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耳穴按压治疗原发性痛经的临床观察:一项随机临床试验的研究方案

Clinical Observation on Auricular Acupressure for Primary Dysmenorrhea: A Study Protocol for a Randomized Clinical Trial.

作者信息

Liu Lumin, Hu Junwei, Lu Junjie, Yang Jiaxin

机构信息

Longhua Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, People's Republic of China.

Department of Social and Behavioral Sciences, Harvard University T.H. Chan School of Public Health, Boston, MA, USA.

出版信息

J Pain Res. 2023 Sep 21;16:3217-3225. doi: 10.2147/JPR.S414416. eCollection 2023.

Abstract

PURPOSE

The objective of this study is to evaluate the immediate and time-dependent effects of AA in treating PD and assess its safety.

METHODS/DESIGN: This study is a randomized, single-blinded, controlled trial that will enroll 92 patients in a 1:1 allocation ratio. Patients will be assigned to either the treatment group (n=46) or the control group (n=46). During the first menstrual period, the treatment group will receive AA treatment, while the control group will receive sham AA treatment for 7 days. The second menstrual period will serve as the follow-up period. The primary outcome measure is the Visual Analog Scale (VAS) score 30 min after the first treatment. Secondary outcome measures include the VAS score immediately after the first treatment, onset time of analgesic effect, duration of pain, extra dosing rate of ibuprofen, and change of the Menstrual Distress Questionnaire (MDQ) score. The outcomes will be assessed at baseline, during the intervention period, and during the follow-up period.

CONCLUSION

The study results will provide evidence on the efficacy and safety of AA in managing PD by analyzing its immediate effect, time-effect relationship, and reduction of painkiller use.

TRIAL REGISTRATION

Chinese Clinical Trial Registry (ChiCTR2300069741).

摘要

目的

本研究的目的是评估芳香疗法(AA)治疗原发性痛经(PD)的即时和时间依赖性效果,并评估其安全性。

方法/设计:本研究是一项随机、单盲、对照试验,将按1:1的分配比例招募92名患者。患者将被分配到治疗组(n = 46)或对照组(n = 46)。在第一个月经期,治疗组将接受芳香疗法治疗,而对照组将接受假芳香疗法治疗7天。第二个月经期将作为随访期。主要结局指标是首次治疗后30分钟的视觉模拟评分(VAS)。次要结局指标包括首次治疗后即刻的VAS评分、镇痛起效时间、疼痛持续时间、布洛芬额外给药率以及月经困扰问卷(MDQ)评分的变化。结局将在基线、干预期和随访期进行评估。

结论

通过分析芳香疗法的即时效果、时效关系以及止痛药使用的减少情况,研究结果将为芳香疗法治疗原发性痛经的疗效和安全性提供证据。

试验注册

中国临床试验注册中心(ChiCTR2300069741)。

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