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经皮穴位电刺激治疗原发性痛经的疗效和安全性的随机对照试验方案:在中国。

Efficacy and safety of transcutaneous electrical acupoint stimulation for the management of primary dysmenorrhoea: protocol for a randomised controlled trial in China.

机构信息

School of Nursing and Midwifery, Edith Cowan University, Joondalup, Western Australia, Australia.

Department of Massage, Tai'an Hospital of Traditional Chinese Medicine, Tai'an, Shandong Province, China.

出版信息

BMJ Open. 2024 Jun 12;14(6):e078895. doi: 10.1136/bmjopen-2023-078895.

Abstract

INTRODUCTION

Primary dysmenorrhoea (PD) is a common menstrual concern with significant physical and psychosocial impacts. The effectiveness and safety of transcutaneous electrical acupoint stimulation (TEAS) in alleviating PD symptoms remain uncertain due to insufficient evidence. This single-centre, parallel, randomised controlled study intends to evaluate the efficacy and safety of TEAS for PD management.

METHODS AND ANALYSIS

60 participants aged 18-40 years diagnosed with moderate to severe PD will be recruited from Tai'an Hospital of Traditional Chinese Medicine (TCM) and randomly assigned to either a TEAS group or a TEAS-sham group (1:1). The TEAS group will undergo 12 sessions of TEAS treatment over two menstrual cycles, with 30 min per session, three sessions weekly. Participants in the TEAS-sham group will receive TEAS stimulation using identical devices and protocols but without current output. The primary outcome is the Visual Analogue Scale (VAS) for pain assessment. Secondary outcomes are Short-Form McGill Pain Questionnaire, total effective rate, uterine artery haemodynamics, prostaglandin and β-endorphin level, mental well-being and quality of life. Adverse events and their potential reasons and the use of analgesics will also be recorded.

ETHICS AND DISSEMINATION

This study was approved by the Medical Ethics Committee of Tai'an Hospital of TCM. Written informed consent will be obtained from each participant. The results will be submitted for publication in a peer-reviewed journal.

TRIAL REGISTRATION NUMBER

ChiCTR2300071686.

摘要

简介

原发性痛经(PD)是一种常见的月经问题,对身体和心理社会有重大影响。由于证据不足,经皮穴位电刺激(TEAS)缓解 PD 症状的有效性和安全性仍不确定。这项单中心、平行、随机对照研究旨在评估 TEAS 治疗 PD 的疗效和安全性。

方法与分析

将从泰安市中医医院招募 60 名年龄在 18-40 岁之间、诊断为中重度 PD 的参与者,并随机分为 TEAS 组或 TEAS 假刺激组(1:1)。TEAS 组将在两个月经周期内接受 12 次 TEAS 治疗,每次 30 分钟,每周 3 次。TEAS 假刺激组将使用相同的设备和方案进行 TEAS 刺激,但没有电流输出。主要结局是疼痛评估的视觉模拟量表(VAS)。次要结局是简明 McGill 疼痛问卷、总有效率、子宫动脉血流动力学、前列腺素和β-内啡肽水平、心理健康和生活质量。还将记录不良事件及其潜在原因和镇痛药的使用情况。

伦理与传播

本研究已获得泰安市中医医院医学伦理委员会的批准。将从每位参与者处获得书面知情同意书。研究结果将提交给同行评审期刊发表。

注册号

ChiCTR2300071686。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/78a6/11177670/7e792a169ff0/bmjopen-2023-078895f01.jpg

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