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针刺结合常规疗法治疗子宫内膜异位症疼痛的疗效如何?一项随机对照交叉试验。

Is acupuncture in addition to conventional medicine effective as pain treatment for endometriosis? A randomised controlled cross-over trial.

机构信息

Johannes Bischko Institute of Acupuncture, Vienna, Austria.

出版信息

Eur J Obstet Gynecol Reprod Biol. 2010 Nov;153(1):90-3. doi: 10.1016/j.ejogrb.2010.06.023. Epub 2010 Aug 21.

DOI:10.1016/j.ejogrb.2010.06.023
PMID:20728977
Abstract

OBJECTIVE

The aim of the study was to examine whether acupuncture is an effective additional pain treatment for endometriosis.

STUDY DESIGN

One hundred and one women aged 20-40 years participated and were randomised into two groups, each receiving two units of 10 acupuncture treatments, twice a week over a period of five weeks. Group 1 (n = 47) received verum-acupuncture during the first series, and group 2 (n = 54) received non-specific acupuncture. After the first unit of 10 treatments, an observation period of at least two menstruation cycles was set, followed by a second unit, according to a cross-over design. Prior to the study (during a two-week run-in period) the patients' actual pain intensity was surveyed. Throughout the study period, participants were asked to keep a 'pain protocol', in which they defined and recorded their pain according to the 10-point visual analogue scale (VAS).

RESULTS

Eighty-three out of a total of 101 patients finished the study. Group 1 showed a significant reduction of pain intensity after the first 10 treatments. In comparison, group 2 showed significant pain relief only after the cross-over.

CONCLUSION

Acupuncture treatment on specific acupuncture points appears to be an effective pain treatment for endometriosis, but this has to be confirmed in further study.

摘要

目的

本研究旨在探讨针刺是否是一种有效的子宫内膜异位症附加疼痛治疗方法。

研究设计

101 名年龄在 20-40 岁的女性参与了研究,并随机分为两组,每组接受 10 次 2 个单位的针刺治疗,每周两次,共 5 周。第 1 组(n=47)在第一系列治疗中接受真针刺,第 2 组(n=54)接受非特异性针刺。在第一组 10 次治疗后,根据交叉设计,至少设置两个月经周期的观察期,然后进行第二组治疗。在研究之前(在为期两周的预试验期间),对患者的实际疼痛强度进行了调查。在整个研究期间,要求参与者记录一份“疼痛方案”,根据 10 分视觉模拟量表(VAS)对他们的疼痛进行定义和记录。

结果

共有 101 名患者中的 83 名完成了研究。第 1 组在第一组 10 次治疗后疼痛强度显著降低。相比之下,第 2 组仅在交叉后才显示出显著的疼痛缓解。

结论

针对特定穴位的针刺治疗似乎是一种有效的子宫内膜异位症疼痛治疗方法,但这需要进一步研究证实。

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