بررسي اثر طب فشاري در نقطه liv3 بر شدت و مدت ديسمنوره اوليه

Abstract

Introduction: Primary dysmenorrhea is one of the most prevalent disorders in women which decreases efficacy. In Chinese theory, dysmenorrhea treatment requires harmonization of energy and blood. The aim of this study is the evaluation of effect acupressure on severity and duration of primary dysmenorrhea. Methods: In this clinical trial, 194 eligible student teachers from Nasibe Teacher Education College were selected. In the first cycle, severity and duration of pain were determined. Then, the participants were randomly assigned to either experimental or control group. In the second, third and fourth cycles, 3-7 days before menstruation, acupressure was applied at liv3 and placebo points for 20 minutes per day. With the onset of menstruation, the severity and duration of dysmenorrhea was determined for the three cycles. Instruments include wrong-Baker faces pain scale, Beck -21 questionnaire, a clock, Acuhealth tens pro 900 set and force gauge. Data were analyzed through chi-square test , Mann-Whitney test, Friedman test and independent t test. Results: There was no significant difference in severity of pain between two groups in the first cycle (P=0.40) but there was a significant difference in severity of pain between two groups in the second (P<0.05), third (P<0.01) and fourth cycles (P<0.01). In the fourth cycle, the median severity of dysmenorrhea was 6 in the two groups. In the fourth cycle, it was 4 in intervention group and, 6 in the control group. There was no significant difference in duration of pain between two groups in the first (P=0.81) and the second cycle (P=0.09), but there was a significant difference in severity of pain between the two groups in the third (P<0.05) and the fourth cycles (P<0.001). Duration of pain decreased significantly in intervention group, compared to control group. Conclusion: Applying acupressure at liv3 point was an effective method to decrease severity and duration of primary dysmenorrhea; therefore, acupressure is suggested as useful, effective, cheap, and available treatment for primary dysmenorrhea.