Li Rong, Chen Liping, Ren Yulan, Huang Jinzhu, Xu Yuqi, Lin Xiaoding, Zhen Runchen
School of Acupuncture and Tuina, Chengdu University of Traditional Chinese Medicine, Chengdu, China.
School of Chinese Classics, Chengdu University of Traditional Chinese Medicine, Chengdu, China.
Heliyon. 2023 Jul 25;9(8):e18439. doi: 10.1016/j.heliyon.2023.e18439. eCollection 2023 Aug.
Pregnancy-related low back pain (PLBP) is a common musculoskeletal disorder, affecting people's physical and psychological health. Acupuncture is widely used in clinical practice as a treatment for PLBP. This study aimed to evaluate the efficacy and safety of acupuncture or acupuncture combined with other treatments for PLBP patients.
The Cochrane Library, PubMed, EMBASE, Web of Science, the Chinese Biological Medicine Database, China National Knowledge Infrastructure, WanFang Database, and VIP information database were searched from inception to January 31, 2022. Randomized controlled trials (RCTs) were eligible, without blinding and language restriction. Cochrane's risk of bias tool was used to assess the methodological quality. Meta-analysis was performed using RevMan 5.3.
Twelve randomized controlled trials involving 1302 patients were included. The results showed that compared to the control group, the VAS score was significantly decreased after acupuncture treatment. In addition, no significant difference was found in the preterm delivery rate (RR = 0.38, 95%CI: 0.24 to 0.61, P = 0.97) after acupuncture treatment. Compared with other therapies, acupuncture or acupuncture plus other therapies revealed a significant increase in the effective rate (OR: 6.92, 95%CI: 2.44 to 19.67, I = 0%). No serious adverse events owing to acupuncture were reported.
Acupuncture or acupuncture combined with other interventions was a safe and effective therapy for treating PLBP. However, the methodological quality of the RCTs was low. More rigorous and well-designed trials should be conducted.
妊娠相关的下腰痛（PLBP）是一种常见的肌肉骨骼疾病，影响人们的身心健康。针灸在临床实践中被广泛用于治疗PLBP。本研究旨在评估针灸或针灸联合其他疗法对PLBP患者的疗效和安全性。
检索Cochrane图书馆、PubMed、EMBASE、Web of Science、中国生物医学数据库、中国知网、万方数据库和维普资讯数据库，检索时间从建库至2022年1月31日。纳入随机对照试验（RCT），无盲法和语言限制。使用Cochrane偏倚风险工具评估方法学质量。使用RevMan 5.3进行荟萃分析。
纳入12项随机对照试验，共1302例患者。结果显示，与对照组相比，针灸治疗后视觉模拟评分（VAS）显著降低。此外，针灸治疗后早产率无显著差异（RR = 0.38，95%CI：0.24至0.61，P = 0.97）。与其他疗法相比，针灸或针灸联合其他疗法的有效率显著提高（OR：6.92，95%CI：2.44至19.67，I² = 0%）。未报告因针灸引起的严重不良事件。
针灸或针灸联合其他干预措施是治疗PLBP的安全有效疗法。然而，RCT的方法学质量较低。应开展更严格、设计更完善的试验。
