针灸治疗臀先露的系统评价_《中国循证医学杂志》

作者：

刘迈兰 , 兰蕾 , 唐勇 ,  梁繁荣

成都中医药大学（成都?610075）;

关键词：

臀先露/针灸疗法随机对照试验系统评价

DOI：

10.7507/1672-2531.20090148

视频：

导出 下载 收藏 扫码 引用

摘要 全文 图表 视频 参考文献 施引文献 补充材料

目的　系统评价针灸治疗臀先露的疗效。
方法　计算机检索Cochrane Library（Issue 1，2008）、PubMed（1980～2008.3）、MEDLINE（1966～2008）、Ovid循证医学数据库（1991～2008），中国生物医学文献数据库(CBMdisc，1978～2008.3)、维普期刊全文数据库（VIP，1989～2008.3）、中国期刊全文数据库（CNKI，1979～2008.3）和万方数据资源系统（1983～2008.3），手工检索7种中医杂志，检索时限均为1990～2008年3月，语种限制为中文和英文，按纳入排除标准收集针灸治疗臀先露的随机对照试验（RCT），参照Cochrane系统评价员手册5.0.1推荐的对偏倚风险的评价工具进行文献质量评价，并采用RevMan 5.0软件进行Meta分析。
结果　最终纳入8个RCT，共1 341例患者，其中5个研究质量较高，3个质量较低。6个研究的Meta分析结果显示，针灸治疗臀先露的胎头倒转成功率优于对照组，差异有统计学意义［RR=1.38，95%CI（1.20，1.58）］。
结论　针灸较之于常规护理或胸膝卧位疗法能提高臀先露的胎头倒转成功率。

引用本文： 刘迈兰,兰蕾,唐勇,梁繁荣. 针灸治疗臀先露的系统评价. 中国循证医学杂志, 2009, 09(8): 840-843. doi: 10.7507/1672-2531.20090148 复制

1.	Westgren M, Edvall H, Nordstrom L, et al. Spontaneous cephalic version of breech presentation in the last trimester. Br J Obstet Gynaecol, 1985, 92(1): 19-22.
2.	Cruikshank DP. Breech presentation. Clin Obstet Gynecol, 1986, 29(2): 255-263.
3.	《新编中华临床医药卫生全书》编委会编. 临床妇产科学. 中医古籍出版社, 2006. 225.
4.	Chen CH, Chou P, Hu HH, et al. Further analysis of a pilot study for planning an extensive clinical trial in traditional medicine with an example of acupuncture treatment for stroke. American Journal of Chinese Medicine, 1991, 22(2): 127.
5.	Johansson K, Lindgren I, Widner H, et al. Can sensory stimulation improve the functional outcome in stroke patients? Neurology, 1993, 43(11): 2189-2192.
6.	Coyle ME, Smith CA, Peat B. Cephalic version by moxibustion for breech presentation. Cochrane Database of Systematic Reviews 2005, Issue 2.
7.	Neri I, Airola G, Contu G, et al. Acupuncture plus moxibustion to resolve breech presentation: a randomized controlled study. Journal of Maternal-Fetal and Neonatal Medicine, 2004, 15(4): 247-252.
8.	Cardini F, Weixin H. Moxibustion for correction of breech presentation. JAMA, 1998, 280(18): 1580-1584.
9.	Li Q, Wang L. Clinical observation on correcting malposition of fetus by electro-acupuncture. Journal of Traditional Chinese Medicine, 1996, 16(4): 260-262.
10.	Managing Complications in Pregnancy and Childbirth: A guide formidwives and doctors. http://who.int/reproductive-health/impac/Symptoms/table_S12.html#S74%20Breech%20presentation.
11.	Higgins JPT, Green S, editors. Assessing risk of bias in included studies: Cochrane Handbook for Systematic Reviews of Interventions 5.0.1 [updated September 2008], The Cochrane Collaboration, 2008. Available from www.cochrane-handbook.org.
12.	杨运宽, 茅敏, 胡幼平, 等．艾灸至阴穴矫治臀先露的多中心随机对照临床研究. 中医杂志, 2007, 48(12): 1097-1100.
13.	杨凤琴. 膝胸卧位配合艾灸至阴穴与单纯膝胸卧位纠正臀位的比较. 四川中医, 2006, 24(5): 106-107.
14.	Habek D, Cerkez Habek J, Jagust M. Acupuncture conversion of fetal breech presentation. Fetal Diagnosis And Therapy, 2003, 18(6): 418-421.
15.	Cardini F, Lombardo P, Regalia AL, et al. A randomised controlled trial of moxibustion for breech presentation. BJOG, 2005, 112(6): 743-747.
16.	杜艳华, 薛爱景. 中西医结合纠正臀先露50例临床观察. 现代中西医结合杂志, 2005, 14(20): 2727.
17.	Royal College of Obstetricians and Gynaecologists - Medical Specialty Society. The management of breech presentation. 2006 Dec. 13 pages. NGC:005915.
18.	Royal College of Obstetricians and Gynaecologists - Medical Specialty Society. External cephalic version and reducing the incidence of breech presentation.2006Dec.8pages. NGC:005918.
19.	National Government Agency [Non-U.S.].Caesarean section. National Collaborating Centre for Women’s and Children’s Health, 2004 Apr. 38 pages. NGC:003544.
20.	Hofmeyr GJ, Kulier R. Cephalic version by postural management for breech presentation. Cochrane Database of Systematic Reviews 2000, Issue 3.
21.	刘冠军. 现代针灸医案选. 北京: 人民卫生出版社, 1985. 350.
22.	刘喆. 古今妇科针灸妙法大成. 北京: 中国中医药出版社,1993. 179.
23.	王予康, 吕彪. 在B超监视下艾灸至阴穴矫正胎位66例. 针灸临床杂志, 2000, 16(4): 46-48.
24.	江西省艾灸矫正胎位研究协作组. 艾灸至阴穴矫正胎位的临床观察及原理探讨. 中医杂志, 1979, 20(8): 9.

