Ng Ernest Hung Yu, So Wing Sze, Gao Jing, Wong Yu Yeuk, Ho Pak Chung
Department of Obstetrics & Gynaecology, The University of Hong Kong, Hong Kong Special Administrative Region, People's Republic of China.
Fertil Steril. 2008 Jul;90(1):1-13. doi: 10.1016/j.fertnstert.2008.02.094. Epub 2008 Apr 28.
To review systematically the use of acupuncture in the management of subfertility.
A computer search was performed via several English and Chinese databases to identify journals relevant to the subject.
RESULT(S): The positive effect of acupuncture in the treatment of subfertility may be related to the central sympathetic inhibition by the endorphin system, the change in uterine blood flow and motility, and stress reduction. Acupuncture may help restore ovulation in patients with polycystic ovary syndrome, although there are not enough randomized studies to validate this. There is also no sufficient evidence supporting the role of acupuncture in male subfertility, as most of the studies are uncontrolled case reports or case series in which the sample sizes were small. Despite these deficiencies, acupuncture can be considered as an effective alternative for pain relief during oocyte retrieval in patients who cannot tolerate side effects of conscious sedation. The pregnancy rate of IVF treatment is significantly increased, especially when acupuncture is administered on the day of embryo transfer.
CONCLUSION(S): Although acupuncture has gained increasing popularity in the management of subfertility, its effectiveness has remained controversial.
系统回顾针灸在治疗不孕症中的应用。
通过多个英文和中文数据库进行计算机检索，以识别与该主题相关的期刊。
针灸治疗不孕症的积极作用可能与内啡肽系统对中枢交感神经的抑制、子宫血流和蠕动的变化以及压力减轻有关。针灸可能有助于多囊卵巢综合征患者恢复排卵，尽管尚无足够的随机研究来证实这一点。也没有足够的证据支持针灸在男性不育症中的作用，因为大多数研究都是非对照病例报告或病例系列，样本量较小。尽管存在这些不足，但对于无法耐受清醒镇静副作用的患者，针灸可被视为取卵期间缓解疼痛的有效替代方法。体外受精治疗的妊娠率显著提高，尤其是在胚胎移植当天进行针灸时。
尽管针灸在不孕症治疗中的应用越来越普遍，但其有效性仍存在争议。
