Hôpital Jeanne de Flandre, Université Lille II, Faculté de médecine Henri Warembourg, Université Lille 2, UPRES Lille Nord de France, and EA2694, UDSL, University Lille Nord de France, Lille, France.
Obstet Gynecol. 2014 Jul;124(1):32-39. doi: 10.1097/AOG.0000000000000303.
To assess the efficacy of moxibustion (heating of the acupuncture needle with an igniting charcoal moxa stick) with acupuncture for version of breech presentations after 33 4/7 weeks of gestation to reduce their rate at 37 weeks of gestation and at delivery.
This was a randomized placebo-controlled single-blind trial including 328 pregnant women recruited in a university hospital center between 33 4/7 and 35 4/7 weeks of gestation. Moxibustion with acupuncture or inactivated laser (placebo) treatment was applied to point BL 67 for six sessions. The principal endpoint was the percentage of fetuses in breech presentation at 37 2/7 weeks of gestation.
The study included 328 women randomized into two groups: moxibustion with acupuncture (n=164) or placebo (n=164). The percentage of fetuses in breech presentation at 37 2/7 weeks of gestation was not significantly different in both groups (72.0 in the moxibustion with acupuncture group compared with 63.4% in the placebo group, relative risk 1.13, 95% confidence interval 0.98-1.32, P=.10).
Treatment by moxibustion with acupuncture was not effective in correcting breech presentation in the third trimester of pregnancy.
ClinicalTrials.gov, www.clinicaltrials.gov, NCT01487590.
评估艾灸（用点燃的艾条加热针灸针）联合针刺治疗妊娠 33 周 4/7 天后臀位的疗效，以降低其在 37 周和分娩时的臀位发生率。
这是一项在大学医院中心进行的随机安慰剂对照单盲试验，纳入了 33 周 4/7 至 35 周 4/7 期间招募的 328 名孕妇。艾灸联合针刺或激光（安慰剂）治疗共 6 次，穴位为 BL 67。主要终点是 37 周 2/7 时臀位胎儿的百分比。
该研究纳入了 328 名随机分为两组的孕妇：艾灸联合针刺组（n=164）或安慰剂组（n=164）。两组在 37 周 2/7 时臀位胎儿的百分比无显著差异（艾灸联合针刺组为 72.0%，安慰剂组为 63.4%，相对风险 1.13，95%置信区间 0.98-1.32，P=.10）。
艾灸联合针刺治疗在妊娠晚期不能有效纠正臀位。
ClinicalTrials.gov，www.clinicaltrials.gov，NCT01487590。
