Bue Linda, Lauszus Finn Friis
Dan Med J. 2016 Feb;63(2).
In Chinese traditional medicine, the stimulation of acupuncture point no. 67 - the bladder meridian - is recommended to favour cephalic version in case of foetal breech presentation. The point can be stimulated by an acupuncture needle, ginger application, fingertip pressure, laser or moxibustion; moxibustion is heat generated by a burning stick containing the herb Artemisia vulgaris. A Cochrane review concluded that more research on the effectiveness of moxibustion is needed. This study aimed to estimate the effectiveness of moxibustion for version of breech presentation.
We included 200 women in gestational week 33 who had a singleton foetus in breech position. They were randomised to moxibustion treatment daily for two weeks or control without moxibustion. The randomisation was performed for nulliparous and parous women separately.
After the trial, which lasted on average 16 days, the breech position was confirmed in 68 of the 92 nulliparous and in 50 of the 108 parous women (74% versus 46%, p < 0.01); furthermore, cephalic position was verified in 76 women and other positions in six women. No significant difference regarding the incidence of breech position was found in the moxibustion group compared with the control group (risk ratio (RR) = 1.05, 95% confidence interval (CI): 0.8-1.38); nor in nulliparous (RR = 1.17, 95% CI: 0.77-1.76) or in parous women (RR = 1.0, 95% CI: 0.69-1.46); an RR > 1 favours moxibustion).
No significant effects of moxibustion were found in correcting the breech position in primiparous and parous women after their 33rd gestational week.
none.
This trial was registered with ClinicalTrials.gov as NCT02251886.
在中国传统医学中，对于胎位臀位的情况，建议刺激膀胱经上的67号穴位以促使胎儿转为头位。该穴位可用针灸针、敷姜、指尖按压、激光或艾灸进行刺激；艾灸是通过燃烧含有艾草的艾条产生的热量。一项Cochrane综述得出结论，需要对艾灸的有效性进行更多研究。本研究旨在评估艾灸促使臀位转位的有效性。
我们纳入了200名孕33周、单胎臀位的女性。她们被随机分为两组，一组每天接受两周的艾灸治疗，另一组为不进行艾灸的对照组。对初产妇和经产妇分别进行随机分组。
平均持续16天的试验结束后，92名初产妇中有68名、108名经产妇中有50名仍为臀位（74%对46%，p<0.01）；此外，76名女性转为头位，6名女性为其他胎位。与对照组相比，艾灸组在臀位发生率方面没有显著差异（风险比（RR）=1.05，95%置信区间（CI）：0.8 - 1.38）；初产妇（RR = 1.17，95% CI：0.77 - 1.76）或经产妇（RR = 1.0，95% CI：0.69 - 1.46）中也无显著差异（RR>1有利于艾灸）。
在孕33周后的初产妇和经产妇中，未发现艾灸在纠正臀位方面有显著效果。
无。
本试验在ClinicalTrials.gov上注册，注册号为NCT02251886。
