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Gynäkologie
Akupunktur bei prämaturer Ovarialinsuffizienz: eine systemische neuroendokrine Perspektive Abstract Premature ovarian insufficiency (POI) is increasingly viewed not merely as an ovarian-centered reproductive disorder but as a systemic neuroendocrine condition characterized by multilevel dysregulation spanning the central nervous system, ovaries, immune system, metabolism, and stress-response networks. Beyond disruption of the hypothalamic-pituitary-ovarian (HPO) axis, POI involves impairment of the KNDy-GnRH network, chronic inflammatory activation, gut-ovary axis-related metabolic disturbances, and dysregulation of the hypothalamic-pituitary-adrenal (HPA) axis and autonomic nervous system. Acupuncture has been proposed as a multi-target neuroendocrine intervention whose effects may extend beyond local ovarian regulation toward broader physiological modulation. Available evidence...
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Die Rolle der Akupunktur bei Hyperhidrose und vasomotorischem Schwitzen: Evidenz, Mechanismen und Forschungslücken Abstract Background and purpose Hyperhidrosis and thermoregulatory disorders, including menopausal and treatment-induced hot flushes, can significantly impair quality of life. While acupuncture has been proposed as a potential non-pharmacological treatment for these conditions, the quality and consistency of available evidence remain unclear. This review aims to critically assess the current literature on acupuncture for various kinds of hyperhidrosis, evaluating its clinical efficacy, mechanisms of action, and limitations. Methods A narrative review was conducted based on English-language, PubMed-indexed published clinical studies, randomised controlled trials (RCTs), and meta-analyses investigating...
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Kann Elektroakupunktur die Nachsorge nach einem Schwangerschaftsabbruch wirksam verbessern? Eine systematische Übersicht und Metaanalyse Abstract Objectives This study aims to systematically analyze the effects of acupuncture as an adjunctive therapy for minimizing side effects following miscarriage, particularly focusing on pain relief and physical and emotional stability. By reviewing randomized controlled trials, the study seeks to identify effective acupuncture points and standardize their use in post-abortion care. Methods This study systematically reviewed and analyzed randomized controlled trials on the effectiveness of electroacupuncture in managing pain after miscarriage. The review followed PRISMA guidelines, included eight databases, and focused on comparing electroacupuncture to...
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Wirkung der Akupunktur bei Poor Ovarian Response: eine multizentrische randomisierte kontrollierte Studie Abstract Introduction Acupuncture has been explored as a potential intervention for POR; however, high-quality evidence is limited. This multicenter randomized trial evaluated the effect of acupuncture on the number of oocytes retrieved following controlled ovarian hyperstimulation (COH) in women with POR. Methods This multicenter, randomized, controlled study was conducted at nine tertiary hospitals in China between August 2018 and March 2023, with follow-up extended through March 2024. A total of 140 women aged ≤ 40 years, who met the Bologna criteria and were eligible for the antagonist ovulation...
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Klinische Wirksamkeit der Akupunktur bei der Behandlung von Uteruskontraktionsschmerzen nach einem Kaiserschnitt: Protokoll einer randomisierten, kontrollierten Studie Abstract Purpose Uterine contraction pain post-cesarean section (UCPCS) is one of the main complaints for mothers in the early stages of the puerperium. Acupuncture, a non-pharmacological therapy, has shown sound analgesic effects with almost no toxic side effects. This study uses acupuncture as an intervention and aimed to provide strong evidence for the clinical efficacy of acupuncture in treating UCPCS. Patients and Methods This single-blind, randomized controlled trial (RCT) was conducted at the Ludian County Hospital of Traditional ChineseMedicine, China. Participants (138) are...
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Vergleichende Wirksamkeit von Akupunktur-Therapien bei vorzeitigem Ovarialversagen: Eine systematische Überprüfung und Netzwerk-Meta-Analyse   Abstract Objectives Premature ovarian failure (POF) is becoming more common and has a major negative impact on women’s mental and physical well-being. The use of acupuncture therapies to treat POF has gained popularity. However, the optimal treatment remains uncertain. This study aimed to systematically review the literature and conduct a network meta-analysis (NMA) to compare the efficacy of different acupuncture and related therapies and identify methodologic weaknesses in previous studies. Design We systematically searched six databases from their inception to April 2024 for randomized controlled trials (RCTs)...
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Wirksamkeit und Sicherheit akupunkturbezogener Therapien bei symptomatischer Endometriose: eine systematische Übersichtsarbeit und Netzwerk-Meta-Analyse Abstract Objective To compare the effectiveness and safety of different acupuncture-related therapies combined with pharmacotherapies for treating symptomatic endometriosis. Methods A pre-defined search strategy was conducted across eight databases (Chinese Biomedical Literature Service System, China National Knowledge Infrastructure, Wanfang Data Knowledge Service Platform, China Science and Technology Journal Database, PubMed, Embase, Cochrane Library, and Web of Science) from inception to May 1, 2023. The included studies were evaluated for methodological quality using the Cochrane risk of bias assessment tool. The surface under the cumulative ranking (SUCRA) was...
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Aurikuläre Akupunktur vor der Menstruation kann die primäre Dysmenorrhoe reduzieren: Eine randomisierte kontrollierte Studie Abstract Objective Primary dysmenorrhea is a common condition that impacts quality of life significantly. Auricular therapies have shown promise for treating primary dysmenorrhea, but there is a lack of evidence specifically for auricular acupuncture (AA). This study evaluated the safety and efficacy of AA for managing primary dysmenorrhea. Materials and Methods A randomized, double-blinded controlled trial was conducted on 90 females with primary dysmenorrhea: an AA group; n = 45) and a sham-AA (SA) group; n = 45. Specific ear acupoints (i.e., Uterus, Endocrine, Shenmen, Subcortex, Liver, and Kidney) were used for...
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Dauer-Körpernadelakupunktur in Kombination mit Patienten-kontrollierter intravenöser Analgesie (PCIA) zur Verbesserung der Genesung von Patientinnen nach laparoskopischer Myomektomie: Eine randomisierte, kontrollierte Studie Abstract Background Pain and gastrointestinal dysfunction after laparoscopic myomectomy (LM) are significant issues that prevent this procedure from being classified as a “Day Surgery.” This study aims to assess the effectiveness and safety of thumbtack needle acupuncture (TNA) combined with patient-controlled intravenous analgesia (PCIA) for promoting enhanced recovery after LM. Methods A total of 52 patients were enrolled in the study, divided into a treatment group receiving TNA and a control group. Both groups were administered PCIA without background...
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Abstract Background and aim Nocturnal enuresis (NE) is prevalent in children and adolescents and affects their social life later. Therefore, the objective of this study was to ascertain laser acupuncture (LA) therapy’s effect on NE in adolescent females. Methods Sixty adolescent females diagnosed with chronic monosymptomatic nocturnal enuresis (MNE) were randomly divided into two equal groups: The intervention group (received LA and desmopressin) and the control group (received desmopressin only) (n = 30 each). Treatment was delivered and LA was used three times a week for 12 successive weeks. Abdominal ultrasonography and voiding calendar were used to assess bladder capacity...
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