热疗法治疗原发性经期障碍:一个系统的审查和元分析
Dongni Yuan1, Yunyu Liu1, Ziyi Chen1
1School of Acupuncture and Tuina, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, China.
Frontiers in medicine
|February 9, 2026
概括
与没有治疗相比,热疗有效地减少了初级经期不良 (月经疼痛) 的疼痛. 它提供了与NSAIDs相比较或更好的缓解疼痛,副作用较少.
科学领域:
- 妇科 妇科 妇科 妇科
- 疼痛管理 疼痛管理
- 基于证据的医学 基于证据的医学
背景情况:
- 原发性经期障碍影响了许多女性,并且常常不够用NSAIDs进行治疗.
- 18%的女性在使用NSAID时无法获得足够的疼痛缓解.
- 热疗法是一种常见的自我护理方法来治疗月经疼痛.
研究的目的:
- 评估热疗法对原发性经期障碍的疗效和安全性.
- 为了比较热疗法与没有治疗和NSAIDs来缓解疼痛.
- 评估与热疗法相关的不良事件.
主要方法:
- 对57项涉及5359名参与者的RCT进行了系统审查和元分析.
- 从创建到2024年10月的七个数据库进行了搜索,更新到2025年8月.
- 使用GRADE标准评估偏见风险和证据确定性.
主要成果:
- 与没有治疗相比,热疗显著降低了疼痛强度 (WMD-3个月后-1.85厘米,RD21%).
- 热疗法显示可比或优于NSAIDs的缓解疼痛 (WMD-3个月后-1.10厘米,RD 4%).
- 与NSAID相比,热疗可能减少了不良事件 (RR 0.30).
结论:
- 热疗对于减少原发性经期障碍的疼痛是有效的,无论是预防性还是急性.
- 热疗提供与NSAIDs相比较的止痛效果,具有更好的安全性.
- 热疗是一种可行的和安全的治疗选择,用于月经疼痛管理.
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