Department of Acupuncture and Moxibustion, College of Acupuncture and Moxibustion, Heilongjiang University of Chinese Medicine, Harbin 150040, China.
Evid Based Complement Alternat Med. 2013;2013:241027. doi: 10.1155/2013/241027. Epub 2013 Sep 15.
Objectives. This study aims to assess the effectiveness and safety of moxibustion for the correction of nonvertex presentation. Methods. Records without language restrictions were searched up to February 2013 for randomized controlled trials (RCTs) comparing moxibustion with other therapies in women with a singleton nonvertex presentation. Cochrane risk of bias criteria were used to assess the methodological quality of the trials. Results. Seven of 392 potentially relevant studies met the inclusion criteria. When moxibustion was compared with other interventions, a meta-analysis revealed a significant difference in favor of moxibustion on the correction of nonvertex presentation at delivery (risk ratio (RR) 1.29, 95% confidence interval (CI) 1.12 to 1.49, and I (2) = 0). The same findings applied to the cephalic presentation after cessation of treatment (RR 1.36, 95% CI 1.08 to 1.71, and I (2) = 80%). A subgroup analysis that excluded two trials with a high risk of bias also indicated favorable effects (RR 1.63, 95% CI 1.42 to 1.86, and I (2) = 0%). With respect to safety, moxibustion resulted in decreased use of oxytocin. Conclusion. Our systematic review and meta-analysis suggested that moxibustion may be an effective treatment for the correction of nonvertex presentation. Moreover, moxibustion might reduce the need for oxytocin.
目的。本研究旨在评估艾灸矫正非头位分娩的有效性和安全性。
方法。检索截至 2013 年 2 月的随机对照试验（RCT），比较艾灸与其他疗法在单胎非头位分娩女性中的疗效。采用 Cochrane 偏倚风险标准评估试验的方法学质量。
结果。392 篇潜在相关研究中，有 7 篇符合纳入标准。当艾灸与其他干预措施进行比较时，荟萃分析显示艾灸在矫正分娩时非头位分娩方面具有显著优势（风险比（RR）1.29，95%置信区间（CI）1.12 至 1.49，I²=0）。在治疗停止后转为头位分娩方面也有相同的发现（RR 1.36，95% CI 1.08 至 1.71，I²=80%）。排除两项偏倚风险较高的试验后的亚组分析也表明了艾灸的有利影响（RR 1.63，95% CI 1.42 至 1.86，I²=0）。在安全性方面，艾灸减少了催产素的使用。
结论。本系统评价和荟萃分析表明，艾灸可能是矫正非头位分娩的有效治疗方法。此外，艾灸可能减少催产素的使用。
