다낭성 난소 증후군의 침치료 연구에 관한 체계적 문헌고찰
Recent Acupuncture Therapy for Polycystic Ovary Syndromes : Systematic Review
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Objectives: The purpose of this systematic review was to overview and evaluatethe efficacy of acupuncture treatment for women with polycystic ovary syndrome(PCOS). Methods: Relevant randomized controlled studies (RCTs) were identified bydatabase searches in MEDLINE, EMBASE, and CENTRAL, up to Dec 2013, andby additional hand searches. Data were extracted regarding anovulation, hyperandrogenism,obesity indices. Meta-analyses were separatedly conducted for the symptoms ofPCOS. The risk of bias was assessed. Results: Three studies which were included for analysis, but they showed severlyheterogeneity therefore meta-analysis could not be performed. Outcomes for evaluatingthe efficacy of acupuncture treatment for PCOS were anovulation index (menstrualfrequency), hyperandrogenism index (free testosterone) and obesity index (body-massindex). For menstrual frequency, acupuncture treatment consistently suggested aninterventional benefit. Although other outcomes did not suggest any enough relevantevidence to interventional benefit for acupuncture treatment. Conclusions: Acupuncture treatment appeared to improve menstrual frequencyin PCOS patients. Since a limited number of RCTs were available in the currentliterature and those studies were also clinically heterogeneous, further research isneeded to gather evidence to support acupuncture therapy in PCOS.
Abstract
Objectives: The purpose of this systematic review was to overview and evaluatethe efficacy of acupuncture treatment for women with polycystic ovary syndrome(PCOS). Methods: Relevant randomized controlled studies (RCTs) were identified bydatabase searches in MEDLINE, EMBASE, and CENTRAL, up to Dec 2013, andby additional hand searches. Data were extracted regarding anovulation, hyperandrogenism,obesity indices. Meta-analyses were separatedly conducted for the symptoms ofPCOS. The risk of bias was assessed. Results: Three studies which were included for analysis, but they showed severlyheterogeneity therefore meta-analysis could not be performed. Outcomes for evaluatingthe efficacy of acupuncture treatment for PCOS were anovulation index (menstrualfrequency), hyperandrogenism index (free testosterone) and obesity index (body-massindex). For menstrual frequency, acupuncture treatment consistently suggested aninterventional benefit. Although other outcomes did not suggest any enough relevantevidence to interventional benefit for acupuncture treatment. Conclusions: Acupuncture treatment appeared to improve menstrual frequencyin PCOS patients. Since a limited number of RCTs were available in the currentliterature and those studies were also clinically heterogeneous, further research isneeded to gather evidence to support acupuncture therapy in PCOS.
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