針灸治療痛經相關中西文獻之綜述

Reviews of Chinese and Western Articles about Acupuncture and Moxibustion for Dysmenorrhea

蘇慶豐(Ching-Feng Su) ； 吳沛錚(Pei-Chen Wu) ； 郭大維(Ta-Wei Kuo) ； 許昇峰(Sheng-Feng Hsu)

《中華針灸醫學會雜誌》 12卷3期 (2009/09) Pp. 9-21

https://doi.org/10.30076/JCMAA.200909.0002

摘要

目的：希望從隨機臨床試驗的中西文獻回顧中，探討與分析針灸治療痛經的療效。
方法：西文期刊以Acupuncture及acupoint治療痛經爲篇名作聯集，搜尋2001-2009年閒經由Medline、PubMed、Ebscohost等系統查詢所有隨機臨床試驗(randomized controlled trial, RCT)的SCI期刊；中文期刊則經由中國期刊全文數據庫，搜尋2001-2009年間有關針灸治療痛經的隨機臨床試驗文章。
結果：共得六篇西文隨機臨床試驗文獻，各篇研究設計不一。其中五篇實驗組在針灸後明顯降低痛經的疼痛程度，減少痛經的時間，降低止痛藥使用量、增加生活品質，但增加額外的醫療花費，有一篇系統性回顧的文章指出沒有強烈的證據顯示針灸治療痛經有顯著療效；十篇中文隨機臨床試驗文獻，皆證實實驗組較對照組皆有明顯療效。
結論：中西隨機臨床試驗研究的目的，除了探討針灸對於痛經的療效之外，更比較中國期刊與外國期刊的研究設計的不同，發現中國期刊研究中使用灸法的頻率頗高，進而從中歸納出針灸治療痛經的模式。

關鍵字

針灸 ； 痛經

並列摘要

Objection: to know the effects about Acupuncture and Moxibustion for Dysmenorrhea from Chinese and western RCTs articles.
Methods: Research recent English articles of RCTs about Acupunctureand Moxibustion for Dysmenorrhea from 2001 to 2009. The key words of acupuncture or acupoint combined with dysmenorrheal was used to research in Medline、PubMed and Ebscohost. In addition, these key words were also used to research in the Chinee data base.
Results: There six articles about acupuncture and moxibustion for dysmenorrhea in English. Each study design was different. The effects of acupuncture and moxibustion for dysmenorrhea were significant greater than the control gropu in Five articles. One system reviews article showed no significant different. All the ten Chinese articles revealed positive results about acupuncture and moxibustion for dysmenorrhea.
Conclusion: The purpose of the Chinese and western RCTs not only shows significant effects of the acupuncture and moxibustion therapy but also compare the different study designs between them. We find that moxibustion was used more often in Chinese RCTs articles. So that we can summary the treatment model of acupuncture and moxibustion therapy for dysmenorrhea.

並列關鍵字

acupuncture and moxibustion ； dysmenorrhea