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瑜伽作为功能失调性子宫出血管理中的一种治疗干预措施:一项对照性初步研究。

Yoga as a Therapeutic Intervention in the Management of Dysfunctional Uterine Bleeding: A Controlled Pilot Study.

作者信息

Nalgirkar Snehal Pankaj, Vinchurkar Suhas Ashok, Saoji Apar Avinash, Mohanty Sriloy

机构信息

Division of Yoga and Life Sciences, S-VYASA, Bengaluru, Karnataka, India.

Center for Integrative Medicine and Research, AIIMS, New Delhi, India.

出版信息

J Midlife Health. 2018 Jan-Mar;9(1):8-13. doi: 10.4103/jmh.JMH_76_17.

Abstract

BACKGROUND

Dysfunctional uterine bleeding (DUB) is one of the most common gynecological disorders encountered in women during the reproductive age. Yoga therapy has shown promising benefits in several gynecological disorders.

METHODS

Thirty women between the ages of 20 and 40 years with primary DUB were randomly assigned to a yoga ( = 15) and a waitlist control group ( = 15). Participants in the yoga group received a 3-month yoga module and were assessed for hemoglobin values, endometrial thickness (ET), pictorial blood loss assessment chart (PBAC), State-Trait Anxiety Inventory, perceived stress scale, and Pittsburgh Sleep Quality Index (PSQI) before and after a 3-month follow-up period.

RESULTS

At the end of 3 months of intervention, the yoga group, unlike the control group, reported a significant reduction in the anxiety scores ( < 0.05) and perceived stress ( < 0.05). The PSQI scores indicated a reduction in sleep disturbances ( < 0.001) and the need for sleep medications ( < 0.01) and higher global scores ( < 0.001). However, there were no changes in PBAC and ET in both the groups.

CONCLUSION

The results indicate that yoga therapy positively impacts the outcome of DUB by reducing the perceived stress and state anxiety and improving the quality of sleep. This warrants larger clinical trials to validate the findings of this pilot study.

摘要

背景

功能失调性子宫出血(DUB)是育龄期女性最常见的妇科疾病之一。瑜伽疗法在多种妇科疾病中已显示出有前景的益处。

方法

30名年龄在20至40岁之间的原发性DUB女性被随机分为瑜伽组(n = 15)和等待名单对照组(n = 15)。瑜伽组的参与者接受为期3个月的瑜伽课程,并在3个月的随访期前后评估血红蛋白值、子宫内膜厚度(ET)、图像失血评估图(PBAC)、状态-特质焦虑量表、感知压力量表和匹兹堡睡眠质量指数(PSQI)。

结果

在3个月的干预结束时,与对照组不同,瑜伽组报告焦虑评分显著降低(P < 0.05)和感知压力降低(P < 0.05)。PSQI评分表明睡眠障碍减少(P < 0.001)、对睡眠药物的需求减少(P < 0.01)且总体评分更高(P < 0.001)。然而,两组的PBAC和ET均无变化。

结论

结果表明,瑜伽疗法通过减轻感知压力和状态焦虑以及改善睡眠质量,对DUB的治疗结果产生积极影响。这需要更大规模的临床试验来验证这项初步研究的结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/06b9/5879852/a4e08f2b38b0/JMH-9-8-g001.jpg

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