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第345号——原发性痛经共识指南。

No. 345-Primary Dysmenorrhea Consensus Guideline.

作者信息

Burnett Margaret, Lemyre Madeleine

机构信息

Winnipeg, MB.

Québec, QC.

出版信息

J Obstet Gynaecol Can. 2017 Jul;39(7):585-595. doi: 10.1016/j.jogc.2016.12.023.

Abstract

OBJECTIVE

This guideline reviews the investigation and treatment of primary dysmenorrhea.

INTENDED USERS

Health care providers.

TARGET POPULATION

Women and adolescents experiencing menstrual pain for which no underlying cause has been identified.

EVIDENCE

Published clinical trials, population studies, and review articles cited in PubMed or the Cochrane database from January 2005 to March 2016.

VALIDATION METHODS

Seven clinical questions were generated by the authors and reviewed by the SOGC Clinical Practice-Gynaecology Committee. The available literature was searched. Guideline No. 169 was reviewed and rewritten in order to incorporate current evidence. Recommendations addressing the identified clinical questions were formulated and evaluated using the ranking of the Canadian Task Force on Preventive Health Care.

BENEFITS, HARMS, AND COSTS: Primary dysmenorrhea is common and frequently undertreated. Effective therapy is widely available at minimal cost. Treatment has the potential to improve quality of life and to decrease time lost from school or work.

GUIDELINE UPDATE

This guideline is a revision and update of No. 169, December 2005.

SPONSORS

SOGC.

SUMMARY STATEMENTS

RECOMMENDATIONS.

摘要

目的

本指南回顾原发性痛经的调查与治疗。

目标用户

医疗保健提供者。

目标人群

经历月经疼痛但未发现潜在病因的女性和青少年。

证据

2005年1月至2016年3月在PubMed或Cochrane数据库中引用的已发表临床试验、人群研究和综述文章。

验证方法

作者提出了七个临床问题,并由SOGC临床实践 - 妇科委员会进行审查。检索了现有文献。对第169号指南进行了审查和改写,以纳入当前证据。使用加拿大预防保健工作组的排名制定并评估了针对已确定临床问题的建议。

益处、危害和成本:原发性痛经很常见且经常治疗不足。有效治疗方法广泛可用且成本最低。治疗有可能改善生活质量并减少上学或工作时间的损失。

指南更新

本指南是2005年12月第169号指南的修订和更新。

主办方

SOGC。

总结声明

建议。

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