Yuan Hong-Wen, Ma Liang-Xiao, Chen Ying-Ru, Shu Fu-Zheng, Ren Xiao-Xuan, Li Chun-Hua, Liu Yu-Qi, Zhang Peng, Li Jing, Xin Si-Yuan, Lin Chi, Zhu Jiang
School of Acupuncture-Moxibustion and Tuina, Beijing University of CM, The key Research Room of Acupuncture Particular Therapy Evaluation State Administration of Traditional Chinese Medicine, Beijing 100029, China.
Zhongguo Zhen Jiu. 2012 Sep;32(9):860-4.
Through CNKI retrieval, 40 articles were selected from Medical Journals published between January 2003 and December 2011, and the study designs, intervention methods and conclusions of the articles were analyzed. It turned out that in the area of clinical research, the main usage of acupuncture was assist treatment of artificial abortion and drug-induced abortion: in artificial abortion, acupuncture can play a role in analgesia, artificial abortion syndrome relieving, and cervix dilating, while in the drug induced abortion, acupuncture can play a role in improving completed abortion rate, accelerating foetal sac release, decreasing side effects and regulating postoperative bleeding. In mechanism research, the effect of acupuncture on uterine tissue was revealed in terms of neuroendocrine. Although the certain role of acupuncture in assisting artificial abortion and drug-induced abortion has been confirmed in numerous clinical trials, its mechanism revealing was limited. The further study should focus on improving research method, acupuncture manipulation standardization and stimulation parameters optimization. What's more, the revealing of acupuncture's role in anti-early pregnancy should be emphasized to improve its effectiveness and scientificalness.
通过中国知网检索，选取2003年1月至2011年12月期间发表在医学期刊上的40篇文章，对文章的研究设计、干预方法和结论进行分析。结果表明，在临床研究领域，针刺的主要用途是辅助人工流产和药物流产：在人工流产中，针刺可起到镇痛、缓解人工流产综合征和扩张宫颈的作用，而在药物流产中，针刺可起到提高完全流产率、加速孕囊排出、减少副作用和调节术后出血的作用。在机制研究方面，从神经内分泌角度揭示了针刺对子宫组织的作用。虽然针刺在辅助人工流产和药物流产中的一定作用已在众多临床试验中得到证实，但其机制揭示有限。进一步的研究应侧重于改进研究方法、规范针刺操作和优化刺激参数。此外，应强调揭示针刺在抗早孕中的作用，以提高其有效性和科学性。
