Acupuncture for Pain of Endometriosis
Lykilorð
Útdráttur
Lýsing
Endometriosis is a kind of chronic gynaecology disease that endometrial tissue appear outside the uterine cavity , the main symptoms include dysmenorrhea, dyspareunia, chronic pelvic pain, and infertility, etc. .The secondary progressive and aggravating dysmenorrhea is thought to be the most typical symptom of endometriosis.The epidemiology data shows that about 87.7% endometriosis patients accompany with dysmenorrhea, affecting majority of women's physical and mental health and quality of life seriously .The treatment for dysmenorrhea is still the key and pressing problem of endometriosis.Endometriotic lesions can be excised or ablated surgically, but the risk of recurrence is high. Drug therapy mainly involves the use of oral contraceptives, progesterone and androgen derivatives, gonadotropin-releasing hormone (GnRH) agonists and aromatase inhibitors, etc.,However, in some women the side effects may not be well tolerated or the pain relief provided may be inadequate. Therefore, a large number of patients with endometriosis are turning to complementary and alternative medicine such as acupuncture.Acupuncture, as an important component of traditional Chinese medicine is widely used in Asian countries,and it can treat different diseases, including endometriosis dysmenorrhea.The analgesia principle of acupuncture is based on the theory of holistic view of zang-fu organs and meridians.In traditional Chinese medicine, dysmenorrhea is etiologically caused by the stagnated blood or Qi circulation in the uterus. The pathological factors are mostly dampness, blood stasis,and Qi obstructions. Acupuncture stimulation, which involves thrusting or twisting needles,results in various biochemical reactions that can have effects throughout the body.When the running of blood and Qi is unobstructed, pain can be relieved.However, only some small trials considered to be lacking in quality or size to guide practice.So it is urgently necessary to design multicenter ,randomized controlled trial to prove it .
Dagsetningar
| Síðast staðfest: | 07/31/2019 |
| Fyrst lagt fram: | 04/16/2017 |
| Áætluð skráning lögð fram: | 04/19/2017 |
| Fyrst sent: | 04/23/2017 |
| Síðasta uppfærsla lögð fram: | 09/22/2019 |
| Síðasta uppfærsla sett upp: | 09/24/2019 |
| Raunverulegur upphafsdagur náms: | 05/20/2017 |
| Áætlaður aðallokunardagur: | 04/29/2020 |
| Áætlaður dagsetningu rannsóknar: | 05/29/2020 |
Ástand eða sjúkdómur
Íhlutun / meðferð
Other: acupuncture
Stig
Armhópar
| Armur | Íhlutun / meðferð |
|---|---|
| Experimental: treatment group Treatment group will receive acupuncture at Sanyinjiao (SP 6), Zhaohai (KI 6) ,Taichong (LR 3) ,Qichong (ST 30) and Guanyuan. | |
| Placebo Comparator: control group Control group will receive acupuncture at non-acupoints. |
Hæfniskröfur
| Aldur hæfur til náms | 20 Years Til 20 Years |
| Kyn sem eru hæf til náms | Female |
| Tekur við heilbrigðum sjálfboðaliðum | Já |
| Viðmið | Inclusion criteria 1. Women age between 20 and 40. 2. Endometriosis diagnosed according to the Endometriosis Consensus Guidelines (Chinese Medical Association, 2015): 1) symptomatic endometriosis detected by laparoscopy or laparotomy; or 2) ovarian endometrioma detected by ultrasound or magnetic resonance imaging with pelvic pain. 3. Patients willing to receive acupuncture for pain relief. 4. Pelvic pain score equal or over 4 cm on the Visual Analogue Scale (VAS). 5. Regular menstrual cycle. 6. Signed informed consent Exclusion criteria 1. Pelvic ultrasound demonstrates the endometrial cyst measures more than 5 cm in diameter and surgery is indicated. 2. Imaging examination suspects pelvic genital malignancies. 3. Cancer antigen-125 > 200 IU/L. 4. Pelvic infectious diseases. 5. Other severe disorders in heart, lung, liver, kidney, or mental disorders not able to cooperate in the study. 6. Patients who have received any other treatment for endometriosis that may affect the observation of the curative effects of acupuncture these three months. 7. Pregnancy or breastfeeding. 8. Refusal to be randomized. |
Útkoma
Aðal niðurstöður ráðstafanir
1. Visual analogue scale [up to 24 weeks]
Aðgerðir vegna aukaatriða
1. Endometriosis Health Profile -30 [up to 24 weeks]
2. Multidimensional Pain Inventory [up to 24 weeks]
3. Beck Depression Inventory and Profile of Mood States [up to 24 weeks]
4. Patient Global Impression of Change [up to 24 weeks]
5. Pain diary [up to 24 weeks]
