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经皮电刺激神经疗法治疗原发性痛经的效果

Effect of transcutaneous electrical nerve stimulation therapy for the treatment of primary dysmenorrheal.

作者信息

Bai Hai-Yan, Bai Hong-Yan, Yang Zhi-Qin

机构信息

Department of Gynecology, The People's Hospital of Yan'an Department of Reproductive Medicine, Maternal and Child Health Hospital of Yan'an Department of Chinese Medicine, The People's Hospital of Yan'an, Yan'an, China.

出版信息

Medicine (Baltimore). 2017 Sep;96(36):e7959. doi: 10.1097/MD.0000000000007959.

Abstract

BACKGROUND

This study aimed to investigate the effect and safety of transcutaneous electrical nerve stimulation (TENS) therapy for relieving pain in women with primary dysmenorrhea (PD).

METHODS

In this study, 134 participants with PD were randomly divided into the intervention group and the sham group, with 67 participants in each group. Participants in the intervention group received TENS, whereas those in the sham group received sham TENS. The primary outcome was measured by the Numeric Rating Scale (NRS). The secondary outcomes were measured by the duration of relief from dysmenorrheal pain, number of ibuprofen tablets taken, and the World Health Organization quality of life (WHOQOL)-BREF score, as well as the adverse events.

RESULTS

A total of 122 participants completed the study. Compared to sham TENS, TENS showed a greater effect in pain relief with regard to the NRS (P < .01), duration of relief from dysmenorrheal pain (P < .01), and number of ibuprofen tablets taken (P < .01). However, no significant differences in the quality of life, measured by the WHOQOL-BREF score, were found between 2 groups. The adverse event profiles were also similar between 2 groups.

CONCLUSION

TENS was efficacious and safe in relieving pain in participants with PD.

摘要

背景

本研究旨在探讨经皮电刺激神经疗法(TENS)缓解原发性痛经(PD)女性疼痛的效果及安全性。

方法

本研究中,134名PD患者被随机分为干预组和假刺激组,每组67名参与者。干预组参与者接受TENS治疗,而假刺激组参与者接受假TENS治疗。主要结局通过数字评分量表(NRS)进行测量。次要结局通过痛经疼痛缓解持续时间、服用布洛芬片的数量、世界卫生组织生活质量(WHOQOL)-BREF评分以及不良事件进行测量。

结果

共有122名参与者完成了研究。与假TENS相比,TENS在NRS疼痛缓解方面(P<0.01)、痛经疼痛缓解持续时间方面(P<0.01)以及服用布洛芬片数量方面(P<0.01)显示出更大的效果。然而,两组之间在通过WHOQOL-BREF评分测量的生活质量方面未发现显著差异。两组之间的不良事件情况也相似。

结论

TENS在缓解PD参与者疼痛方面有效且安全。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/18f3/6392990/1cdbc4a33eb6/medi-96-e7959-g001.jpg

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