Ernst E, Sherman K J
Complementary Medicine, Peninsula Medical School, Universities of Exeter and Plymouth, Exeter, UK.
J Gastroenterol Hepatol. 2003 Nov;18(11):1231-6. doi: 10.1046/j.1440-1746.2003.03135.x.
Acupuncture has been repeatedly associated with infectious hepatitis. The aim of the present systematic review was therefore to critically evaluate such data from epidemiological investigations.
Four independent literature searches were carried out to identify all epidemiological evidence linking acupuncture with hepatitis. All studies were validated by the authors and data extracted according to predefined criteria.
Fifteen investigations fulfilled our inclusion criteria. Most studies originated from Asia. One study included markers to hepatitis A virus, three to hepatitis B virus, and 13 to hepatitis C virus. Five investigations reported associations between acupuncture and seropositivity to hepatitis C virus. In those studies, acupuncture increased the risk only modestly.
A modest association between hepatitis C and acupuncture has been reported in some countries. This emphasizes the importance of exclusively using disposable acupuncture needles.
针灸已多次与感染性肝炎相关联。因此，本系统评价的目的是严格评估来自流行病学调查的此类数据。
进行了四项独立的文献检索，以确定将针灸与肝炎联系起来的所有流行病学证据。所有研究均由作者进行验证，并根据预定义标准提取数据。
15项调查符合我们的纳入标准。大多数研究来自亚洲。一项研究纳入了甲型肝炎病毒标志物，三项纳入了乙型肝炎病毒标志物，13项纳入了丙型肝炎病毒标志物。五项调查报道了针灸与丙型肝炎病毒血清阳性之间的关联。在这些研究中，针灸仅适度增加了风险。
一些国家报告了丙型肝炎与针灸之间存在适度关联。这强调了仅使用一次性针灸针的重要性。
