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分析中国过去十年中使用针灸进行分娩的研究。

Analyzing the study of using acupuncture in delivery in the past ten years in china.

机构信息

Institute of Acupuncture and Moxibustion of China Academy of Chinese Medical Sciences, Beijing 100700, China.

Clinical and Cognitive Sciences Research Group, Faculty of Medical and Human Sciences, Institute of Brain, Behaviour and Mental Health, Salford Royal Hospital, University of Manchester, Salford M6 8HD, UK ; Third Department of Neurology, Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing 100700, China.

出版信息

Evid Based Complement Alternat Med. 2014;2014:672508. doi: 10.1155/2014/672508. Epub 2014 Feb 13.

Abstract

The use of acupuncture in inducing delivery has a long history in China. With progress over time, it has been applied in many aspects. For further study of acupuncture in delivery, this paper analyzed the papers using acupuncture in delivery in the past ten years in mainland China. 87 literatures were picked out by searching relevant electronic databases and bibliographies of relevant journals. The analysis showed randomized controlled trials that were the major type of research, while preclinical researches and literature reviews only account for around ten percent, respectively. Clinical researches indicated that acupuncture can relieve labor pain, promote maternal uterine contraction, shorten birth process, and treat postpartum disorders. Preclinical researches found that acupuncture can adjust certain hormones and improve uterus contraction of late-stage pregnant rats. However, due to lack of large multicenter randomized controlled clinical trials, standardized evaluations of clinical effects in clinical researches and detailed mechanism study in preclinical researches and unequivocal conclusions about the effectiveness, efficacy, and mechanisms of acupuncture in this field cannot be obtained from those researches yet. Further clinical and preclinical studies about the use of acupuncture in delivery with improved methodology is still needed.

摘要

针刺用于引产在中国有着悠久的历史。随着时间的推移,它已经在许多方面得到了应用。为了进一步研究针刺在分娩中的应用,本文分析了中国大陆近十年来针刺用于分娩的文献。通过检索相关电子数据库和相关期刊的参考文献,共提取出 87 篇文献。分析表明,随机对照试验是主要的研究类型,而临床前研究和文献综述分别仅占约 10%。临床研究表明,针刺可以缓解分娩疼痛,促进产妇子宫收缩,缩短产程,并治疗产后疾病。临床前研究发现,针刺可以调节某些激素,改善晚期妊娠大鼠的子宫收缩。然而,由于缺乏大型多中心随机对照临床试验,临床研究中对临床效果的标准化评估、临床前研究中详细的机制研究以及对该领域针刺有效性、疗效和机制的明确结论,都无法从这些研究中获得。需要进一步开展改进方法的针刺用于分娩的临床和临床前研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57c1/3943252/357bcb2ef04a/ECAM2014-672508.001.jpg

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