Exploration of Japanese women seeking acupuncture for menopausal symptoms: a preliminary study.

Junko Hirota, Miho Takayama, Morihiro Nasu, Judith M Schlaeger, Hiroyoshi Yajima, Nobuari Takakura
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Abstract

Menopausal symptoms may affect every aspect of women's lives. There are no studies that examine the rate of menopausal women who seek acupuncture for their complaints, particularly muscle stiffness and aches, headaches, fatigue, and depression, which are indications for acupuncture, in Japan. The aim of this preliminary study was to explore the rate of Japanese women in menopause who sought acupuncture for the treatment of their general complaints, and to what extent acupuncture reduced their menopausal symptoms. 29 Japanese women, ages 40 to 59, received three individualized acupuncture treatments at 7 acupuncture clinics in Tokyo and surrounding suburbs. Menopausal symptoms were assessed by the Simple Menopause Index (SMI) which consisted of 10 symptoms from three categories: vasomotor, psychoneurological and musculoskeletal symptoms to determine if women were in menopause. Fifteen of 29 Japanese women had an SMI score greater than or equal to 26, suggesting that they were in menopause. Menopausal symptoms were reduced with individualized acupuncture treatments, exclusively due to improvement of musculoskeletal symptoms. Vasomotor and psychoneurological symptoms were not improved. These results suggest Japanese women in menopause seeking acupuncture may benefit from musculoskeletal symptom relief such as fatigue, chronic neck pain, and low back pain. Considering these results, acupuncturists may advise them to be evaluated by and inform gynecologists of their intention to use acupuncture to treat menopausal symptoms. Future studies focused on improvement of musculoskeletal symptoms and possibly vasomotor and psychoneurological symptoms with larger sample sizes are necessary.

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对寻求针灸治疗更年期症状的日本妇女的调查:一项初步研究。
更年期症状可能会影响妇女生活的方方面面。在日本,还没有研究表明更年期妇女针灸治疗其主诉的比例,特别是肌肉僵硬和疼痛、头痛、疲劳和抑郁,这些都是针灸的适应症。这项初步研究旨在探讨日本更年期妇女寻求针灸治疗一般主诉的比例,以及针灸在多大程度上减轻了她们的更年期症状。29 名年龄在 40 岁至 59 岁之间的日本女性在东京及周边郊区的 7 家针灸诊所接受了三次个性化针灸治疗。更年期症状通过简易更年期指数(SMI)进行评估,该指数由血管运动、精神神经和肌肉骨骼三类 10 种症状组成,用于判断妇女是否处于更年期。29 名日本妇女中有 15 人的 SMI 分数大于或等于 26 分,表明她们已进入更年期。通过个性化针灸治疗,更年期症状有所减轻,这完全是由于肌肉骨骼症状得到了改善。血管运动和精神神经症状没有得到改善。这些结果表明,寻求针灸治疗的日本更年期妇女可能会从肌肉骨骼症状的缓解中受益,如疲劳、慢性颈痛和腰背痛。考虑到这些结果,针灸师可以建议她们接受妇科医生的评估,并告知妇科医生她们打算使用针灸治疗更年期症状。今后有必要进行样本量更大的研究,重点关注肌肉骨骼症状以及血管运动和精神神经症状的改善情况。
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