中醫治療緩解子宮內膜異位症疼痛並降低開刀風險

Traditional Chinese medicine to relieve the pain of endometriosis and reduce the need for surgery

陳勇齊(Yong-Qi Chen) ； 楊鈞皓(Jun-Hao Yang) ； 吳秉富(Bing-Fu Wu) ； 劉夢薇(Meng-Wei Liu) ； 林舜穀(Shun-Ku Lin)

《台北市中醫醫學雜誌》 23卷4期 (2017/12) Pp. 7-11

https://doi.org/10.6718/TJCM.201712_23(4).0002

摘要

子宮內膜異位症是許多婦女的夢饜，正常的子宮內膜只會在子宮腔內生長，但有些內膜脫離了子宮，在腹膜、大腸和卵巢上面四處生長，並隨著月經週期而反覆增厚及剝落出血，這些出血無法像正常的月經一樣流初體外，反而會累積在身體裡面引起發炎與沾黏，引發經期或行房時嚴重的疼痛，也會導致不孕。幸好，針灸能有效緩解子宮內膜異位症引發的嚴重經痛，並能減少因為經痛導致無法工作與生活失能，長時間大規模研究則發現規律中醫治療能有效降低開刀的需要。

關鍵字

子宮內膜異位症 ； 中醫 ； 針灸 ； 健保資料庫

並列摘要

Endometriosis is a nightmare for many women. Normal endometrium will only grow in the uterine cavity. Endometriosis, however, detaches itself from the uterus and develops around the peritoneum, the large intestine and the ovary, repeatedly thickening and exfoliating with the menstrual cycle. These bleeding can not flow out of the body as regular menstruation but will accumulate in the body caused by inflammation and adhesions, causing severe pain during menstruation or intercourse, can also lead to infertility. Acupuncture can effectively alleviate the severe menstrual pain caused by endometriosis, and can reduce because of menstrual pain cannot work and disability. A long time large-scale study found that regular Chinese medicine treatment can effectively reduce the need for surgery.

並列關鍵字

Endometriosis ； Traditional Chinese Medicine ； Acupuncture ； National Health Insurance Database

參考文獻

Su SY, Muo CH, Sung FC, Morisky DE. Reduction of surgery rate in endometriosis patients who take Chinese medicine: a population-based retrospective cohort study.Complement Ther Med. 2014 Aug;22(4):632-9. doi: 10.1016/j.ctim.2014.06.010. Epub 2014 Jul 7.

Rubi-Klein K, Kucera-Sliutz E, Nissel H, Bijak M, Stockenhuber D, Fink M, Wolkenstein E. Is acupuncture in addition to conventional medicine effective as pain treatment for endometriosis? A randomised controlled cross-over trial. Eur J Obstet Gynecol Reprod Biol. 2010 Nov;153 (1):90-3. doi: 10.1016/j.ejogrb.2010.06.023. Epub 2010 Aug 21