我们的网站为什么显示成这样?

可能因为您的浏览器不支持样式,您可以更新您的浏览器到最新版本,以获取对此功能的支持,访问下面的网站,获取关于浏览器的信息:

|本期目录/Table of Contents|

针灸治疗卵巢早衰疗效的Meta分析*(PDF)

《云南中医学院学报》[ISSN:1000-2723/CN:53-1048/R]

期数:
2018年06期
页码:
63-69
栏目:
针灸治疗
出版日期:
2019-09-10

文章信息/Info

Title:
Meta-analysis of the Therapeutic Effect of Acupuncture on Premature Ovarian Failure
文章编号:
1000 - 2723(2018)06- 0063 - 07
作者:
范美玲杨攀吴小燕刘露崔晓萍△
(陕西中医药大学,陕西 咸阳 712046)
Author(s):
FAN Meiling YANG Pan WU Xiaoyan LIU Lu CUI Xiaoping
(Shaanxi University of Chinese Medicine, Xianyang 712046, China)
关键词:
卵巢早衰 针灸 Meta分析
Keywords:
premature ovarian failure(POF) acupuncture Meta-analysis
分类号:
R246.3
DOI:
10.19288/j.cnki.issn.1000-2723.2018.06.013
文献标识码:
A
摘要:
目的系统性评价针灸治疗卵巢早衰(POF)的临床疗效。方法计算机检索中国知网(CNKI)、万方数据库(WanFang)、维普数据库(WeiPu)、PubMed等数据库,发表时间为建库以来至2018年11月30日,文献的语种为中文和英文,检索针灸治疗POF的文献,根据纳入标准纳入研究文献,采用Jadad量表及Cochrane HandBook5.1.0对纳入文献进行评价,采用RevMan5.3对纳入文献进行Meta分析。结果纳入研究文献为12篇,共973例POF患者。Meta分析结果显示:治愈率比较有统计学意义(P=0.01),针灸组治愈率明显高于西药组;有效率比较无统计学意义(P=0.53),针灸组与西药组有效率相当;无效率比较有统计学意义(P<0.00001),针灸组无效率明显低于西药组;卵泡刺激素(FSH)比较有统计学意义(P<0.0001),针灸组可明显降低患者血清FSH值;促黄体生成素(LH)、雌二醇(E2)比较无统计学意义(P=0.97,P=0.55),针灸组与西药组降低LH、升高E2水平相当。结论针灸治疗可以明显改善POF患者卵巢功能及血清性激素水平。
Abstract:
Objective Systematic evaluation of the clinical efficacy of acupuncture in the treatment of premature ovarian failure(POF). Methods Computer search for China Knowledge Network(CNKI), Wanfang database(WanFang), Weipu database(WeiPu), PubMed and other databases, published from the time of database construction until January 1, 2019, the language of the literature is Chinese and English, search for acupuncture. The literature for the treatment of POF was included in the study literature according to the inclusion criteria, the included literature was evaluated using the Jadad scale and Cochrane HandBook 5.1.0, and the meta-analysis was performed using RevMan 5.3. Results There were 10 research articles included in the study, a total of 690 patients with POF. Meta analysis results show:The cure rate was statistically significant(P=0.01), the cure rate of the acupuncture group was significantly higher than that of the western medicine group. The effective rate was not statistically significant(P=0.53), the acupuncture group was similar to the western medicine group. The significance of learning(P<0.00001), the inefficiency of acupuncture group was significantly lower than that of western medicine group;follicle stimulating hormone(FSH) was statistically significant(P<0.0001), acupuncture group could significantly reduce serum FSH value;luteinizing hormone(LH) and estradiol(E2) were not statistically significant(P=0.97, P=0.55). The acupuncture group and the western medicine group reduced LH and increased E2 levels. Conclusion Acupuncture treatment can significantly improve ovarian function and serum sex hormone levels in patients with POF.

