依據中醫經絡理論，穴位點指壓能經由刺激經絡、活化氣血，調和陰陽及刺激神經傳導物質的分泌，進而達到治療保健、促進舒適之作用，此法不具侵入性，護理人員可以獨立操作，值得推廣，但在臨床上很少有實證性的研究來支持穴位點指壓在產科護理上的功效，故引發本研究者探討之動機。本研究的目的是探討合谷及至陰穴位點指壓在第一產程對產痛及宮縮的影響。本研究採實驗法中的前後測對照組之設計，分指壓組、觸摸組及對照組，三組進行。共127位待產婦參與。以隨機方式分配待產婦於三組。在第一產程指壓組接受合谷至陰穴位點指壓之處置，觸摸組接受皮膚輕撫之處置，而對照組則不提供任何預先設計之處置。三組待產婦均接受相同的醫院分娩常規護理。產痛及宮縮資料是在每次處置前後收集。產痛感受是以VAS量表評估，而宮縮是利用外胎兒監視器所提供之宮縮記錄來評估。研究結果顯示三組在第一產程活動期，產痛具有統計上顯著之差異性，在第一產程之活動期，接受合谷及至陰穴位點指壓的產婦其產痛有明顯減緩，指壓對宮縮則沒有影響。

　　　　　Acupressure is said to promote the circulation of blood and qi, the harmony of yin and yang, and the secretion of neurotransmitters, thus maintaining the normal functions of the human body and providing comfort. However, there has been little research-based evidence to support the positive effects of acupressure in the area of obstetric nursing. The purpose of this study is to determine the effect of LI4 and BL67 acupressure on labor pain and uterine contractions during the first stage of labor. An experimental study with a pretest and posttest control group design was utilized. A total of 127 parturient women were randomly assigned to three groups. Each group received only one of the following treatments, LI4 and BL67 acupressure, light skin stroking, or no treatment/conversation only. Data collected from the VAS and external fetal monitoring strips were used for analysis. Findings indicated that there was a significant difference in decreased labor pain during the active phase of the first stage of labor among the three groups. There was no significant difference in effectiveness of uterine contractions during the first stage of labor among the three groups. Results of the study confirmed the effect of LI4 and BL67 acupressure in lessening labor pain during the active phase of the first stage of labor. There were no verified effects on uterine contractions.