Edith Cowan University, Perth, WA, Australia.
Shanghai Research Institute of Acupuncture and Meridian, China.
Clin Nurs Res. 2022 Sep;31(7):1362-1375. doi: 10.1177/10547738221086984. Epub 2022 May 2.
Acupuncture and moxibustion have been accepted as add-on options for primary dysmenorrhea (PD); however, the clinical evidence is still inadequate. We searched AMED, CENTRAL, EMBASE, PubMed, Web of Science, CBM, CNKI, VIP, Wangfang database, ANZCTR, ClinicalTrials.gov, and the WHO ICTRP, from their inception to February 2021. The pooled analysis of 13 RCTs with 675 participants for VAS showed that acupuncture and moxibustion were more effective in managing PD than the control group with the MD of -1.93 (95% CI [-2.80, -1.06] and -2.67 (95% CI [-4.96, -0.38]). With the CMSS, seven studies with 487 participants showed that these modalities were more effective than the control group with the MD of -7.58 (95% CI [-10.97, -4.19]) and -3.78 (95% CI [-6.90, -0.66]). The findings indicated that acupuncture and moxibustion could relieve pain effectively and has fewer adverse events (AEs) in managing PD.
针灸已被接受为原发性痛经（PD）的附加选择；然而，临床证据仍然不足。我们检索了 AMED、CENTRAL、EMBASE、PubMed、Web of Science、CBM、CNKI、VIP、万方数据库、ANZCTR、ClinicalTrials.gov 和世界卫生组织 ICTRP，从建库至 2021 年 2 月。对 13 项 RCT 共 675 名参与者进行 VAS 的汇总分析显示，与对照组相比，针灸在治疗 PD 方面更有效，MD 值为-1.93（95%CI[-2.80，-1.06]）和-2.67（95%CI[-4.96，-0.38]）。使用 CMSS，7 项研究共 487 名参与者显示，与对照组相比，这些方法更有效，MD 值为-7.58（95%CI[-10.97，-4.19]）和-3.78（95%CI[-6.90，-0.66]）。结果表明，针灸可以有效缓解疼痛，在治疗 PD 方面不良反应（AE）更少。
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