参考文献/References


[1] Neumannov?觃 H, Müllerov?觃 M. Premature ovarian failure[J]. Cas Lek Cesk,2018,157(7):350-353.
[2] KOKCU A. Premature ovarian failure from current perspective[J]. Gynecol Endocrinol,2010,26(8):555-562.
[3] SHELLING A N. Premature ovarian failure[J]. Reproduction,2010,140(5):633-641.
[4] PERSANI L, ROSSETTI R, CACCIATORE C. Genes involved in human premature ovarian failure[J]. J Mol Endocrinol,2010,45(5):257-279.
[5] GOSWAMI D, CONWAY G S. Premature ovarian failure[J]. Hormone Research in Paediatrics,2007,68(4):196-202.
[6] Machura P, Grymowicz M, Rudnicka E, et al. Premature ovarian insufficiency-hormone replacement therapy and management of long-term consequences[J]. Prz Menopauzalny, 2018,17(3):135-138.
[7] 孙芳芳,史惠蓉. 激素替代疗法与乳腺癌关系的研究进展[J]. 国际妇产科学杂志,2014(2):146-149.
[8] 张洁琼,张琴,孟莉. 激素替代治疗与乳腺癌发生风险概述[J]. 中国妇幼保健,2015,30(36):6669-6672.
[9] 卢义函,王应海,李春琳,等. 激素替代治疗与妇科恶性肿瘤的研究进展[J]. 昆明理工大学学报(自然科学版),2016,41(6):86-91.
[10] Kalantaridou S N, Davis S R, Nelson L M. Premature ovarian failure[J]. Endocrinol Metab Clin North Am,1998, 27(4):989-1006.
[11] 许学兵,刘红姣. 表里经之俞募穴埋线治疗卵巢早衰33例[J]. 中国民间疗法,2008,16(3):12-13
[12] 徐梦博,田海燕. 电针合热敏灸与西药治疗卵巢早衰疗效对照观察[J]. 世界针灸杂志(英文版),2017,27(3):9-14.
[13] 付鸣. 卵巢早衰应用针灸治疗的临床观察[J]. 世界临床医学,2015,9(11):173.
[14] 边心会,安云,陈佳杰. 穴位埋线治疗卵巢早衰的临床观察[J]. 广西中医药大学学报,2016,19(4):19-21.
[15] 李华凤. 穴位埋线治疗卵巢早衰综合征的疗效观察[J]. 母婴世界,2016(9):57-58.
[16] 李丽. 针刺穴位对卵巢早衰的临床疗效观察[C]//中国中西医结合学会妇产科专业委员会. 全国中西医结合卵巢功能调控专题学术会议论文及摘要集. 北京:中国中西医结合学会妇产科专业委员会,2014:207-210.
[17] 杨晓虹,赖晓梅,黄祖波. 针灸治疗卵巢早衰60例临床观察[J]. 四川中医,2008,26(5):106-107.
[18] 罗莹玉,付蓓. 针灸治疗卵巢早衰的临床观察[J]. 湖北中医杂志,2014,36(8):63.
[19] 李文芳,郭钦源,谢丽凤. 针灸治疗卵巢早衰脾肾阳虚型临床观察[J]. 实用中医药杂志,2018,34(10):1239-1240.
[20] 庞勇,黄艳燕. 针灸治疗卵巢早衰疗效Meta分析[J]. 中医药临床杂志,2016,28(1):108-112.
[21] 刘红姣,彭剑虹,许学兵. 俞募穴埋线治疗卵巢早衰疗效观察[J]. 中国针灸,2008,28(5):325-327.
[22] 孔熠,徐泽,卜彦青,等. 卵巢早衰现代针灸腧穴谱[J]. 针灸临床杂志,2016,32(1):62-64.
[23] 王黎明,张永臣,贾红玲. 近10年来针灸治疗卵巢早衰机制研究进展[J]. 上海针灸杂志,2017,36(3):361-364.
[24] 任晓暄,朱兵,高昕妍,等. 针刺不同穴位对雌性大鼠下丘脑GnRH相关神经元活动的影响[J]. 北京中医药大学学报,2010,33(3):191-195.
[25] WANG J, CHENG K, QIN Z, et al. Effects of electroacupuncture at Guanyuan(CV 4) or Sanyinjiao(SP 6) on hypothalamus-pituitary-ovary axis and spatial learning and memory in female SAMP8 mice[J]. J Tradit Chin Med,2017,37(1):96-100.

备注/Memo

备注/Memo:
收稿日期: 2018 - 11- 22
* 基金项目: 国家自然科学基金项目(81373681);陕西省自然科学基础研究计划(2017JM8091)
第一作者简介: 范美玲(1989-),女,在读硕士研究生,研究方向:中药与食品研发。
△通信作者: 崔晓萍,E-mail:13892079999@126.com
更新日期/Last Update: 2019-07-11