穴位指壓對緩解原發性經痛成效之探討

A Study of the Effectiveness on Relieving Primary Dysmenorrhea by Acupressure

本研究目的在探討血海穴及三陰交穴穴位指壓對緩解原發性經痛程度、生理反應的影響。採實驗設計法，方便取樣方式，研究對象是東部某技術學院有經痛病史，無繼發性經痛史之女學生。有效樣本共60位，採隨機分配，實驗組和控制組各30位。實驗組接受熱敷30分鐘同時穴位指壓10分鐘，控制組僅給予熱敷。研究工具為疼痛視覺類比量表、血壓計、生理監測儀。統計方法以SPSS10.0軟體進行量性分析。結果顯示：實驗組與控制組在後測Ⅰ及後測Ⅱ均能顯著降低經期疼痛(p<.05)；生理指標於收縮壓、脈搏、及皮膚溫度在後測I達顯著之差異(p<.05)。本研究結果可提供經痛自我保健之參考，並可將熱敷結合穴位指壓進入臨床實務，以緩解疼痛。The purpose of this study was to investigate the effectiveness of acupressure at Zuehai (Sp 10) and Sanyinjiao (Sp 6) on dysmenorrhea. This was an experimental convenient sampling to have recruited 60 subjects in the eastern area of Taiwan, who were randomly assigned to the experimental and control groups. The heating pad with an acupressure was implemented for the experimental group, and only the heating pad was implemented for the control group. Visual Analog Scale for Pain (VASP) was used to measure pain in pre-test, post-test I, and post-test II. Blood pressure, pulse, and skin temperature were used to measure physiological reactions. SPSS 10.0 for windows was used for data processing. Descriptive statistics, Chi-square analysis, t-test analysis, One Way Analysis of Variance, and Repeated Measure Analysis of Variance were used to analyze the data. It was found that, as compared with control group, experimental group was likely to have lower pain scores in both post-test I and post-test II (p <.05). Furthermore, experimental group was likely to have lower systolic pressure and pulse rate, and higher skin temperature (p <.05) in post-test I. Based on these findings, health care providers can use the acupressure with heating pad to relieve dysmenorrhea.