کاربرد گیاهان دارویی، طب سوزنی، ماساژ درمانی و تحریک الکتریکی عصب از راه پوست در درمان بیماری آندومتریوز: مطالعه مروری

نوع مقاله: مروری

نویسندگان

1 مربی گروه مامایی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی تربت‌حیدریه، تربت‌حیدریه، ایران. مرکز تحقیقات علوم بهداشتی، دانشگاه علوم پزشکی تربت‌حیدریه، تربت‌حیدریه، ایران

2 مربی گروه گیاهان دارویی، دانشکده کشاورزی، دانشگاه فنی و حرفه‌ای استان خراسان رضوی، نیشابور، ایران

چکیده

مقدمه: آندومتریوز، یک مشکل شایع ژنیکولوژیک است که می­تواند منجر به تخریب زندگی یک زن گردد. برخی روش­های دارویی و رزکسیون جراحی در درمان درد ناشی از آندومتریوز مؤثر می­باشد، اما با میزان عود بسیار بالایی همراه هستند. مطالعه مرور نقلی حاضر با هدف بررسی کارایی برخی درمان­های طب مکمل بر کنترل عوارض ناشی از آندومتریوز انجام شد.
روش‌کار: در این مرور، مقالات مرتبط با جستجوی پایگاه­های اطلاعاتی Pubmed، Cochrane، Scopus، Web of Science، Uptodate، SID، Irandoc و Magiran و همچنین موتور جستجوی Google scholar بدون محدودیت زمانی تا فوریه 2019 مورد بررسی قرار گرفت. جستجو با استفاده از کلیدواژه­های Endometriosis، Complementary Therapies، Acupuncture، Massage، Herbal Medicine،Transcutaneous Electric Nerve Stimulation و معادل فارسی آنها صورت پذیرفت.
یافته‌ها: بر اساس استراتژی جستجو، 8702 مقاله در مرحله اول یافت شد که در نهایت 12 مورد از آنها معیارهای ورود به مرور حاضر را داشتند. بر اساس یافته­های این مطالعات، استفاده از طب سوزنی و گیاهان دارویی اثرات بسزایی بر بهبود شاخص­های بیماری آندومتریوز همانند درد مزمن لگنی، دیس‌پارونی، دیسمنوره و ناباروری دارند. به‌علاوه نتایج 2 مطالعه در زمینه مقایسه داروهای گیاهی با داروهای شیمیایی مرسوم مورد استفاده در درمان آندومتریوز، نشان­دهنده برابری اثر هر دو در کاهش درد و بهبود میزان باروری بود. تأثیر ماساژ درمانی و استفاده از تحریک الکتریکی عصب از طریق پوست در مدیریت درد در این بیماران در دو مطالعه مجزا مورد تأیید قرار گرفت.
نتیجه‌گیری: یافته­های مطالعه حاضر حاکی از اثرات مثبت استفاده طب سوزنی، گیاهان دارویی، ماساژ درمانی و تحریک الکتریکی عصب از طریق پوست در مدیریت عوارض ناشی از بیماری آندومتریوز می­باشد، لذا استفاده از این رویکردهای درمانی و ارجاع بیماران به متخصصین طب مکمل به‌عنوان یکی از اولویت­های مهم در مدیریت عوارض ناشی از این بیماری مطرح می­گردد.

کلیدواژه‌ها


عنوان مقاله [English]

Application of Medicinal Plants, Acupuncture, Massage Therapy and Transcutaneous Electric Nerve Stimulation in Treatment of Endometriosis: Review Study

نویسندگان [English]

  • Akram Ashrafizaveh 1
  • Hossien Sabouri Fard 2
  • Elham Azmoudeh 1
1 Instructor, Department of Midwifery, School of Nursing and Midwifery, Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, Iran. Health Sciences Research Center, Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, Iran.
2 Instructor, Department of Medicinal Plants, School of Agriculture, Technical and Vocational University (TVU), Khorasan Razavi, Neyshabour, Iran.
چکیده [English]

Introduction: Endometriosis is a common gynecologic problem which can lead to destruction of a woman's life. Some pharmacological techniques and surgical resection are effective in treating endometriosis pain, but are associated with high recurrence rate. This narrative review study was performed with aim to evaluate the efficacy of some complementary therapies on the control of endometriosis complications.
Methods: In this review, the related articles were reviewed by searching the databases such as Pubmed, Cochrane, Scopus, Web of Science, Uptodate, SID, Irandoc, Magiran, and as well as Google Scholar search engine without time limitations up to February 2019. Search was conducted using the keywords of “Endometriosis”, “Complementary Therapies”, “Acupuncture”, “Massage”, “Herbal Medicine”, “Transcutaneous Electric Nerve Stimulation” and their Persian equivalent.
Results: According to search strategy, 8702 articles were found in the first stage, ultimately, among them, 12 articles had inclusion criteria to enter the current review. Based on the findings of these studies, the use of acupuncture and herbal medicine have significant effect on the improvement of endometriosis parameters such as pelvic chronic pain, dyspareunia, dysmenorrhea and infertility. In addition, the results of two studies about comparison of herbal medicine and routine chemical drugs used in endometriosis treatment indicated the equality of their effects in reducing pain and improving fertility. The effect of massage therapy and use of transcutaneous electric nerve stimulation on pain management in these patients was confirmed in two separate studies.
Conclusion: The findings of present study indicate the positive effects of acupuncture, medicinal herbs, massage therapy and transcutaneous electric nerve stimulation in managing the complications of endometriosis. Therefore, the use of these therapeutic approaches and referral of patients to complementary medicine specialists is suggested as one of the most important priorities in the management of endometriosis complications.

کلیدواژه‌ها [English]

  • Acupuncture
  • Endometriosis
  • Herbal Medicine
  • Massage
  • Transcutaneous Electric Nerve Stimulation
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