kidney stones, it is essential to apply methods to control pain and improve patient comfort during this procedure. Therefore, this
study aimed to investigate the effect of acupressure at the Qiu point on pain intensity and physiological indices in patients undergoing ESWL.
METHODS: This randomized, sham-controlled clinical
trial was conducted at the Shahid Beheshti Educational-medical Center in Hamadan City (western Iran) from May to August 2023. Seventy-four eligible patients were split into intervention (n = 37) and sham (n = 37) groups. Ten minutes before lithotripsy, the intervention group received acupressure at the Qiu point, while the sham group received touch at a neutral point. The primary outcomes were pain intensity measured by the Visual Analog Scale (VAS) and physiological indices such as blood pressure and heart rate at baseline, 1, 10, 20, 30, 40, and 50 min after the intervention. The secondary outcomes included lithotripsy success and satisfaction with acupressure application.
RESULTS: The analysis of 70 patients showed no significant differences in the demographic and clinical information of the patients across the two groups before the
study (P > 0.05). Generalized estimating equations revealed that the interaction effects of time and group in pain and heart rate were significant at 30 and 40 min (P < 0.05). The results of this analysis for systolic blood pressure revealed a significant interaction at 30 min (P = 0.035). However, no significant interaction effects were found for diastolic blood pressure changes (P > 0.05).
CONCLUSIONS: Acupressure at the Qiu point positively impacts pain in patients undergoing ESWL treatment and increases their satisfaction. However, these results for physiological indices require further studies. Thus, acupressure can be considered a simple, easy, and effective option for pain management in patients during this procedure.
BACKGROUND: [ https://en.irct.ir/
trial/69117 ], identifier [IRCT20190524043687N4].