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补充和替代医学在女性不孕症治疗中的疗效

The Efficacy of Complementary and Alternative Medicine in the Treatment of Female Infertility.

作者信息

Feng Jiaxing, Wang Jing, Zhang Yuehui, Zhang Yizhuo, Jia Liyan, Zhang Dongqi, Zhang Jiao, Han Yanhua, Luo Shoujuan

机构信息

Heilongjiang University of Chinese Medicine, Harbin, China.

People's Hospital of Langfang City, Langfang, China.

出版信息

Evid Based Complement Alternat Med. 2021 Apr 23;2021:6634309. doi: 10.1155/2021/6634309. eCollection 2021.

Abstract

Female infertility is a state of fertility disorder caused by multiple reasons. The incidence of infertility for females has significantly increased due to various factors such as social pressure, late marriage, and late childbirth, and its harm includes heavy economic burden, psychological shadow, and even marriage failure. Conventional solutions, such as hormone therapy, in vitro fertilization (IVF), and embryo transfer, have the limitations of unsatisfied obstetric outcomes and serious adverse events. Currently, complementary and alternative medicine (CAM), as a new treatment for infertility, is gradually challenging the dominant position of traditional therapies in the treatment of infertility. CAM claims that it can adjust and harmonize the state of the female body from a holistic approach to achieve a better therapeutic effect and has been increasingly used by infertile women. Meanwhile, some controversial issues also appeared; that is, some randomized controlled trials (RCTs) confirmed that CAM had no obvious effect on infertility, and the mechanism of its effect could not reach a consensus. To clarify CAM effectiveness, safety, and mechanism, this paper systematically reviewed the literature about its treatment of female infertility collected from PubMed and CNKI databases and mainly introduced acupuncture, moxibustion, and oral Chinese herbal medicine. In addition, we also briefly summarized psychological intervention, biosimilar electrical stimulation, homeopathy, hyperbaric oxygen therapy, etc.

摘要

女性不孕症是一种由多种原因引起的生育障碍状态。由于社会压力、晚婚晚育等多种因素,女性不孕症的发病率显著上升,其危害包括沉重的经济负担、心理阴影,甚至婚姻失败。传统的解决方法,如激素治疗、体外受精(IVF)和胚胎移植,存在产科结局不尽人意和严重不良事件等局限性。目前,补充和替代医学(CAM)作为一种新的不孕症治疗方法,正逐渐挑战传统疗法在不孕症治疗中的主导地位。CAM声称它可以从整体角度调节和协调女性身体状态,以达到更好的治疗效果,并且越来越多地被不孕女性所采用。与此同时,一些有争议的问题也出现了;也就是说,一些随机对照试验(RCT)证实CAM对不孕症没有明显效果,其作用机制也无法达成共识。为了阐明CAM的有效性、安全性和作用机制,本文系统回顾了从PubMed和CNKI数据库收集的关于其治疗女性不孕症的文献,主要介绍了针灸、艾灸和口服中药。此外,我们还简要总结了心理干预、生物电刺激、顺势疗法、高压氧治疗等。

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