Nandi A, Shah A, Gudi A, Homburg R
Homerton Fertility Unit, Homerton University Hospitals NHS Trust , London , UK.
J Obstet Gynaecol. 2014 Oct;34(7):555-61. doi: 10.3109/01443615.2014.919997. Epub 2014 Jun 9.
Women's choice to delay fertility due to various reasons is making subfertility a growing problem and increased use of IVF as a last resort. Despite advances in the technology, IVF success remains low, especially in older women. Hence, many of these women need to undergo several cycles of IVF and are faced with unprecedented anxiety and frustration. In desperation, they resort to anything that might increase the success of their IVF treatment. Acupuncture has gained popularity among the various complementary medicines available and many go privately to have acupuncture while undergoing IVF. Since 1999, in spite of multiple trials and systematic reviews, the beneficial effect of acupuncture in improving the success of IVF remains unproven and debatable. As clinicians, we face the dilemma of what to suggest to our patients when asked about having acupuncture during IVF, given that different meta-analyses have come to different conclusions. Hence, this review is conducted with the aim to summarise the available literature and provide a better insight into this complex and controversial topic.
由于各种原因，女性选择推迟生育，这使得生育力低下成为一个日益严重的问题，越来越多的女性将体外受精（IVF）作为最后的手段。尽管技术有所进步，但IVF的成功率仍然很低，尤其是在老年女性中。因此，这些女性中的许多人需要接受多个周期的IVF治疗，并面临前所未有的焦虑和挫折。绝望中，她们求助于任何可能提高IVF治疗成功率的方法。针灸在各种辅助药物中越来越受欢迎，许多女性在接受IVF治疗时会私下进行针灸。自1999年以来，尽管进行了多次试验和系统评价，但针灸在提高IVF成功率方面的有益效果仍未得到证实且存在争议。作为临床医生，当患者询问在IVF期间是否进行针灸时，我们面临着该给患者何种建议的困境，因为不同的荟萃分析得出了不同的结论。因此，进行本综述的目的是总结现有文献，并对这个复杂且有争议的话题提供更好的见解。
