Electroacupuncture is Beneficial for Primary Dysmenorrhea: The Evidence from Meta-Analysis of Randomized Controlled Trials.

Electroacupuncture is Beneficial for Primary Dysmenorrhea: The Evidence from Meta-Analysis of Randomized Controlled Trials.
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电针对原发性痛经有益:随机对照试验荟萃分析的证据

DOI:
10.1155/2017/1791258
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发表时间:
2017
期刊:
Evidence-based complementary and alternative medicine : eCAM
影响因子:
--
通讯作者:
Yang J
Yang J
中科院分区:
其他
文献类型:
--
作者:
Yu SY;Lv ZT;Zhang Q;Yang S;Wu X;Hu YP;Zeng F;Liang FR;Yang J

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电针被认为是缓解原发性痛经的一种有前途的替代疗法,但其结论存在争议。在这里,我们进行了一项系统的审查和荟萃分析,专门评估临床疗效的随机对照试验(RCT)的使用EA在PD患者。检索PubMed、Embase、ISI Web of Science、CENTRAL、CNKI和Wanfang,以识别评价EA治疗PD有效性的RCT。观察两组患者的视觉模拟评分(VAS)、言语评分(VRS)、考克斯回顾性症状评分(RSS)及治愈率。荟萃分析纳入了9项具有高偏倚风险的RCT。与GB 39、非穴位组和等候名单组的EA相比,干预完成后30分钟的综合VAS有利于SP 6的EA。电针治疗3个月经周期后,其治愈率明显高于药物治疗,且具有上级疗效。在SP 6和对照组之间,关于VRS、RSS-COX 1和RSS-COX 2,未发现EA之间的统计学显著差异。本研究结果提示电针对帕金森病有明显的即时镇痛作用。需要进行更多设计严谨、样本量更大的研究。
Electroacupuncture (EA) is considered to be a promising alternative therapy to relieve the menstrual pain for primary dysmenorrhea (PD), but the conclusion is controversial. Here, we conducted a systematic review and meta-analysis specifically to evaluate the clinical efficacy from randomized controlled trials (RCTs) on the use of EA in patients with PD. PubMed, Embase, ISI Web of Science, CENTRAL, CNKI, and Wanfang were searched to identify RCTs that evaluated the effectiveness of EA for PD. The outcome measurements included visual analogue scale (VAS), verbal rating scale (VRS), COX retrospective symptom scale (RSS), and the curative rate. Nine RCTs with high risk of bias were included for meta-analysis. The combined VAS 30 minutes after the completion of intervention favoured EA at SP6 when compared with EA at GB39, nonacupoints, and waiting-list groups. EA was superior to pharmacological treatment when the treatment duration lasted for three menstrual cycles, evidenced by significantly higher curative rate. No statistically significant differences between EA at SP6 and control groups were found regarding the VRS, RSS-COX1, and RSS-COX2. The findings of our study suggested that EA can provide considerable immediate analgesia effect for PD. Additional studies with rigorous design and larger sample sizes are needed.
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发表时间: 2019-08-01
影响因子: 3.1
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期刊: Evidence-based complementary and alternative medicine : eCAM
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