针灸治疗输卵管阻塞性不孕症的系统评价

发布时间：2018-04-11 16:32

本文选题：针灸疗法 + 输卵管阻塞性不孕　；参考：《浙江中医药大学》2017年硕士论文

【摘要】：目的系统评价针灸治疗输卵管阻塞性不孕症的疗效。方法全面收集相关期刊论文(CNKI)、中国生物医学文献数据库(CBMdisc)、维普期刊全文数据库(VIP)、PubMed和Web of Science等数据库中有关针灸治疗输卵管阻塞性不孕症的随机对照文献。利用RveMan5.3软件对研究数据进行Meta分析,系统评价针灸治疗输卵管阻塞性不孕症的疗效及安全性。结果共检索到文献534篇,根据纳入和排除标准,最终16篇随机对照试验共1687例患者纳入本试验,均为中文文献。采用Jadad评分量表进行质量评价,发现纳入的这些研究质量较低。临床效应Meta显示:(1)针灸疗法优于西医常规疗法[RR 1.30,95%CI(1.20.1.40),P0.00001];(2)针灸疗法优于单纯中药疗法[RR 1.69,95%CI(1.38.2.06),P0.00001];(3)针灸结合中药疗法优于西医常规治疗[RR 1.31,95%CI(1.21.1.43),P0.00001](4)针灸疗法治疗后患者妊娠率优于西医常规疗法[RR 1.49,95%CI(1.22.1.83),P=0.0001].结论①现有证据表明针灸疗法或针灸结合中药疗法治疗输卵管阻塞性不孕症具有较好的疗效。②与西医疗法对照,针灸疗法具有安全性好,操作简便,副作用低的优点。③当前针灸疗法为主治疗输卵管阻塞性不孕症的临床研究文献质量不高且缺乏规范性。未来临床仍需要开展更多多中心、大样本、严格的方法学设计和质量控制研究。
[Abstract]:Objective to evaluate the therapeutic effect of acupuncture and moxibustion on oviduct obstructive infertility.Methods the literature on acupuncture and moxibustion in the treatment of oviduct obstructive infertility was collected from CNKI, CBM discr and Web of Science in Chinese Journal Full-text Database (CNKI), Chinese Biomedical Literature Database (CBM), Weip Journal Full-text Database (WIP) and Web of Science.To evaluate the efficacy and safety of acupuncture and moxibustion in the treatment of oviduct obstructive infertility by Meta analysis with RveMan5.3 software.Results A total of 534 articles were retrieved. According to the criteria of inclusion and exclusion, 1687 patients in 16 randomized controlled trials were included in the trial, all of which were Chinese literature.Jadad scale was used to evaluate the quality of these studies.Conclusion (1) the available evidence shows that acupuncture and moxibustion combined with traditional Chinese medicine are effective in treating oviduct obstructive infertility. 2. Compared with western medicine, acupuncture and moxibustion have good safety and simple operation.At present, the clinical research on oviduct obstructive infertility treated mainly by acupuncture therapy is of low quality and lack of standardization.More centers, large samples, rigorous methodological design and quality control research are needed in the future.
【学位授予单位】：浙江中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R246.3

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