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评估维生素E对原发性痛经女性减轻盆腔疼痛的效果。

Evaluation of the effect of vitamin E on pelvic pain reduction in women suffering from primary dysmenorrhea.

作者信息

Kashanian Maryam, Lakeh Maziar Moradi, Ghasemi Afsane, Noori Shahla

机构信息

Department of Obstetrics and Gynecology, Tehran University of Medical Sciences, Akbarabadi Teaching Hospital, Tehran, Iran.

出版信息

J Reprod Med. 2013 Jan-Feb;58(1-2):34-8.

Abstract

OBJECTIVE

To evaluate the effect of vitamin E on the reduction of pelvic pain in women with primary dysmenorrhea and to compare its effect with placebo.

STUDY DESIGN

A double-blind randomized clinical trial was performed on 120 women suffering from primary dysmenorrhea. They were randomly assigned into 2 groups, and 94 women finished the study. In the study group (n = 42) 400 IU/day of vitamin E was prescribed starting 2 days before the beginning of menstruation and continuing for a total of 5 days, for 2 consecutive cycles. In the control group (n = 52) a placebo was prescribed. Pain severity was evaluated using the Visual Analogue Scale for 1 month before the study and during the 2 months of study.

RESULTS

Pain severity during the first month of the study was 5.41 +/- 2.4 in the study group and 5.76 +/- 2.08 in the control group and 4.73 +/- 1.89 and 5.35 +/- 2.05 in the study and control groups, respectively, during the second month of the study. Pain severity during the first and second months of treatment with vitamin E and placebo was lower than the pain severity before treatment. The mean reduction of pain in the study group (-2.7 +/- 2.1) was greater than that in the control group (-1.8 +/- 2.4) during the second month of the study.

CONCLUSION

Both vitamin E and placebo may reduce the pelvic pain of dysmenorrhea, but vitamin E seems to cause a more significant reduction in pain. With regard to its safety, the study indicates it can be a simple and safe option for the treatment of dysmenorrhea.

摘要

目的

评估维生素E对减轻原发性痛经女性盆腔疼痛的效果,并将其与安慰剂的效果进行比较。

研究设计

对120名原发性痛经女性进行了一项双盲随机临床试验。她们被随机分为两组,94名女性完成了研究。研究组(n = 42)在月经开始前2天开始每天服用400 IU维生素E,持续5天,共2个连续周期。对照组(n = 52)服用安慰剂。在研究前1个月和研究的2个月期间,使用视觉模拟量表评估疼痛严重程度。

结果

在研究的第一个月,研究组的疼痛严重程度为5.41±2.4,对照组为5.76±2.08;在研究的第二个月,研究组和对照组的疼痛严重程度分别为4.73±1.89和5.35±2.05。维生素E和安慰剂治疗的第一个月和第二个月的疼痛严重程度均低于治疗前。在研究的第二个月,研究组疼痛平均减轻幅度(-2.7±2.1)大于对照组(-1.8±2.4)。

结论

维生素E和安慰剂均可减轻痛经的盆腔疼痛,但维生素E似乎能更显著地减轻疼痛。就其安全性而言,该研究表明它可能是一种治疗痛经的简单且安全的选择。

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