de Oliveira Natália M, Machado Jorge, Lopes Lara, Criado Maria Begoña
ICBAS - Institute of Biomedical Sciences Abel Salazar, School of Medicine and Biomedical Sciences, University of Porto-UP, Porto, Portugal.
CBSin, Center of BioSciences in Integrative Health, Porto, Portugal.
J Pharmacopuncture. 2023 Jun 30;26(2):105-123. doi: 10.3831/KPI.2023.26.2.105.
Human Polycystic Ovary/Ovarian Syndrome (PCOS), a frequent endocrine pathophysiology among women of fertile age, is associated with woman's lifespan endocrine, metabolic and psychological implications. Long-term usage side effects of allopathic strategies and their low efficacy made complementary medicine treatments a relevant subject for these patients. The main aim of this work is to review the efficiency of the acupuncture treatment reported in the latest studies on literature regarding PCOS patients.
A comprehensive literature search, in English language, about the use of acupuncture on the management of PCOS, was conducted in October 2020 using EBSCO, Cochrane, PubMed, Medline, Embase, databases for randomised and non-randomised controlled trials between 2015 and 2020 (09/2015-10/2020), following the PRISMA protocol.
This research led us to an analysis, according to PICOS, of six final papers selected among 178 in total. The articles addressed distinct aspects of the PCOS condition, diverse acupuncture techniques and different main and secondary outcomes in agreement to the respective main objective. According to this review, acupuncture seems to be useful for the treatment of this debilitating and chronic health condition which affects millions of women worldwide, many of them part of the workforce in their community.
Despite of the display of these positive results addressing acupuncture treatments to manage PCOS major symptoms - whether they are reproductive, metabolic, or mental health features - more research is urgent. Randomized, double blinded controlled trials with improved quality design and following STRICTA and/or CONSORT recommendations are necessary to engage acupuncture as a standardized and scientific validated technique in PCOS condition.
人类多囊卵巢/卵巢综合征(PCOS)是育龄女性常见的内分泌病理生理状态,与女性一生的内分泌、代谢和心理影响相关。对抗疗法策略的长期使用副作用及其低疗效使补充医学治疗成为这些患者的一个相关课题。这项工作的主要目的是回顾文献中最新研究报道的针刺治疗PCOS患者的疗效。
2020年10月,按照PRISMA方案,使用EBSCO、Cochrane、PubMed、Medline、Embase数据库,对2015年至2020年(2015年9月 - 2020年10月)期间关于针刺用于PCOS管理的随机和非随机对照试验进行了全面的英文文献检索。
本研究使我们根据PICOS对总共178篇论文中筛选出的6篇最终论文进行了分析。这些文章探讨了PCOS病情的不同方面、不同的针刺技术以及与各自主要目标一致的不同主要和次要结局。根据本综述,针刺似乎对治疗这种影响全球数百万女性(其中许多是其社区劳动力的一部分)的使人衰弱的慢性健康状况有用。
尽管有这些积极结果表明针刺治疗可管理PCOS的主要症状——无论是生殖、代谢还是心理健康方面的症状——但仍迫切需要更多研究。有必要进行设计质量更高且遵循STRICTA和/或CONSORT建议的随机、双盲对照试验,以使针刺成为PCOS病情中一种标准化且经过科学验证的技术。