Complementary and Alternative Medicine for Dysmenorrhea Caused by Endometriosis: A Review of Utilization and Mechanism.
Complementary and Alternative Medicine for Dysmenorrhea Caused by Endometriosis: A Review of Utilization and Mechanism.
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DOI：
10.1155/2021/6663602
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发表时间：
2021
期刊：
影响因子：
--
通讯作者：
Han FJ
中科院分区：
文献类型：
--
作者：
Guo Y;Liu FY;Shen Y;Xu JY;Xie LZ;Li SY;Ding DN;Zhang DQ;Han FJ
子宫内膜异位症（EM）是育龄妇女常见的良性雌激素依赖性妇科疾病，继发性痛经是其较为严重的症状之一。然而，痛经发生的机制尚不清楚，也缺乏诊断和治疗EM痛经的有效方法。在这方面，补充替代医学（CAM）因其不良反应少、疗效高，近年来得到了广泛的应用。本文综述了CAM治疗EM痛经的最新进展，并试图根据现有的临床和实验研究来确定其治疗效果及其作用机制。根据文献，EM痛经的CAM治疗，包括草药（草药处方、提取物和专利）、针灸和中药灌肠（CHM灌肠），与激素和手术治疗相比，可以有效缓解痛经，副作用更少。此外，我们还讨论和分析了文献中存在的空白。希望能为今后的临床治疗和实验研究提供一些指导性的建议。
Endometriosis (EM) is a common and benign estrogen-dependent gynecological disorder among women of reproductive age, and secondary dysmenorrhea is one of the more severe symptoms. However, the mechanism behind the development of dysmenorrhea is poorly understood, and there is a lack of effective methods for diagnosing and treating EM dysmenorrhea. In this regard, complementary and alternative medicine (CAM) has recently come into widespread use due to its limited adverse reactions and high efficiency. This review updates the progress of CAM in the treatment of EM dysmenorrhea and seeks to identify the therapeutic efficacy as well as the mechanisms behind these effects based on the available clinical and experimental studies. According to the literature, CAM therapy for EM dysmenorrhea, including herbs (herbal prescriptions, extracts, and patents), acupuncture, and Chinese herbal medicine enema (CHM enema), is effective for relieving dysmenorrhea with fewer unpleasant side effects when compared to hormonal and surgical treatments. In addition, we discuss and analyze the existing gaps in the literature. We hope to provide some instructive suggestions for clinical treatment and experimental research in the future.
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