针刺治疗经前期综合征疗效的Meta分析
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摘要
目的:评价针刺治疗经前期综合征的临床疗效。方法:计算机检索Cochrane Library、Embase、Medline、Pubmed、中国知网、中国生物医学文献数据库、万方数据库和维普数据库中关于针刺治疗经前期综合征临床疗效的所有临床随机对照试验,检索时限为建库至2019-02。同时检索重要学术会议(妇产科学术会议、针灸学术会议、中国中西医结合学术会议)论文汇编。为全面搜索文献,对相关文献的参考文献进行追溯查阅。2名研究者对检索收集到的文献按照纳入及排除标准独立进行筛选。以治疗总有效率、治疗后症状体征评分和汉密尔顿焦虑量表(hamilton anxiety scale,HAMA)评分作为评价指标。对纳入文献进行方法学质量评价,采用Review Manager 5.3软件进行Meta分析。结果:本研究纳入11篇文献,共767例患者。Meta分析结果显示,针刺治疗总有效率优于其他治疗,差异有统计学意义(RR=1.20,95%CI:1.08～1.34,P=0.0008),症状体征评分低于其他治疗,差异有统计学意义(MD=-5.16,95%CI:-6.14～-4.17,P<0.01),HAMA评分低于其他治疗,差异有统计学意义(MD=-2.45,95%CI:-3.36～-1.53,P<0.01)。结论:针刺治疗经前期综合征比其他治疗方法更有优势。
Objective:To evaluate the efficacy of acupuncture on premenstrual syndrome(PMS).Methods:The literature search was performed in Cochrane Library,Embase,Medline,PubMed,SinoMed,CNKI,Wanfang and CQVIP databases for acupuncture for PMS,and searches of conference proceedings were also conducted.The data were extracted and a Metaanalysis was performed using Rev Man 5.3.The outcome measures included total efficiency rate,score of symptoms,score of hamilton anxiety scale(HAMA).Results:Eleven randomized controlled trials and 767 patients were included in the Meta-analysis.The Meta-analysis showed,total efficiency rate of acupuncture treatment was better than that of others treatment(RR=1.20,95%CI:1.08～1.34,P=0.0008),score of symptoms and sign was lower than that of others treatment(MD=-5.16,95%CI:-6.14～-4.17,P<0.01),and score of HAMA was lower than that of others treatment(MD=-2.45,95%CI:-3.36～-1.53,P <0.01),the differences were statistically significant.Conclusion:Acupuncture treatment is more effective compared to others treatments in treatment of PMS.
Objective:To evaluate the efficacy of acupuncture on premenstrual syndrome(PMS).Methods:The literature search was performed in Cochrane Library,Embase,Medline,PubMed,SinoMed,CNKI,Wanfang and CQVIP databases for acupuncture for PMS,and searches of conference proceedings were also conducted.The data were extracted and a Metaanalysis was performed using Rev Man 5.3.The outcome measures included total efficiency rate,score of symptoms,score of hamilton anxiety scale(HAMA).Results:Eleven randomized controlled trials and 767 patients were included in the Meta-analysis.The Meta-analysis showed,total efficiency rate of acupuncture treatment was better than that of others treatment(RR=1.20,95%CI:1.08～1.34,P=0.0008),score of symptoms and sign was lower than that of others treatment(MD=-5.16,95%CI:-6.14～-4.17,P<0.01),and score of HAMA was lower than that of others treatment(MD=-2.45,95%CI:-3.36～-1.53,P <0.01),the differences were statistically significant.Conclusion:Acupuncture treatment is more effective compared to others treatments in treatment of PMS.
引文
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[4]孙远征,郭淑颖.针刺与药物治疗经前期综合征疗效对比[J].中国针灸,2004,24(1):29-30.
[5]郭淑颖.俞募通经针法治疗经前期综合征的临床疗效[D].黑龙江:黑龙江中医药大学,2004.
[6]郭淑颖,孙远征.经前期综合征35例针药对比观察[J].上海针灸杂志,2004,23(1):5-6.
[7]徐莺莺.针刺背俞穴治疗经前期综合征的临床研究[D].黑龙江:黑龙江中医药大学,2007.
[8]汪娟,吴节.安神调肝针法治疗肝郁气滞型经前期综合征疗效观察[J].四川中医,2007,25(9):82-83.
[9]方御权,吴节,胡幼平,等.安神调肝针法治疗肝郁气滞型经前期综合征47例临床随机对照研究[J].光明中医,2008,23(9):1308-1310.
[10]胡幼平,周睿,杨丽洁,等.安神调肝针法治疗肝郁气滞型经前期综合征疗效观察[J].陕西中医,2010,31(8):1047-1050.
[11]张林,沈丽芳.针灸中药并用治疗经前期紧张症50例[J].宁夏医学杂志,2000,22(7):436.
[12]曾晓燕.针药结合治疗肝郁型经前期综合征80例临床观察[J].江苏中医药,2013,45(10):61.
[13]Habek D,Habek J C,Barbir A.Using acupuncture to treat premenstrual syndrome[J].Arch Gynecol Obstet,2002,267(1):23-26.
[14]Shin K R,Ha J Y,Park H J,et al.The effect of hand acupuncture therapy and hand moxibustion therapy on premenstrual syndrome among Korean women[J].West JNurs Res,2009,31(2):171-186.
[15]王荣,李艳敏,周永红.团体认知行为疗法对经前期紧张综合征患者的护理效果[J].检验医学与临床,2018,15(17):2657-2659.
