Evaluation of the Effect of Different Acupuncture Dose on Premenstrual Syndrome and the Relationship Between Premenstrual Syndrome and TCM Syndrome Complex
试验速览
- 阶段
- 不适用
- 入组人数
- 105
- 试验地点
- 1
- 主要终点
- Wang Qi Chinese Medicine Questionnaire
研究概览
简要总结
The design of the study includes 3 groups for women with premenstrual syndrome, 1low dose acupuncture in the low-dose group, 2 high dose acupuncture in the high-dose group, and 3 the drug group (contraceptives) . Serum marker change of PGE2, CA125, E2, and progesterone in enrolled patients will be measured before and after treatment, along with VAS and MDQ questionnaires. The treatment efficacy of different groups and the relationship between PMS and patients TCM syndrome pattern will also be recorded and estimated.
详细描述
Premenstrual syndrome (PMS) is the sum of a group of symptoms (including physical and psychological symptoms) that occurs during the luteal phase of the menstrual cycle. Women who have such symptoms have been estimated as high as 75%; of which 3% to 8% are severe symptoms, called premenstrual dysphoric disorder (premenstrualdysphoric syndrome, PMDD). The two groups are very similar. PMS is mostly for physical discomfort, while PMDD is for emotional problems, affecting women's sleep seriously.
Regarding the treatment of premenstrual syndrome (PMS), western medicine adopt oral contraceptive pills (OCP) as the first-line medication. However, the common side effects of OCP, such as headache, dizziness, nausea, vomiting, depression, breast pain and so on are also troublesome, In recent years, some women also use acupuncture as an adjunctive replacement therapy because of its safety and fewer side effects. Nevertheless, the factors affecting treatment effect of acupuncture and moxibustion. such as the selection of acupoint s ( of which meridians) or number(dose) of acupuncture ,etc., maight affect the efficacy, yet the relevant research on this issue is not enough. In traditional Chinese medicine theory, acupuncture and moxibustion regulate the energy of the meridians and adjust blood and qi, which in turn help the balance of yin and yang. Female menstrual cycle is a process of conversion between yin and yang in TCM theory. While in western medicine, it is regulated by the endocrine system.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 19 Years 至 49 Years（Adult）
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •1.15 to 49 years 2.with a history of regular menstrual cycles (28days±7 days) 3.Symptoms：breast pain、dizziness、bloating、cramps、nausea、vomiting、 diarrhea、headache、 fatigue，etc
排除标准
- •irregular menstrual cycles
- •intrauterine contraceptive device (IUCD/IUD)
- •uncontrolled neurological diseases
- •lactation， pregnant women，or those with plans to get pregnant in the coming half year
研究组 & 干预措施
Conventional Gynecologic Treatment group
Taking NSAIDs or oral contraceptives.NSAIDs include Ibuprofen, Naproxen, Diclofenac, and Piroxicam. Oral contraceptives include Yasmin.
干预措施: NSAIDs or oral contraceptives treatment (Drug)
Low dose acupuncture group
Acupuncture has fewer acupuncture points.
干预措施: Low dose acupuncture (Device)
High dose acupuncture group
Acupuncture has more acupuncture points.
干预措施: High dose acupuncture (Device)
结局指标
主要结局
Wang Qi Chinese Medicine Questionnaire
时间窗: Change from Baseline TCM constitutions at 4 cycles (each cycle is 30 days).
This questionnaire is used to survey TCM constitutions. Evaluate body constitution of
次要结局
- Visual analogue scale(VAS) score(Change from Baseline VAS score at 4 cycles (each cycle is 30 days).)
- Blood test estrogen(Change from Baseline blood test at 4 cycles (each cycle is 30 days).)
- Blood test progesterone(Change from Baseline blood test at 4 cycles (each cycle is 30 days).)
- Menstrual Distress Questionnaire(MDQ)(Change from Baseline Menstrual Distress Questionnaire at 4 cycles (each cycle is 30 days).)
- Blood test prostaglandin(Change from Baseline blood test at 4 cycles (each cycle is 30 days).)