Nag Usashi, Pal Rajat Kumar, Saha Subhranil, Alam Sk Monsur, Parvin Tahira, Gole Raghubir, Debnath Pintu, Sengupta Sumana, Koley Mousumi, Roy Urmi, Akram Junayed, Shaikh Abdur Rahaman, Koley Munmun, Mukherjee Shyamal Kumar
Department of Repertory, D. N. De Homoeopathic Medical College & Hospital, Kolkata, West Bengal, India.
Department of Gynecology, Baruipur Sub-district Hospital, Baruipur, West Bengal, India.
J Integr Complement Med. 2024 Dec;30(12):1231-1242. doi: 10.1089/jicm.2024.0050. Epub 2024 Jul 31.
Prevalence of irregular menstrual cycle ranges from 81.7% to 96.3%. Recent research suggested that homeopathy is one of the most popular choices for women with various gynecological disorders. This trial was aimed at differentiating individualized homeopathic medicinal products (IHMPs) from identical-looking placebos in the treatment of menstrual irregularities in early reproductive women. Double-blind, randomized (1:1), two parallel arms, placebo-controlled trial. D. N. De Homoeopathic Medical College & Hospital, Kolkata, West Bengal, India. Ninety-two females with menstrual irregularities. Group verum ( = 46; IHMPs plus concomitant care) versus group control ( = 46; placebos plus concomitant care). Primary-The proportion of early reproductive females in whom menstrual irregularities can be corrected for consecutive three cycles; Secondary-Menstrual Distress Questionnaire (MDQ) total score; all of them were measured at baseline and every month, up to 4 months. Intention-to-treat sample ( = 92) was analyzed. Group differences were examined by chi-squared tests with categorical outcomes, two-way repeated measure analysis of variance accounting for the time-effect interactions, and unpaired -tests comparing the mean estimates obtained individually every month. The level of significance was set at < 0.05 two-tailed. After 4 months of intervention, the group difference in the primary outcome was nonsignificant statistically-IHMPs: 22/46 v/s placebo: 24/46, chi-square (Yates corrected) = 0.043, = 0.835. The improvement observed in the MDQ total score (, = 0.054, = 0.816) and subscales scores were higher in the IHMPs group than in placebos, however statistically nonsignificant in most of the occasions, except for the behavioral change subscale (, = 0.029, < 0.001). was the most frequently prescribed medicine. Kent's Repertory and Zandvoort's Complete Repertory were the most frequently used repertories. No harm or serious adverse events were reported from either group. The analysis failed to demonstrate clearly that IHMPs were effective beyond placebos in all but one of the outcomes. More appropriate outcome measures may be sought for future trials. CTRI/2022/04/041659.
月经周期不规律的患病率在81.7%至96.3%之间。最近的研究表明,顺势疗法是患有各种妇科疾病的女性最受欢迎的选择之一。该试验旨在区分个体化顺势疗法药品(IHMPs)与外观相同的安慰剂在治疗早期生殖期女性月经不调方面的效果。双盲、随机(1:1)、两个平行组、安慰剂对照试验。印度西孟加拉邦加尔各答的D.N.顺势疗法医学院及医院。92名月经不调的女性。试验组(n = 46;IHMPs加伴随护理)与对照组(n = 46;安慰剂加伴随护理)。主要指标——早期生殖期女性月经不调连续三个周期得以纠正的比例;次要指标——月经困扰问卷(MDQ)总分;所有指标在基线时及之后每月测量一次,直至4个月。对意向性分析样本(n = 92)进行分析。分类结果采用卡方检验分析组间差异,双向重复测量方差分析考虑时间效应交互作用,采用不成对t检验比较每月单独获得的均值估计值。显著性水平设定为双侧P < 0.05。干预4个月后,主要指标的组间差异无统计学意义——IHMPs组:22/46,安慰剂组:24/46,卡方(Yates校正)= 0.043,P = 0.835。MDQ总分的改善情况(P = 0.054,效应量 = 0.816)以及各子量表得分在IHMPs组高于安慰剂组,但在大多数情况下无统计学意义,行为改变子量表除外(P = 0.029,效应量 < 0.001)。[药物名称]是最常开具的药物。肯特药典和赞德沃特全药典是最常使用的药典。两组均未报告有害或严重不良事件。该分析未能明确证明在除一项结果外的所有结果中,IHMPs比安慰剂更有效。未来试验可能需要寻求更合适的结果测量指标。CTRI/2022/04/041659