دورية أكاديمية
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Pregnancy Benefit of Acupuncture on in vitro Fertilization: A Systematic Review and Meta-Analysis.

التفاصيل البيبلوغرافية
العنوان: Pregnancy Benefit of Acupuncture on in vitro Fertilization: A Systematic Review and Meta-Analysis.
المؤلفون: Zhang HR; College of Preschool Education, Beijing Youth Politics College, Beijing, 100102, China., Zhang C; School of Acupuncture, Moxibustion and Tuina, Beijing University of Chinese Medicine, Beijing, 100029, China., Ma PH; School of Acupuncture, Moxibustion and Tuina, Beijing University of Chinese Medicine, Beijing, 100029, China., Sun CY; School of Acupuncture, Moxibustion and Tuina, Beijing University of Chinese Medicine, Beijing, 100029, China., Sun CY; School of Acupuncture, Moxibustion and Tuina, Beijing University of Chinese Medicine, Beijing, 100029, China., Liu XY; School of Acupuncture and Moxibustion, Tianjin University of Traditional Chinese Medicine, Tianjin, 301617, China., Pu ZQ; School of Acupuncture, Moxibustion and Tuina, Beijing University of Chinese Medicine, Beijing, 100029, China., Lin YH; School of Acupuncture, Moxibustion and Tuina, Beijing University of Chinese Medicine, Beijing, 100029, China., Liu BY; China Academy of Chinese Medical Sciences, Beijing, 100091, China., Liu CZ; School of Acupuncture, Moxibustion and Tuina, Beijing University of Chinese Medicine, Beijing, 100029, China., Yan SY; School of Acupuncture, Moxibustion and Tuina, Beijing University of Chinese Medicine, Beijing, 100029, China. yanshiyan@bucm.edu.cn.
المصدر: Chinese journal of integrative medicine [Chin J Integr Med] 2023 Nov; Vol. 29 (11), pp. 1021-1032. Date of Electronic Publication: 2023 Oct 10.
نوع المنشور: Meta-Analysis; Systematic Review; Journal Article; Review
اللغة: English
بيانات الدورية: Publisher: Chinese Journal of Integrated Traditional and Western Medicine Press Country of Publication: China NLM ID: 101181180 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1993-0402 (Electronic) Linking ISSN: 16720415 NLM ISO Abbreviation: Chin J Integr Med Subsets: MEDLINE
أسماء مطبوعة: Publication: 2007- : Berlin : Chinese Journal of Integrated Traditional and Western Medicine Press : Springer
Original Publication: Beijing, China : Watertown, MA : Chinese Association of the Integration of Traditional and Western Medicine : China Academy of Traditional Chinese Medicine ; Distributed by Relaxing Natural Health, [2003]-
مواضيع طبية MeSH: Abortion, Spontaneous* , Acupuncture Therapy*, Pregnancy ; Female ; Humans ; Live Birth ; Fertilization in Vitro/methods ; Pregnancy Outcome
مستخلص: Background: Currently, more and more infertility couples are opting for combined acupuncture to improve success rate of in vitro fertilization (IVF). However, evidence from acupuncture for improving IVF pregnancy outcomes remains a matter of debate.
Objective: To quantitatively summarized the evidence of the efficacy of acupuncture among women undergoing IVF by means of systematic review and meta-analysis.
Methods: Four English (PubMed, Web of Science, EMBASE, and Cochrane Register of Controlled Clinical Trials) and Four Chinese databases (Wanfang Databases, Chinese National Knowledge Infrastructure, Chinese Science and Technology Periodical Database, and SinoMed) were searched from database inception until July 2, 2023. Randomized controlled trials (RCTs) that evaluated the acupuncture's effects for women undergoing IVF were included. The subgroup analysis was conducted with respect to the age of participants, different acupuncture types, type of control, acupuncture timing, geographical origin of the study, whether or not repeated IVF failure, and acupuncture sessions. Sensitivity analyses were predefifined to explore the robustness of results. The primary outcomes were clinical pregnancy rate (CPR) and live birth rate (LBR), and the secondary outcomes were ongoing pregnancy rate and miscarriage rate. Random effects model with I 2 statistics were used to quantify heterogeneity. Publication bias was estimated by funnel plots and Egger's tests.
Results: A total of 58 eligible RCTs representing 10,968 women undergoing IVF for pregnant success were identifified. Pooled CPR and LBR showed a signifificant difference between acupuncture and control groups [69 comparisons, relative risk (RR) 1.19, 95% confifidence intervals (CI) 1.12 to 1.25, I 2 =0], extremely low evidence; 23 comparisons, RR 1.11, 95%CI 1.02 to 1.21, I 2 =14.6, low evidence, respectively). Only transcutaneous electrical acupoint stimulation showed a positive effect on both CPR (16 comparisons, RR 1.17, 95%CI 1.06 to 1.29; I 2 =0, moderate evidence) and LBR (9 comparisons, RR 1.20, 95%CI 1.04 to 1.37; I 2 =8.5, extremely low evidence). Heterogeneity across studies was found and no studies were graded as high-quality evidence.
Conclusion: Results showed that the convincing evidence levels on the associations between acupuncture and IVF pregnant outcomes were relatively low, and the varied methodological design and heterogeneity might inflfluence the fifindings. (Registration No. PROSPERO CRD42021232430).
(© 2023. The Chinese Journal of Integrated Traditional and Western Medicine Press and Springer-Verlag GmbH Germany, part of Springer Nature.)
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فهرسة مساهمة: Keywords: acupuncture; clinical pregnancy rate; in vitro fertilization; live birth rate; meta-analysis; systematic review
تواريخ الأحداث: Date Created: 20231010 Date Completed: 20231030 Latest Revision: 20231030
رمز التحديث: 20240628
DOI: 10.1007/s11655-023-3748-3
PMID: 37815728
قاعدة البيانات: MEDLINE
الوصف
تدمد:1993-0402
DOI:10.1007/s11655-023-3748-3