[16]孙丽,刘海燕,刑伟.认知行为疗法对经前期综合征女性疾病相关症状的影响[J].中国实用神经疾病杂志,2017,20(1):47-48.
[17]胡艳玲.心理护理对经前期紧张综合征患者影响的观察[J].中外女性健康研究,2016,23(7):145.
[18]高明周,高冬梅,刘晓琴,等.青春期经前期综合征病因病机及治疗的研究进展[J].中国中西医结合杂志,2016,36(2):251-255.
[19]Singh C,Jain J,Singh K,et al.A study of premenstrual dysphoric disorder prevalence,phenomenology and personality factors in college going students[J].Indian JHealth Wellbeing,2016,7(10):962.
[20]YU Q,WANG H X.Female college students premenstrual syndrome status quo analysis[J].Chin J Pract Nurs,2016,32(25):1959-1962.
[21]Ernst E,White A R.Prospective studies of the safety of acupuncture:a systematic review[J].Am J Med,2001,110(6):481-485.
[22]MacPherson H,Thomas K,Walters S,et al.The York acupuncture safety study:prospective survey of 34 000treatments by traditional acupuncturists[J].BMJ,2001,323(7311):486-487.
[23]Haywood A,Slade P,King H.Assessing the assessment measures for menstrual cycle symptoms:aguide for researchers and clinicians[J].J Psychosom Res,2002,52(4):223-237.
[24]Vickers A,Goyal N,Harland R,et al.Do certain countries produce only positive results?A systematic review of controlled trials[J].Control Clin Trials,1998,19(2):159-166.
[2]伍盼盼,詹向红,杨丽萍,等.258例经前焦虑性障碍的临床流行病学调查分析[J].中国妇幼保健,2013,28(14):2254-2257.
[3]Halbreich U,Borenstein J,Pearlstein T,et al.The prevalence,impairment,impact,and burden of premenstrual dysphoric disorder(PMS/PMDD)[J].Psychoneuroendocrinology,2003,28(3):1-23.
[4]孙远征,郭淑颖.针刺与药物治疗经前期综合征疗效对比[J].中国针灸,2004,24(1):29-30.
[5]郭淑颖.俞募通经针法治疗经前期综合征的临床疗效[D].黑龙江:黑龙江中医药大学,2004.
[6]郭淑颖,孙远征.经前期综合征35例针药对比观察[J].上海针灸杂志,2004,23(1):5-6.
[7]徐莺莺.针刺背俞穴治疗经前期综合征的临床研究[D].黑龙江:黑龙江中医药大学,2007.
[8]汪娟,吴节.安神调肝针法治疗肝郁气滞型经前期综合征疗效观察[J].四川中医,2007,25(9):82-83.
[9]方御权,吴节,胡幼平,等.安神调肝针法治疗肝郁气滞型经前期综合征47例临床随机对照研究[J].光明中医,2008,23(9):1308-1310.
[10]胡幼平,周睿,杨丽洁,等.安神调肝针法治疗肝郁气滞型经前期综合征疗效观察[J].陕西中医,2010,31(8):1047-1050.
[11]张林,沈丽芳.针灸中药并用治疗经前期紧张症50例[J].宁夏医学杂志,2000,22(7):436.
[12]曾晓燕.针药结合治疗肝郁型经前期综合征80例临床观察[J].江苏中医药,2013,45(10):61.
[13]Habek D,Habek J C,Barbir A.Using acupuncture to treat premenstrual syndrome[J].Arch Gynecol Obstet,2002,267(1):23-26.
[14]Shin K R,Ha J Y,Park H J,et al.The effect of hand acupuncture therapy and hand moxibustion therapy on premenstrual syndrome among Korean women[J].West JNurs Res,2009,31(2):171-186.
[15]王荣,李艳敏,周永红.团体认知行为疗法对经前期紧张综合征患者的护理效果[J].检验医学与临床,2018,15(17):2657-2659.
[16]孙丽,刘海燕,刑伟.认知行为疗法对经前期综合征女性疾病相关症状的影响[J].中国实用神经疾病杂志,2017,20(1):47-48.
[17]胡艳玲.心理护理对经前期紧张综合征患者影响的观察[J].中外女性健康研究,2016,23(7):145.
[18]高明周,高冬梅,刘晓琴,等.青春期经前期综合征病因病机及治疗的研究进展[J].中国中西医结合杂志,2016,36(2):251-255.
[19]Singh C,Jain J,Singh K,et al.A study of premenstrual dysphoric disorder prevalence,phenomenology and personality factors in college going students[J].Indian JHealth Wellbeing,2016,7(10):962.
[20]YU Q,WANG H X.Female college students premenstrual syndrome status quo analysis[J].Chin J Pract Nurs,2016,32(25):1959-1962.
[21]Ernst E,White A R.Prospective studies of the safety of acupuncture:a systematic review[J].Am J Med,2001,110(6):481-485.
[22]MacPherson H,Thomas K,Walters S,et al.The York acupuncture safety study:prospective survey of 34 000treatments by traditional acupuncturists[J].BMJ,2001,323(7311):486-487.
[23]Haywood A,Slade P,King H.Assessing the assessment measures for menstrual cycle symptoms:aguide for researchers and clinicians[J].J Psychosom Res,2002,52(4):223-237.
[24]Vickers A,Goyal N,Harland R,et al.Do certain countries produce only positive results?A systematic review of controlled trials[J].Control Clin Trials,1998,19(2):159-166.