针对绝经前期综合征的不同针疗法的比较有效性:系统性审查和网络元分析
Xiaoyan Yang1, Fengya Zhu2, Yue Zhong2
1School of Integrated Traditional Chinese and Western Medicine, The Affiliated Traditional Chinese Medicine Hospital of Southwest Medical University, Luzhou, Sichuan, China.
Frontiers in neurology
|February 2, 2026
概括
不同的针方法有效地治疗绝经前期症状. 电针与西方医学 (EAWM) 和耳加体针 (AAA) 结合,对具体症状,如抑郁症和睡眠障碍,分别显示出显著的益处.
科学领域:
- 综合医学是一个整体的医学.
- 妇女健康 妇女健康
- 传统中国医药 传统中国医药
背景情况:
- 绝经前综合征显著影响女性的生活质量,其症状包括热和失眠.
- 针是一种流行的非药物治疗方法,但其各种形式对绝经前症状的比较有效性尚未得到充分证实.
- 这项研究解决了需要澄清不同针方式的相对疗效的需求.
研究的目的:
- 进行一个网络元分析,比较各种针方法对绝经前期症状的影响.
- 为了确定最有效的针模式,针对特定的绝经前期的投诉.
主要方法:
- 在多个数据库 (PubMed,Embase,Cochrane,Web of Science,CNKI,Wanfang,CBM,VIP) 进行了全面的文献搜索,截至2025年6月27日.
- 包括随机对照试验 (RCT),比较治疗绝经前期综合征的针干预措施.
- 使用Stata 15和R版本4.3进行了网络元分析,使用Cochrane工具评估了偏差风险.
主要成果:
- 分析了49个带有4,579名参与者的RCT.
- 针与西方医学 (AWM) 结合,在激素调节方面表现出色.
- 电针与西方医学 (EAWM) 结合的电针对更年期症状和抑郁症是最佳的,而单独的电针 (EA) 对焦虑最有效.
- 耳针加体针 (AAA) 显著改善了睡眠,而催化剂 (M) 显示了最高的整体效果.
结论:
- 不同的针方式,包括AWM,EAWM,EA,AAA和M,为绝经前综合征提供了显著的好处.
- 研究结果支持基于特定症状概况的个性化治疗选择.
- 建议进一步进行高质量的RCT来验证这些结果.
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