Resident Physician.
Associate Professor of Obstetrics and Gynecology.
Obstet Gynecol Surv. 2019 Apr;74(4):241-251. doi: 10.1097/OGX.0000000000000655.
Acupuncture is a key component of therapy in traditional Chinese medicine. Only in the last few decades has acupuncture become popular in the United States. The mechanism behind acupuncture's effects on the body and brain has not been completely elucidated, but there is evidence that acupuncture has effects on the endocrine, immune, and sympathetic and parasympathetic nervous systems. It may also act through electrical and mechanical signaling through the connective tissue and fascia. Despite this uncertainty, the positive effects of acupuncture have been well established.
In this review, we discuss the basic concepts of traditional Chinese medicine and acupuncture and examine the evidence regarding the use of acupuncture in obstetrics and gynecology.
We conducted a literature review of acupuncture in obstetrics and gynecology using PubMed.
The available data demonstrate that acupuncture is beneficial in the treatment of labor pain, back pain in pregnancy, and dysmenorrhea. It is unclear if acupuncture is effective for hyperemesis, chemotherapy-induced nausea and vomiting, and menopausal hot flushes, or if moxibustion is effective in correcting breech presentation. There are limited but positive data regarding menopause-related sleep disturbances, depression in pregnancy, and overactive bladder. Acupuncture is not beneficial for improving outcomes in in vitro fertilization.
Acupuncture is an increasingly popular therapy with many potential applications in obstetrics and gynecology. A general understanding of the basic principles of acupuncture and the safety and efficacy of its practice is necessary for the general obstetrician and gynecologist to make informed recommendations to patients.
针灸是中医治疗的重要组成部分。直到最近几十年，针灸才在美国流行起来。针灸对身体和大脑的影响机制尚未完全阐明，但有证据表明针灸对内分泌、免疫、交感和副交感神经系统有影响。它还可能通过结缔组织和筋膜的电和机械信号起作用。尽管存在这种不确定性，但针灸的积极效果已得到充分证实。
在这篇综述中，我们讨论了中医和针灸的基本概念，并研究了针灸在妇产科中的应用证据。
我们使用 PubMed 对妇产科中的针灸进行了文献回顾。
现有数据表明，针灸在治疗分娩疼痛、妊娠背痛和痛经方面是有益的。目前尚不清楚针灸是否对妊娠剧吐、化疗引起的恶心和呕吐以及更年期热潮红有效，或者艾灸是否能有效纠正臀位。关于更年期相关睡眠障碍、妊娠抑郁和膀胱过度活动症，有一些有限但积极的数据。针灸对体外受精的结局没有益处。
针灸是一种越来越受欢迎的治疗方法，在妇产科中有许多潜在的应用。普通妇产科医生需要了解针灸的基本原理和实践的安全性和有效性，以便向患者提供明智的建议。
