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中药疗法对自然分娩产妇分娩疼痛的影响：网络荟萃分析。

Effect of traditional Chinese medicine therapy on labor pain in patients with natural childbirth: A network meta-analysis.

机构信息

College of Public Health, Inner Mongolia Minzu University, Horqin District, Tongliao, China.

Department of Hygienic Toxicology, School of Public Health, Harbin Medical University, NanGang District, Harbin, China.

出版信息

Medicine (Baltimore). 2024 Oct 25;103(43):e39425. doi: 10.1097/MD.0000000000039425.

DOI:10.1097/MD.0000000000039425
PMID:39470555
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11521081/
Abstract

BACKGROUND

This systematic review compared the efficacy of traditional Chinese medicine (TCM) treatments for outcomes of different stages and labor pain among pregnant women.

METHODS

Eight databases were electronically searched for TCM on labor pain between January 2012 and January 2022. The studies were recorded and screened according to inclusion criteria and subsequently entered in Note Express. The quality of the included studies was evaluated using the Cochrane risk of bias tool, and network meta-analysis was conducted with Stata 16.0. Forest plots and league tables were used to compare different treatment modalities' effect sizes. Additionally, the probabilities of various treatment modalities for each outcome under the cumulative ranking curve were determined. The protocol was registered in PROSPERO (CRD42022336091). This study adhered to the Preferred Reporting Items for Systematic Reviews and Meta-analyses guidelines.

RESULTS

Thirty articles encompassing 3277 participants were included in the network meta-analysis with 9 different treatment modalities. In terms of pain of labor at 30 minutes, acupuncture + autonomic nerve block was the most effective treatment modality. With regard to the 60-minute pain and the first stage of labor, acupressure + acupuncture therapy was most effective.

CONCLUSION

In general, a combined treatment with acupressure and acupuncture is the most effective approach for relieving labor pain and shortening the duration of labor. Based on these data, we intend to explore further clinical TCM therapy for relieving maternal pain.

摘要

背景

本系统评价比较了中医（TCM）治疗对不同产程和孕妇分娩疼痛结局的疗效。

方法

2012 年 1 月至 2022 年 1 月，我们在 8 个数据库中对 TCM 治疗分娩疼痛进行了电子检索。根据纳入标准记录和筛选研究，并随后将其输入 NoteExpress。使用 Cochrane 偏倚风险工具评估纳入研究的质量，并使用 Stata 16.0 进行网络荟萃分析。森林图和联赛表用于比较不同治疗方式的效应量。此外，还确定了累积排序曲线上各种治疗方式对每个结局的概率。该方案在 PROSPERO（CRD42022336091）中进行了注册。本研究遵循系统评价和荟萃分析的首选报告项目指南。

结果

纳入的网络荟萃分析包括 30 篇文章，共 3277 名参与者，涉及 9 种不同的治疗方法。在 30 分钟的分娩疼痛方面，针刺+自主神经阻滞是最有效的治疗方法。对于 60 分钟疼痛和第一产程，穴位按压+针刺疗法最有效。

结论

总的来说，穴位按压和针刺联合治疗是缓解分娩疼痛和缩短产程最有效的方法。基于这些数据，我们打算进一步探讨缓解产妇疼痛的临床 TCM 治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d405/11521081/02a8bee305a7/medi-103-e39425-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d405/11521081/ca34b04413b0/medi-103-e39425-g001.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d405/11521081/02a8bee305a7/medi-103-e39425-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d405/11521081/ca34b04413b0/medi-103-e39425-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d405/11521081/f575255c0ffe/medi-103-e39425-g002.jpg
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