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补充医学治疗或减轻子宫内膜异位症风险的效果概述。

Overview of the Effect of Complementary Medicine on Treating or Mitigating the Risk of Endometriosis.

机构信息

Nursing Research Center, Department of Midwifery, Razi Faculty of Nursing and Midwifery, Kerman Univeresity of Medical Sciences, Kerman, Iran.

Nursing Research Center, Department of Counselling in Midwifery, Razi Faculty of Nursing and Midwifery, Kerman University of Medical Sciences, Kerman, Iran.

出版信息

Rev Bras Ginecol Obstet. 2021 Dec;43(12):919-925. doi: 10.1055/s-0041-1735156. Epub 2021 Dec 21.

DOI:10.1055/s-0041-1735156
PMID:34933385
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10183906/
Abstract

OBJECTIVE

Endometriosis is a hormone-dependent chronic inflammatory disease with symptoms such as pelvic pain, which affect the physical, emotional, and social health of women in reproductive age. The current overview article aims to explore the effect of complementary medicine on the treatment or in mitigating the risk of endometriosis.

METHODS

This is an overview article done in Iran. Two separate researchers systematically searched 3 databases (Medline, Scopus, and Cochrane Central Register Trials) until September 2020. The methodological quality of each study was assessed using the assessment of multiple systematic reviews (AMSTAR) tool.

RESULTS

The results of two reviews suggested that physical activity, tobacco smoking, diet, coffee and caffeine intake had no effect on mitigating the risk of endometriosis or improving its treatment, but acupuncture successfully reduced pain and related marker (serum CA-125) levels.

CONCLUSION

As endometriosis is an annoying disease with many complications and is hard to diagnose and treat, related studies in complementary medicine can help patients with endometriosis. Based on the relevant literature review, among the complementary medicine available for the treatment or to mitigate the risk of endometriosis, only acupuncture seems to alleviate the pain of endometriosis.

摘要

目的

子宫内膜异位症是一种与激素相关的慢性炎症性疾病,其症状包括盆腔疼痛,这些症状会影响生育期妇女的身体、情绪和社会健康。本篇综述文章旨在探讨补充医学对子宫内膜异位症的治疗或降低风险的作用。

方法

这是在伊朗进行的一篇综述文章。两名研究员分别系统地在 3 个数据库(Medline、Scopus 和 Cochrane Central Register Trials)中搜索,直到 2020 年 9 月。使用评估多项系统评价工具(AMSTAR)对每项研究的方法学质量进行评估。

结果

两项综述的结果表明,体育活动、吸烟、饮食、咖啡和咖啡因摄入对降低子宫内膜异位症的风险或改善其治疗没有影响,但针灸成功地减轻了疼痛和相关标志物(血清 CA-125)水平。

结论

由于子宫内膜异位症是一种令人烦恼的疾病,并发症多,且难以诊断和治疗,因此补充医学相关研究可能有助于子宫内膜异位症患者。基于相关文献综述,在可用于治疗或降低子宫内膜异位症风险的补充医学中,只有针灸似乎可以缓解子宫内膜异位症的疼痛。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9970/10183906/c4ee19173912/10-1055-s-0041-1735156-i200498-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9970/10183906/c4ee19173912/10-1055-s-0041-1735156-i200498-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9970/10183906/c4ee19173912/10-1055-s-0041-1735156-i200498-1.jpg

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Rev Bras Ginecol Obstet. 2021 Dec;43(12):919-925. doi: 10.1055/s-0041-1735156. Epub 2021 Dec 21.
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本文引用的文献

1
The Effectiveness of Psycho-Educational and Cognitive-Behavioral Counseling on Female Sexual Dysfunction.心理教育和认知行为咨询对女性性功能障碍的效果。
Rev Bras Ginecol Obstet. 2020 Jun;42(6):333-339. doi: 10.1055/s-0040-1712483. Epub 2020 Jun 30.
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Comparing the effect of acupressure with or without ice in LI-4 point on labour pain and anxiety levels during labour: a randomised controlled trial.比较按压合谷穴(LI-4)加或不加冰敷对分娩疼痛和焦虑水平的影响:一项随机对照试验。
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Novel Drug Targets with Traditional Herbal Medicines for Overcoming Endometriosis.
治疗子宫内膜异位症的传统草药新药靶标
Curr Drug Deliv. 2019;16(5):386-399. doi: 10.2174/1567201816666181227112421.
4
Systematic review and meta-analysis of complementary treatments for women with symptomatic endometriosis.系统评价和荟萃分析:针对有症状的子宫内膜异位症女性的补充治疗方法。
Int J Gynaecol Obstet. 2018 Oct;143(1):2-9. doi: 10.1002/ijgo.12576. Epub 2018 Jul 9.
5
Effects of acupuncture for the treatment of endometriosis-related pain: A systematic review and meta-analysis.针刺治疗子宫内膜异位症相关性疼痛的效果:一项系统评价与Meta分析
PLoS One. 2017 Oct 27;12(10):e0186616. doi: 10.1371/journal.pone.0186616. eCollection 2017.
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Physical activity and endometriosis risk in women with infertility or pain: Systematic review and meta-analysis.不孕或疼痛女性的身体活动与子宫内膜异位症风险:系统评价与荟萃分析
Medicine (Baltimore). 2016 Oct;95(40):e4957. doi: 10.1097/MD.0000000000004957.
7
Research Priorities for Endometriosis.子宫内膜异位症的研究重点
Reprod Sci. 2017 Feb;24(2):202-226. doi: 10.1177/1933719116654991. Epub 2016 Sep 27.
8
Tobacco smoking and risk of endometriosis: a systematic review and meta-analysis.吸烟与子宫内膜异位症风险:一项系统评价和荟萃分析。
BMJ Open. 2014 Dec 22;4(12):e006325. doi: 10.1136/bmjopen-2014-006325.
9
Coffee and caffeine intake and risk of endometriosis: a meta-analysis.咖啡和咖啡因摄入量与子宫内膜异位症风险:一项荟萃分析。
Eur J Nutr. 2014 Oct;53(7):1573-9. doi: 10.1007/s00394-014-0662-7. Epub 2014 Jan 31.
10
Diet and endometriosis risk: a literature review.饮食与子宫内膜异位症风险:文献综述。
Reprod Biomed Online. 2013 Apr;26(4):323-36. doi: 10.1016/j.rbmo.2012.12.011. Epub 2013 Jan 21.