目的:评估中医养生功法在女性原发性痛经治疗中的效果.方法:本文主要采用文献资料法、Meta分析法等研究方法,其中文献检索了外文数据库(Web of Science、Embase、Science Direct、PubMed)、中文数据库(维普、万方和中国知网),检索时间从建库至2023 年10 月7 日;通过纳入标准和排除标准,对文献进行了筛选;同时采用了Cochrane协作网中的随机对照试验偏倚风险评价标准进行质量评价,以此准确评估研究的可靠性和偏倚风险;使用RevMan5.3 软件进行Meta分析,以综合评估各项研究的结果.结果:最终共纳入8 篇研究文献,涉及实验总人数共345 名,Meta分析结果显示,中医养生功法组与对照组相比对疼痛程度(SMD=-1.21,95%CI[-1.86,-0.56],P＜0.001)和原发性痛经疗效(OR=171.44,95%CI[36.61,802.90],P＜0.001)有显著性差异,对痛经症状积分(SMD=-0.61,95%CI[-1.76,0.55],P=0.30)无显著性差异.结论:中医养生功法对女性原发性痛经具有一定的治疗效果,在减轻疼痛程度和提高原发性痛经疗效方面具有显著性效果,但其在改善痛经症状积分方面效果不显著.建议:临床医生和患者在治疗原发性痛经时,将中医养生功法作为非药物疗法之一.
Therapeutic Effect of Traditional Chinese Health-Preserving Exercises on Primary Dysmenorrhea in Women:A Meta-Analysis
OBJECTIVE:The purpose of this study is to evaluate the effectiveness of traditional Chinese health-preserving exercises in the treatment of primary dysmenorrhea in women.METHODS:This study primarily utilizes research methods such as literature review and Meta-analysis.Literature searches were conducted in foreign databases(Web of Science,Embase,Science Direct,PubMed)and Chinese databases(VIP,Wanfang,China National Knowledge Infrastructure)from inception to October 7,2023.The inclusion and exclusion criteria were applied to screen the literature.The Cochrane Collaboration's tool for assessing risk of bias in randomized controlled trials was also used to evaluate the quality and risk of bias in the included studies,aiding in an accurate assessment of the reliability and bias risk of the research.RevMan 5.3 software was used to perform the Meta-analysis in order to comprehensively evaluate the results of the individual studies.RESULTS:A total of 8 studies involving 345 participants were ultimately included.The Meta-analysis results showed that compared to the control group,the traditional Chinese health-preserving exercises group exhibited significant differences in pain intensity(SMD=-1.21,95%CI[-1.86,-0.56],P＜0.001)and the efficacy of primary dysmenorrhea treatment(OR=171.44,95%CI[36.61,802.90],P＜0.001),while no significant difference was observed in dysmenorrhea symptom scores(SMD=-0.61,95%CI[-1.76,0.55],P=0.30).CONCLUSION:Traditional Chinese health-preserving exercises have a certain therapeutic effect on primary dysmenorrhea in women,significantly reducing pain intensity and improving the efficacy of primary dysmenorrhea treatment.However,their effect on improving dysmenorrhea symptom scores is not significant.RECOMMENDATION:When treating primary dysmenorrhea,clinicians and patients should consider traditional Chinese health-preserving exercises as one of the non-pharmacological treatment options.
traditional chinese health-preserving exercisesprimary dysmenorrheatai chimeta-analysis
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