针灸及相关疗法治疗卵巢早衰和卵巢储备功能减退患者的焦虑和抑郁:系统综述和荟萃分析。

IF 3.2 3区 医学 Q2 PSYCHIATRY
Frontiers in Psychiatry Pub Date : 2024-12-02 eCollection Date: 2024-01-01 DOI:10.3389/fpsyt.2024.1495418
Sidan Huang, Danni Zhang, Xuliang Shi, Yi Zhang, Xuesong Wang, Yanfen She, Ce Liang, Xinyue Li, Christopher Zaslawski
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引用次数: 0

摘要

背景:卵巢功能下降对女性心理健康有负面影响,增加了焦虑和抑郁的风险。越来越多的临床研究表明,针灸相关疗法可以有效、安全地恢复激素水平,改善卵巢储备功能。然而,针灸相关疗法在缓解卵巢功能减退患者焦虑和抑郁症状方面的有效性尚未得到全面的评估。因此,本研究通过系统回顾和荟萃分析来评估不同针灸相关疗法对卵巢功能减退患者心理健康的影响。方法:综合检索截至2024年10月30日的8个知名数据库随机对照试验。数据库包括PubMed、Web of Science、EMBASE、Cochrane Library、中国生物医学(CBM)、中国知网(CNKI)、万方数据库、维普数据库。结果:本研究纳入12项随机对照试验,共纳入卵巢功能减退患者780例,其中POI 403例,DOR 297例,POF 80例。针刺相关疗法在缓解焦虑症状方面明显优于激素疗法(SMD: -0.90;95%ci: -1.28, -0.53;页= 0.0001)。结论:针刺相关疗法改善卵巢功能减退患者焦虑、抑郁症状的效果优于激素治疗。这项研究支持使用针灸相关疗法治疗与心理健康问题相关的卵巢功能下降的女性。系统综述注册:https://www.crd.york.ac.uk/,标识符CRD42023488015。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Acupuncture and related therapies for anxiety and depression in patients with premature ovarian insufficiency and diminished ovarian reserve: a systematic review and meta-analysis.

Background: The decreased ovarian function has a negative impact on the mental health of women and increases the risk of anxiety and depression. A growing number of clinical studies have demonstrated that acupuncture-related therapies can effectively and safely restore hormone levels and improve ovarian reserve function. However, the effectiveness of acupuncture-related therapies in alleviating anxiety and depression symptoms in patients with ovarian hypofunction has not been thoroughly evaluated. Therefore, this study conducted a systematic review and meta-analysis to assess the impact of the different acupuncture-related therapies on the mental health of patients with ovarian hypofunction.

Methods: We comprehensively searched eight famous databases for randomized controlled trials up to October 30, 2024. Databases include PubMed, Web of Science, EMBASE and Cochrane Library, China Biomedical (CBM), China National Knowledge Infrastructure (CNKI), Wanfang Database and VIP Database.

Results: The study included 12 RCTs, involving 780 patients with ovarian hypofunction, including 403 patients with POI, 297 patients with DOR, and 80 patients with POF. Acupuncture-related therapy was obviously superior to hormone therapy in relieving anxiety symptoms (SMD: -0.90; 95%CI: -1.28, -0.53; P<0.000 01) and depressive symptoms (SMD: -0.82; 95% CI: -1.25, -0.40; P=0.0001).

Conclusions: Acupuncture-related therapy was more effective than hormone therapy in improving anxiety and depression symptoms in patients with ovarian hypofunction. This study supports the use of acupuncture-related therapies for women experiencing decreased ovarian function associated with mental health issues.

Systematic review registration: https://www.crd.york.ac.uk/, identifier CRD42023488015.

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来源期刊
Frontiers in Psychiatry
Frontiers in Psychiatry Medicine-Psychiatry and Mental Health
CiteScore
6.20
自引率
8.50%
发文量
2813
审稿时长
14 weeks
期刊介绍: Frontiers in Psychiatry publishes rigorously peer-reviewed research across a wide spectrum of translational, basic and clinical research. Field Chief Editor Stefan Borgwardt at the University of Basel is supported by an outstanding Editorial Board of international researchers. This multidisciplinary open-access journal is at the forefront of disseminating and communicating scientific knowledge and impactful discoveries to researchers, academics, clinicians and the public worldwide. The journal''s mission is to use translational approaches to improve therapeutic options for mental illness and consequently to improve patient treatment outcomes.
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