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子宫内膜异位症女性的补充和替代医学(CAM)。

Complementary and alternative medicine (CAM) in women with endometriosis.

机构信息

Department of Obstetrics and Gynaecology, Karlsruhe Municipal Hospital, Karlsruhe, Germany; Friedrich Alexander University of Erlangen-Nürnberg, Erlangen, Germany.

Department of Obstetrics and Gynaecology, Karlsruhe Municipal Hospital, Karlsruhe, Germany.

出版信息

Eur J Obstet Gynecol Reprod Biol. 2021 Jul;262:7-12. doi: 10.1016/j.ejogrb.2021.05.002. Epub 2021 May 4.

Abstract

OBJECTIVE

This study aimed to provide an overview of the extent to which women with endometriosis are informed about, interested in, and make use of CAM, and to evaluate which of the methods are most often applied.

STUDY DESIGN

A retrospective, two-center cohort study was conducted using a validated questionnaire among women with laparoscopically confirmed endometriosis at two urban teaching hospitals, certified as endometriosis centres.

RESULTS

A total of 592 patients were included in the study and received the questionnaire; 114 (19.3 %) were included in the data analysis. Most of the women were not receiving hormone therapy at the time of the study (n = 60, 52.6 %). Most (n = 75, 65.8 %) were interested in CAM, but only a minority (n = 12, 10.5 %) had detailed knowledge about it. A total of 81 patients (71.1 %) had used at least one CAM method for disease management; the five most frequently used CAM methods were exercise (n = 55, 48.2 %), vitamins (n = 40, 35.1 %), yoga (n = 38, 33.3 %), homeopathy (n = 32, 28.1 %), and trace elements (n = 27, 23.7 %).

CONCLUSIONS

In our study population, women with endometriosis are strongly interested in using CAM, but have only limited information about it. Nevertheless, a majority of the patients had used at least one CAM method to relieve symptoms associated with the disease and the most often used was exercise.

摘要

目的

本研究旨在概述子宫内膜异位症患者对 CAM 的了解程度、兴趣程度以及使用情况,并评估哪些方法最常被应用。

研究设计

采用已验证的问卷,对两家都市教学医院(被认证为子宫内膜异位症中心)经腹腔镜确诊为子宫内膜异位症的女性进行回顾性、双中心队列研究。

结果

共纳入 592 例患者并发放问卷,其中 114 例(19.3%)纳入数据分析。大多数女性在研究时未接受激素治疗(n=60,52.6%)。大多数(n=75,65.8%)对 CAM 感兴趣,但仅有少数(n=12,10.5%)对此有详细了解。共有 81 例(71.1%)患者至少使用过一种 CAM 方法进行疾病管理;最常使用的五种 CAM 方法为运动(n=55,48.2%)、维生素(n=40,35.1%)、瑜伽(n=38,33.3%)、顺势疗法(n=32,28.1%)和微量元素(n=27,23.7%)。

结论

在我们的研究人群中,子宫内膜异位症患者强烈希望使用 CAM,但对其了解有限。然而,大多数患者至少使用过一种 CAM 方法来缓解与疾病相关的症状,且最常使用的方法为运动。

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