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针灸结合康复治疗女性慢性盆腔疼痛综合征的疗效：一项荟萃分析。

Effects of Acupuncture Combined with Rehabilitation on Chronic Pelvic Pain Syndrome in Females: A Meta-Analysis Running Head-Acupuncture Combined with Rehabilitation on Chronic Pelvic Pain.

机构信息

College of Acupuncture & Moxibustion Rehabilitation Clinical Medical, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong 510405, China.

Department of Acupuncture and Moxibustion, The Affiliated TCM Hospital of Guangzhou Medical University, Guangzhou, Guangdong 510130, China.

出版信息

J Healthc Eng. 2022 Mar 15;2022:8770510. doi: 10.1155/2022/8770510. eCollection 2022.

DOI:10.1155/2022/8770510
PMID:35340243
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8941541/
Abstract

OBJECTIVE

To investigate the clinical efficacy of this combined treatment for chronic pelvic pain syndrome (CPPS) by meta-analysis.

METHODS

Relevant articles were retrieved from PubMed, CNKI, Wanfang Data, Web of Science, and Embase, including randomized controlled trials on acupuncture combined with rehabilitation for CPPS in females.

RESULTS

A total of 224 articles were retrieved in this study, and 14 studies were finally identified for inclusion. Among them, the treatment group was treated with acupuncture combined with pelvic floor rehabilitation therapy, while the control group was treated with acupuncture or pelvic floor rehabilitation therapy. Meta-analysis showed that the treatment effective rate in the treatment group was significantly higher than that in the control group (OR = 6.54; 95% CI: 4.20, 10.21;  < 0.05). After treatment, compared with the control group, the treatment group showed lower incidences of adverse reactions (OR = 0.16; 95% CI: 0.09, 0.27;  < 0.05), bladder prolapse (OR = 0.36; 95% CI: 0.18, 0.73;  < 0.05), cervical prolapse (OR = 0.22; 95% CI: 0.10, 0.49;  < 0.05), and pelvic peritoneal hernia (OR = 0.14; 95% CI: 0.05, 0.38;  < 0.05); in addition, the treatment group was also associated with lower pain score (SMD = -4.05; 95% CI: -6.75, -1.34;  < 0.05) and pelvic dysfunction score (SMD = -4.35; 95% CI: -5.37, -3.34;  < 0.05).

CONCLUSION

Acupuncture combined with rehabilitation is effective for CPPS in females, which can significantly reduce the pain intensity and improve pelvic dysfunction of patients.

摘要

目的

采用荟萃分析方法探讨针灸联合康复治疗慢性盆腔疼痛综合征（CPPS）的临床疗效。

方法

检索 PubMed、中国知网、万方数据、Web of Science、Embase 中关于针灸联合康复治疗女性 CPPS 的随机对照试验，纳入针灸联合盆底康复治疗 CPPS 的研究。

结果

本研究共检索到 224 篇文献，最终纳入 14 项研究。其中，治疗组采用针灸联合盆底康复治疗，对照组采用针灸或盆底康复治疗。Meta 分析结果显示，治疗组的治疗有效率明显高于对照组（OR=6.54；95%CI：4.20，10.21； < 0.05）。治疗后，与对照组相比，治疗组不良反应发生率较低（OR=0.16；95%CI：0.09，0.27； < 0.05），膀胱脱垂（OR=0.36；95%CI：0.18，0.73； < 0.05）、宫颈脱垂（OR=0.22；95%CI：0.10，0.49； < 0.05）、盆腔腹膜疝（OR=0.14；95%CI：0.05，0.38； < 0.05）的发生率较低，疼痛评分（SMD=-4.05；95%CI：-6.75，-1.34； < 0.05）和盆底功能障碍评分（SMD=-4.35；95%CI：-5.37，-3.34； < 0.05）较低。

结论

针灸联合康复治疗女性 CPPS 有效，可明显降低患者的疼痛强度，改善其盆底功能障碍。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c7e/8941541/ae2971f70d29/JHE2022-8770510.006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c7e/8941541/c2e94c4914fc/JHE2022-8770510.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c7e/8941541/73480d5b1a17/JHE2022-8770510.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c7e/8941541/a614f118c76d/JHE2022-8770510.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c7e/8941541/e4591154e1fe/JHE2022-8770510.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c7e/8941541/e5e3d2df080b/JHE2022-8770510.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c7e/8941541/ae2971f70d29/JHE2022-8770510.006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c7e/8941541/c2e94c4914fc/JHE2022-8770510.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c7e/8941541/73480d5b1a17/JHE2022-8770510.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c7e/8941541/a614f118c76d/JHE2022-8770510.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c7e/8941541/e4591154e1fe/JHE2022-8770510.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c7e/8941541/e5e3d2df080b/JHE2022-8770510.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c7e/8941541/ae2971f70d29/JHE2022-8770510.006.jpg

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