Department of Obstetrics and Gynaecology, Herning Regional Hospital, Herning, Denmark.
BJOG. 2010 Sep;117(10):1255-61. doi: 10.1111/j.1471-0528.2010.02647.x. Epub 2010 Jun 24.
To investigate whether acupuncture is effective for the induction of labour in post-term pregnancies.
A double-blind multicentre randomised controlled study.
Aarhus University Hospital and Herning Regional Hospital, Denmark.
One hundred and twenty-five healthy women with uneventful pregnancies at gestational week 41(+6) were randomised into two groups.
The intervention group was given acupuncture twice on the same day at acupuncture point GV20 and bilaterally at points BL67, LI4 and SP6. The control group received sham acupuncture at the same points.
At effect evaluation, which was carried out 24 hours after randomisation, the primary endpoint was labour or delivery.
The primary endpoint was achieved in seven women (12%) in the acupuncture group and eight women (14%) in the control group (P = 0.79). Stratification for parity and fetal gender did not alter the results.
Under the treatment regimen investigated in this study, acupuncture for the induction of labour in post-term women at gestational age 41(+6) weeks may not be effective.
探讨针刺在足月妊娠引产中的有效性。
双盲、多中心随机对照研究。
丹麦奥胡斯大学医院和海宁地区医院。
125 例健康孕妇，孕周 41(+6)周，妊娠过程顺利，随机分为两组。
干预组在同一天针刺 GV20 穴两次，并双侧针刺 BL67、LI4 和 SP6 穴。对照组在相同穴位进行假针刺。
在随机分组后 24 小时进行的效果评估中，主要终点为分娩或临产。
针刺组有 7 名妇女（12%）和对照组有 8 名妇女（14%）达到主要终点（P = 0.79）。分层分析显示，产次和胎儿性别对结果没有影响。
在本研究中所调查的治疗方案下，针刺治疗 41(+6) 周足月妊娠引产可能无效。