1. Westgren M, Edvall H, Nordstrom L, et al. Spontaneous cephalic version of breech presentation in the last trimester. Br J Obstet Gynaecol, 1985, 92(1): 19-22.
2. Cruikshank DP. Breech presentation. Clin Obstet Gynecol, 1986, 29(2): 255-263.
3. 《新编中华临床医药卫生全书》编委会编. 临床妇产科学. 中医古籍出版社, 2006. 225.
4. Chen CH, Chou P, Hu HH, et al. Further analysis of a pilot study for planning an extensive clinical trial in traditional medicine with an example of acupuncture treatment for stroke. American Journal of Chinese Medicine, 1991, 22(2): 127.
5. Johansson K, Lindgren I, Widner H, et al. Can sensory stimulation improve the functional outcome in stroke patients? Neurology, 1993, 43(11): 2189-2192.
6. Coyle ME, Smith CA, Peat B. Cephalic version by moxibustion for breech presentation. Cochrane Database of Systematic Reviews 2005, Issue 2.
7. Neri I, Airola G, Contu G, et al. Acupuncture plus moxibustion to resolve breech presentation: a randomized controlled study. Journal of Maternal-Fetal and Neonatal Medicine, 2004, 15(4): 247-252.
8. Cardini F, Weixin H. Moxibustion for correction of breech presentation. JAMA, 1998, 280(18): 1580-1584.
9. Li Q, Wang L. Clinical observation on correcting malposition of fetus by electro-acupuncture. Journal of Traditional Chinese Medicine, 1996, 16(4): 260-262.
10. Managing Complications in Pregnancy and Childbirth: A guide formidwives and doctors. http://who.int/reproductive-health/impac/Symptoms/table_S12.html#S74%20Breech%20presentation.
11. Higgins JPT, Green S, editors. Assessing risk of bias in included studies: Cochrane Handbook for Systematic Reviews of Interventions 5.0.1 [updated September 2008], The Cochrane Collaboration, 2008. Available from www.cochrane-handbook.org.
12. 杨运宽, 茅敏, 胡幼平, 等．艾灸至阴穴矫治臀先露的多中心随机对照临床研究. 中医杂志, 2007, 48(12): 1097-1100.
13. 杨凤琴. 膝胸卧位配合艾灸至阴穴与单纯膝胸卧位纠正臀位的比较. 四川中医, 2006, 24(5): 106-107.
14. Habek D, Cerkez Habek J, Jagust M. Acupuncture conversion of fetal breech presentation. Fetal Diagnosis And Therapy, 2003, 18(6): 418-421.
15. Cardini F, Lombardo P, Regalia AL, et al. A randomised controlled trial of moxibustion for breech presentation. BJOG, 2005, 112(6): 743-747.
16. 杜艳华, 薛爱景. 中西医结合纠正臀先露50例临床观察. 现代中西医结合杂志, 2005, 14(20): 2727.
17. Royal College of Obstetricians and Gynaecologists - Medical Specialty Society. The management of breech presentation. 2006 Dec. 13 pages. NGC:005915.
18. Royal College of Obstetricians and Gynaecologists - Medical Specialty Society. External cephalic version and reducing the incidence of breech presentation.2006Dec.8pages. NGC:005918.
19. National Government Agency [Non-U.S.].Caesarean section. National Collaborating Centre for Women’s and Children’s Health, 2004 Apr. 38 pages. NGC:003544.
20. Hofmeyr GJ, Kulier R. Cephalic version by postural management for breech presentation. Cochrane Database of Systematic Reviews 2000, Issue 3.
21. 刘冠军. 现代针灸医案选. 北京: 人民卫生出版社, 1985. 350.
22. 刘喆. 古今妇科针灸妙法大成. 北京: 中国中医药出版社,1993. 179.
23. 王予康, 吕彪. 在B超监视下艾灸至阴穴矫正胎位66例. 针灸临床杂志, 2000, 16(4): 46-48.
24. 江西省艾灸矫正胎位研究协作组. 艾灸至阴穴矫正胎位的临床观察及原理探讨. 中医杂志, 1979, 20(8): 9.

《中国循证医学杂志》

针灸治疗臀先露的系统评价

摘要 全文 图表 视频 参考文献 施引文献 补充材料

上一篇

下一篇

Format

Content

《中国循证医学杂志》

针灸治疗臀先露的系统评价

摘要 全文 图表 视频 参考文献 施引文献 补充材料

上一篇

下一篇

Format

Content

摘要全文图表视频参考文献施引文献补充材料