耳鼻治疗对分娩时间的影响:系统性审查和元分析
Foruzan Sharifipour1, Zaynab Mohaghegh2, Kowsar Qaderi1
1Clinical Research Development Center, Motazedi Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Women & health
|October 21, 2024
概括
耳朵疗法是一种基于耳朵的刺激技术,可以显著缩短分娩时间. 这种干预减少了分娩的活跃阶段和第二阶段,为分娩结果带来了潜在的好处.
科学领域:
- 产科和妇科 产科和妇科
- 补充和替代医学 补充和替代医学
- 基于证据的实践.
背景情况:
- 劳动时间是影响母亲和新生儿健康结果的关键因素.
- 耳部针点的非侵入性刺激 - - 耳部针疗法 - - 正在被探索作为一种管理分娩进展的干预措施.
研究的目的:
- 系统地审查和对随机对照试验进行元分析,评估 auriculotherapy 在减少分娩时间方面的有效性.
主要方法:
- 在主要数据库 (PubMed,Scopus,Web of Science,Embase,Cochrane Library) 进行了全面的文献搜索,截至2024年7月.
- 五个随机对照试验与433名参与者被纳入了分析.
- 数据使用固定和随机效应模型与Review Manager 5.3进行了分析.
主要成果:
- 耳科疗法显著减少了分娩的活跃阶段 (平均差异[MD] = -63.54分钟;95%CI: -84.47, -42.62;p < .00001).
- 劳动的第二阶段也被 auriculotherapy 缩短 (MD = -7.67 分钟; 95% CI: -13.46, -1.89; p = .009).
结论:
- 耳膜治疗有效地减少了分娩的活跃阶段和第二阶段的持续时间.
- 建议对多种不同人群进行进一步的高质量研究,以概括这些发现并支持临床应用.
相关概念视频
Local Anesthetics: Clinical Application as Epidural Anesthesia
414
Epidural anesthetics are administered in the fat-filled epidural space, the outermost part of the spinal canal. This technique is commonly employed for pain management and anesthesia during lower abdomen and pelvis surgeries or labor and delivery.
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
414
Local Anesthetics: Differential Sensitivity of Nerve Fibers
780
Local anesthetics (LAs) block the sodium channels of nerve trunks, sensory nerve endings, and neuromuscular junctions. Although LAs can block all kinds of nerves, the sensitivity of nerve fibers differs according to nerve types and structures. LAs are known to block myelinated fibers faster than unmyelinated ones. Also, they block pain or sensory neurons at low concentrations without affecting the motor neurons involved in muscle contractions. This helps relieve labor pain without affecting the...
780


