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使用针灸治疗经前综合征。

Using acupuncture to treat premenstrual syndrome.

作者信息

Habek D, Habek Jasna Cerkez, Barbir Ante

机构信息

Department of Gynecology and Obstetrics, Health Centre, Bjelovar, Croatia.

出版信息

Arch Gynecol Obstet. 2002 Nov;267(1):23-6. doi: 10.1007/s00404-001-0270-7.

Abstract

More than 60% of the women in both groups suffered from premenstrual syndrome (PMS) symptoms, such as anxiety, mastalgia, insomnia, nausea and gastrointestinal disorders, whereas a smaller number of women suffered from phobic disorders, premenstrual headaches and migraines. There were three women from the first group and seven women from the second group who continued the medication treatment with progestins, whereas one woman from the first group and nine women from the second group continued to take fluoxetine. In the first group, nine women stopped having PMS symptoms after two AP treatments, eight women stopped having them after three treatments and one woman stopped having them after four treatments. In four women from the first group and 16 women from the second group, PMS symptoms appeared during the following period (cycle) or continued even after four treatments, so the medication was continued. In the first group, one woman had a smaller subcutaneous hematoma after the AP acupoint Ren 6. There was a statistical and relevant reduction in PMS symptoms with the AP treatments in the first group (P<0.001), whereas their reduction was irrelevant in the placebo AP group (P>0.05). The success rate of AP in treating PMS symptoms was 77.8%, whereas it was 5.9%. in the placebo group. The positive influence of AP in treating PMS symptoms can be ascribed to its effects on the serotoninergic and opioidergic neurotransmission that modulates various psychosomatic functions. The initial positive results of PMS symptoms with a holistic approach are encouraging and AP should be suggested to the patients as a method of treatment.

摘要

两组中超过60%的女性患有经前综合征(PMS)症状,如焦虑、乳房胀痛、失眠、恶心和胃肠道紊乱,而患有恐惧症、经前头痛和偏头痛的女性人数较少。第一组有3名女性和第二组有7名女性继续使用孕激素进行药物治疗,而第一组有1名女性和第二组有9名女性继续服用氟西汀。在第一组中,9名女性在接受两次针刺治疗后PMS症状消失,8名女性在三次治疗后症状消失,1名女性在四次治疗后症状消失。第一组有4名女性和第二组有16名女性在接下来的周期中PMS症状出现或在四次治疗后仍持续,因此继续用药。在第一组中,1名女性在针刺任6穴位后出现较小的皮下血肿。第一组针刺治疗后PMS症状有统计学意义的显著减轻(P<0.001),而安慰剂针刺组症状减轻无统计学意义(P>0.05)。针刺治疗PMS症状的成功率为77.8%,而安慰剂组为5.9%。针刺治疗PMS症状的积极影响可归因于其对调节各种身心功能的5-羟色胺能和阿片样物质能神经传递的作用。采用整体方法治疗PMS症状的初步积极结果令人鼓舞,应向患者推荐针刺作为一种治疗方法。

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