Summary of the literature on TEAS for the treatment of pelvic pain in women
Disease | Subjects (n) | Evaluation index | Acupuncture point | Parameter | Treatment | TEAS±related therapy | Control subject |
Endometriosis25 | 84 | NRS score, ESSS score, SF-36 quality of life score, adverse event rates. | Zhongji and Guanyuan. | 2–100 Hz, 50–200 μs, ≤20 mA | 30–60 min each time, three times each week, 2 weeks as a course, a total of six courses of treatment. | TEAS+Gestriol+goserelin acetate. | Gestriol+goserelin acetate. |
Chronic pelvic inflammatory disease10 | 156 | Effective rate. | Zigong, Zhongji, Zusanli and Sanyinjiao. | 2/100 Hz,10–30 mA | 30 min each time, once each day, 8 weeks as a course. | TEAS+wild chrysanthemum bolt, anal plug. | Wild chrysanthemum bolt, anal plug. |
Chronic pelvic inflammatory disease46 | 195 | Symptoms, signs, gynaecological examination, Doppler parameters, blood routine, liver and kidney functions. | Zigong, Zhongji, Zusanli and Sanyinjiao. | 2/100 Hz,10–30 mA | 30 min each time, once a day; one menstrual period is a course of treatment. | TEAS+Kangfu anti-inflammatory suppository, anal plug. | Kangfu anti-inflammatory suppository, anal plug. |
Chronic pelvic inflammatory disease47 | 108 | Symptom score, B ultrasound examination, effective rate. | Zigong, Zhongji, Zusanli and Sanyinjiao. | 2/100 Hz,10–30 mA | 30 min each time, once a day, 8 weeks for a course of treatment. | TEAS+pelvic floor muscle exercise. | Fule chongji. |
Intrauterine adhesions15 | 98 | TCM syndrome score, hysteroscopic score, Doppler parameters. | Guanyuan, Guilai, Shenshu and Zigong. | 40 Hz, 250 μs | 30 min each time, once a day, 15 days as a cycle, a total of 3 months of treatment. | TEAS. | Estradiol valerate+progesterone. |
Intrauterine adhesions16 | 80 | Effective rate, menstrual status, Doppler parameters, pregnancy rate. | Tianshu, Guanyuan, Zhongji, Zigong and Sanyinjiao. | 2 Hz,10–20 mA | 30 min each time, once a day, lasts three menstrual cycles. | TEAS+estradiol valerate+progesterone. | Estradiol valerate+progesterone. |
Pelvic congestion syndrome48 | 30 | Effective rate, substance P, endorphin, Doppler parameters. | Ashi. | 80–120 Hz, 80–120 μs | 30 min each time, once every 3 days, 10 times for one course of treatment. | TEAS+pelvic floor rehabilitation treatment. | None. |
Primary dysmenorrhoea49 | 72 | VAS score, dysmenorrhoea symptom score. | Both sides of Sanyinjiao. | 2/100 Hz,15–20 mA | 25–30 min each time, once a day, starting 2 days before menstruation, five times per cycle, treatment of two menstrual cycles. | TEAS. | Chlorphen codeine tablets. |
Primary dysmenorrhoea29 | 124 | VAS score, PGF2α, PGE2α. | Sanyin, Zusanli, Xuehai and Hegu. | 2/100 Hz | 30 min each time, once a day; 1–2 days before menstrual cramps start, each cycle treatment five times, a total of three menstrual cycles. | TEAS. | Ibuprofen sustained-release capsules. |
Primary dysmenorrhoea30 | 60 | VAS score, adverse reactions, PGE2, cortisol. | Qihai, Hegu, Sanyinjiao, Xuehai and Zusanli. | 2/100 Hz | 30 min each time, once a day, 5 days in a row, a total of three menstrual cycles. | TEAS. | Motherwort granules. |
ESSS, Endometriosis Symptom Severity Scale; NRS, Numerical Rating Scale; PGE2α, prostaglandin E2α; PGF2α, prostaglandin F2α; SF-36 quality of life score, the medical outcomes study –short (MOS) Item Short Form Health Survey; TCM, traditional Chinese medicine; TEAS, transcutaneous electrical acupoint stimulation; VAS, Visual Analogue Scale.