Acupuncture for endometriosis-associated infertility: Study protocol for a randomized controlled trial

IF 0.6 4区 医学 Q4 INTEGRATIVE & COMPLEMENTARY MEDICINE
Chu-ting WU (吴楚婷) , Xiao-yan DONG (董晓燕) , Xin-rong LI (李欣荣) , Yang CAO (曹阳) , Cai-mei HUANG (黄彩梅) , Ming-yang LI (李铭旸) , Jia-wei HU (胡佳玮) , Yuan GAO (高源) , Yu-ran LI (李语然) , Huan-gan WU (吴焕淦) , Chun-yan ZHANG (张春雁)
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引用次数: 0

Abstract

Background

Acupuncture has been proven to improve the pregnancy rate in infertile women. Endometriosis is a common cause of infertility. So far, there are no studies of the efficacy of acupuncture on endometriosis-associated infertility (EAI). Therefore, we will conduct a randomized controlled trial (RCT) to investigate whether acupuncture could have higher pregnancy rates in patients with EAI compared with sham acupuncture. The study protocol is reported in this paper.

Methods/design

The current trial is a multicenter randomized controlled study undergoing in Shanghai, China. About 224 eligible patients with EAI will be randomly assigned into the acupuncture group and the sham acupuncture group in a 1:1 ratio. In the acupuncture group, patients will be treated with acupuncture on Guanyuan (CV4), Zhongji (CV3), Zigong (EX-CA1), Xuehai (SP10), Zusanli (ST36), Sanyinjiao (SP6), and Taichong (LR3), twice a week, for 3 menstrual cycles, and 12 menstrual cycles will be followed up. The Park sham device will be used to perform non-transdermal acupuncture in the sham acupuncture group. The operation points will be located at 1.5 cm away beside these acupoints in the acupuncture group. The intervention period is the same as that in the acupuncture group. The primary outcome will be pregnancy rate. Secondary outcomes will include ultrasound results, cancer antigen 125 (CA125), anti-Müllerian hormone (AMH), sex hormones, and the Endometriosis Health Profile-5 (EHP-5). Outcomes will be collected at baseline, the end of treatment, and follow-up visits at 3, 6, and 12 menstrual cycles. All data, including major adverse events, will be recorded in electronic case report forms and analyzed using SPSS V.25.0.

Discussion

This study will help to evaluate whether acupuncture is effective in increasing the pregnancy rate of infertile women with endometriosis.

Trial registration

http://www.chictr.org.cn/ Identifier: ChiCTR2100047662. Registered 21 June 2021.

针灸治疗子宫内膜异位症相关不孕症:随机对照试验研究方案
背景经证实,针灸可提高不孕妇女的怀孕率。子宫内膜异位症是导致不孕的常见原因。迄今为止,还没有关于针灸对子宫内膜异位症相关不孕症(EAI)疗效的研究。因此,我们将开展一项随机对照试验(RCT),研究与假针灸相比,针灸是否能提高 EAI 患者的怀孕率。方法/设计本试验是一项在中国上海进行的多中心随机对照研究。约 224 名符合条件的 EAI 患者将按 1:1 的比例随机分配到针刺组和假针刺组。在针刺组,患者将接受关元(CV4)、中极(CV3)、自宫(EX-CA1)、学海(SP10)、足三里(ST36)、三阴交(SP6)和太冲(LR3)的针刺治疗,每周两次,持续3个月经周期,并随访12个月经周期。假针灸组将使用 Park 假针灸仪进行非透皮针灸。针刺组的操作穴位将位于这些穴位旁 1.5 厘米处。干预时间与针灸组相同。主要结果为怀孕率。次要结果包括超声波检查结果、癌抗原 125 (CA125)、抗穆勒氏管激素 (AMH)、性激素和子宫内膜异位症健康档案-5 (EHP-5)。结果将在基线、治疗结束以及 3、6 和 12 个月经周期的随访时收集。包括主要不良事件在内的所有数据将记录在电子病例报告表中,并使用SPSS V.25.0进行分析。讨论本研究将有助于评估针灸是否能有效提高患有子宫内膜异位症的不孕妇女的怀孕率。试验注册http://www.chictr.org.cn/ Identifier:ChiCTR2100047662。注册日期:2021年6月21日。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
World Journal of Acupuncture-Moxibustion
World Journal of Acupuncture-Moxibustion INTEGRATIVE & COMPLEMENTARY MEDICINE-
CiteScore
1.30
自引率
28.60%
发文量
1089
审稿时长
50 days
期刊介绍: The focus of the journal includes, but is not confined to, clinical research, summaries of clinical experiences, experimental research and clinical reports on needling techniques, moxibustion techniques, acupuncture analgesia and acupuncture anesthesia.
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