激光针刺对绝经期症状的影响

A. Radwan, Mohamed Amr Hussein Elnoury, Sherif Fathi ElMekkawi
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引用次数: 1

摘要

目的:针灸常用于治疗更年期症状和其他妇科疾病。激光针灸具有无创、可重复性好、方便等优点。本研究旨在探讨激光穴位刺激在缓解更年期相关症状方面的有效性。方法:采用随机、双盲、对照研究方法,选取年龄在40 ~ 60岁、Kupperman绝经指数(KMI)等于或大于15的绝经期妇女120例(离末次月经>1年)。将女性随机分为A组:激光针灸(n=30), B组:HRT;替博龙2,5 mg/天口服(n=30), C组:激光针刺联合替博龙2,5 mg/天口服(n=30), D组:非介入性(自我护理组)(n=30)。每个病人都有一个标准的每日日志,并被要求记录潮热的频率和严重程度以及每天治疗的副作用。检测治疗前后血清促卵泡激素(FSH)、黄体生成素(LH)、E2水平。结果:120名有绝经后症状的妇女随机分为4组;治疗后随访,(A组)激光针刺治疗前后FSH、LH、E2水平差异无统计学意义(B组);KMI热潮热治疗前后FSH、LH水平显著降低,E2水平显著升高,差异有统计学意义。采用激素替代疗法联合激光穴位治疗(C组)对研究对象有显著改善,改善程度高于b组。自我护理组在潮热频率、FSH、LH和E2水平上均无显著差异。结论:激光穴位治疗可有效降低绝经后潮热和绝经后症状的发生频率和严重程度,特别是与替博龙联合使用。
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The Effect of Laser Acupuncture on Menopausal Symptoms
Objective: Acupuncture is frequently utilized to manage climacteric symptoms and other gynecological conditions. Laser acupuncture has the advantages of being noninvasive, reproducible, and convenient. This study sought to explore the effectiveness of laser acupoint stimulation in relieving symptoms associated with menopause. Methods: A randomized, double-blind, controlled study was conducted on 120 women diagnosed as menopausal patients (>1 year past last menstruation), aged 40 - 60 years with a Kupperman Menopause Index (KMI) equal or more than 15. women were randomized into Group A: Laser acupuncture (n=30), Group B: (HRT); Tibolone 2,5 mg/day (n=30) orally, Group C: Laser acupuncture and Tibolone 2,5 mg/day orally (n=30), Group D: Non interventional (self-care group) (n=30). Each patient was given a standard daily log and was required to record the frequency and severity of hot flashes and side effects of the treatment felt daily. The serum levels of follicle stimulating hormone (FSH), LH and E2 were detected before and after the treatment. Results: 120 women with postmenopausal symptoms were divided randomly into four equal groups; After the treatment and the follow-up, in (Group A) there was no significant difference regarding FSH, LH and E2 level before treatment and after treatment with LASER acupuncture, as regard (Group B); there was statistically significant difference before and after treatment concerning hot flashes of KMI and he levels of FSH, LH decreased significantly and the level of E2 increased significantly. Combined treatment using hormonal replacement therapy with Laser Acupoints (Group C) showed dramatic improvement in study subjects and the improvement was more than that in group B. There were no significant differences were found regarding self-care group on either frequency of hot flashes, FSH, LH and E2 level. Conclusions: Laser acupoints are effective and can be used as an alternative treatment to decrease the frequency and severity of postmenopausal hot flashes and postmenopausal symptoms especially if combined with Tibolone.
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