자궁내막증의 침치료 효과에 대한 체계적 문헌 고찰

권나연, 이동녕
In: The Journal of Korean Obstetrics and Gynecology · 2021 · vol. 34(2) , pp. 48–61 · W3215414754
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A systematic review of seven randomized controlled trials found that acupuncture significantly reduced endometriosis-related pain and recurrence compared to control interventions.

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This systematic review evaluated acupuncture for pain associated with endometriosis by searching six online databases through November 2020 for randomized controlled trials involving patients with laparoscopically diagnosed disease. Seven trials, all conducted and published in China, compared simple acupuncture or electroacupuncture with mifepristone, herbal medicine, or acupuncture-based controls, assessing treatment response, serum CA-125, pain scores, and one-year recurrence. Across all reported outcomes, acupuncture groups showed statistically greater effectiveness, including reduced pain and recurrence, although the authors noted that endometriosis frequently recurs and that longer-term research is needed. This paper is centrally about endometriosis — a systematic review of acupuncture for endometriosis-related pain and recurrence.

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Abstract

Objectives: This study was aimed to review the effect of acupuncture on endometriosis related pain in patients. Methods: Researchers searched data through 6 online databases up to November 2020. The data was limited to randomized controlled trial studies on endometriosis patients diagnosed with laparoscopy. Results: 7 Randomized controlled trials were included in this study. All of studies were published in Chinese, in China. Intervention of treatment group were composed of simple acupuncture and electroacupuncture. Intervention of control group were made up with mifepristone, herbal medicine and acupuncture. Outcome measurements were effective rate, serum Cancer antigen-125 (CA-125), Visual analogue scale (VAS)/pain score, and recurrence rate in 1 year. In all outcome measurements, treatment group were more effective than control group and it was statistically significant. Conclusions: Acupuncture therapy is effective in decreasing endometriosis related pain and preventing recurrence. However, because endometriosis is easy to recur, additional long-term research is needed.
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Objectives

This study was aimed to review the effect of acupuncture on endometriosis related pain in patients.

Methods

Researchers searched data through 6 online databases up to November 2020. The data was limited to randomized controlled trial studies on endometriosis patients diagnosed with laparoscopy.

Results

7 Randomized controlled trials were included in this study. All of studies were published in Chinese, in China. Intervention of treatment group were composed of simple acupuncture and electroacupuncture. Intervention of control group were made up with mifepristone, herbal medicine and acupuncture. Outcome measurements were effective rate, serum Cancer antigen-125 (CA-125), Visual analogue scale (VAS)/pain score, and recurrence rate in 1 year. In all outcome measurements, treatment group were more effective than control group and it was statistically significant.

Conclusions

Acupuncture therapy is effective in decreasing endometriosis related pain and preventing recurrence. However, because endometriosis is easy to recur, additional long-term research is needed.

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Outcome instruments

VAS-pain

Condition tags

endometriosis

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