Department of Obstetrics & Gynecology, College of Korean Medicine, Dongguk University, Ilsan, South Korea.
Maturitas. 2011 Apr;68(4):346-54. doi: 10.1016/j.maturitas.2011.02.001. Epub 2011 Mar 3.
Acupuncture is increasingly popular for the treatment of many medical complaints, including gynaecologic conditions. The aim of this study was to summarise the evidence from systematic reviews (SRs) and meta-analyses assessing the efficacy of acupuncture in treating common gynaecologic conditions. Six electronic databases, including two major English-language databases (PubMed and the Cochrane Library) and four Korean databases, were systematically searched for SRs and meta-analyses concerned with acupuncture and common gynaecologic diseases. The following English search terms were used: (gynaecologic disease in MeSH terms) AND (acupuncture or acup*) AND (systematic review OR meta-analysis). In addition, three Korean traditional medicine journals (The Journal of the Korean Acupuncture and Moxibustion Society, The Journal of Korean Oriental Medicine and The Journal of Oriental Obstetrics and Gynaecology) were searched. The quality of the included studies was assessed using the Overview Quality Assessment Questionnaire. Of the 55 potentially relevant studies that were found, 16 SRs were included in this report. These reviews evaluated the efficacy of acupuncture for treating the side effects of breast cancer chemotherapy, menstrual disturbances, menopausal symptoms, female infertility, uterine fibroids and polycystic ovary syndrome. Acupuncture was clearly beneficial in the management of chemotherapy-induced nausea and vomiting. In addition, current evidence suggests that acupuncture administered close to embryo transfer during in vitro fertilisation treatment improves the rates of pregnancy and live birth. In conclusion, there is no convincing evidence of the efficacy of acupuncture except for specific conditions, which include acupuncture administered with embryo transfer to improve the outcome of in vitro fertilisation and acupuncture for the management of chemotherapy-induced nausea and vomiting. More well-designed trials using rigorous methodology are required to evaluate the efficacy of acupuncture in treating gynaecologic conditions.
针灸在治疗许多医学疾病方面越来越受欢迎，包括妇科疾病。本研究旨在总结系统评价（SRs）和荟萃分析评估针灸治疗常见妇科疾病疗效的证据。系统检索了 6 个电子数据库，包括 2 个主要的英文数据库（PubMed 和 Cochrane Library）和 4 个韩国数据库，以获取与针灸和常见妇科疾病相关的 SRs 和荟萃分析。使用以下英文搜索词：（MeSH 术语中的妇科疾病）和（针灸或 acup*）和（系统评价或荟萃分析）。此外，还检索了三种韩国传统医学期刊（《韩国针灸和艾灸学会杂志》、《韩国东方医学杂志》和《东方妇产科杂志》）。使用 Overview Quality Assessment Questionnaire 评估纳入研究的质量。在 55 篇可能相关的研究中，有 16 篇 SR 被纳入本报告。这些综述评估了针灸治疗乳腺癌化疗副作用、月经失调、更年期症状、女性不孕、子宫肌瘤和多囊卵巢综合征的疗效。针灸在管理化疗引起的恶心和呕吐方面显然是有益的。此外，目前的证据表明，在体外受精治疗中接近胚胎移植时进行针灸可以提高妊娠率和活产率。总之，除了一些特定的情况，如在体外受精治疗中结合胚胎移植进行针灸以提高试管婴儿的成功率和针灸治疗化疗引起的恶心和呕吐，目前没有令人信服的证据表明针灸在治疗妇科疾病方面的疗效。需要使用严格的方法学设计更好的试验来评估针灸治疗妇科疾病的疗效。
