Universidade do Estado do Rio de Janeiro, Rio de Janeiro, RJ, Brazil.
Rev Bras Ginecol Obstet. 2022 Sep;44(9):891-898. doi: 10.1055/s-0042-1755459. Epub 2022 Aug 31.
To evaluate the effect of neuromodulatory drugs on the intensity of chronic pelvic pain (CPP) in women.
Searches were carried out in the PubMed, Cochrane Central, Embase, Lilacs, OpenGrey, and Clinical Trials databases.
The searches were carried out by two of the authors, not delimiting publication date or original language. The following descriptors were used: OR , associated with MESH/ENTREE/DeCS: , , , , , , , , , , , , , , , , and , with the Boolean operator . Case reports and systematic reviews were excluded.
The following data were extracted: author, year of publication, setting, type of study, sample size, intervention details, follow-up time, and results.
A total of 218 articles were found, with 79 being excluded because they were repeated, leaving 139 articles for analysis: 90 were excluded in the analysis of the titles, 37 after reading the abstract, and 4 after reading the articles in full, and 1 could not be found, therefore, leaving 7 articles that were included in the review.
Most of the studies analyzed have shown pain improvement with the help of neuromodulators for chronic pain. However, no improvement was found in the study with the highest statistical power. There is still not enough evidence that neuromodulatory drugs reduce the intensity of pain in women with CPP.
评估神经调节药物对女性慢性盆腔痛(CPP)强度的影响。
在 PubMed、Cochrane Central、Embase、Lilacs、OpenGrey 和 ClinicalTrials 数据库中进行了检索。
由两位作者进行了检索,未限定出版日期或原始语言。使用了以下描述符:OR,与 MESH/ENTREE/DeCS 相关联:,,,,,,,,,,,,,,, 和, ,使用布尔运算符 。排除了病例报告和系统评价。
提取了以下数据:作者、发表年份、设置、研究类型、样本量、干预措施细节、随访时间和结果。
共发现 218 篇文章,其中 79 篇因重复而被排除,留下 139 篇进行分析:90 篇在标题分析中被排除,37 篇在阅读摘要后被排除,4 篇在全文阅读后被排除,1 篇无法找到,因此,只有 7 篇文章被纳入综述。
大多数分析的研究表明,神经调节剂有助于慢性疼痛的缓解。然而,在具有最高统计效力的研究中并没有发现疼痛改善。仍然没有足够的证据表明神经调节药物能降低 CPP 女性疼痛的强度。