首页|针药并用治疗输卵管阻塞性不孕症的Meta分析

针药并用治疗输卵管阻塞性不孕症的Meta分析

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目的 评价针药并用治疗输卵管阻塞性不孕症的临床疗效。方法 通过检索SinoMed、中国知网、万方和维普,收集2018年1月~2022年12月发表过的有关针药并用治疗输卵管阻塞性不孕症的临床研究文献,采用Revman5。3软件对纳入文献进行Meta分析。结果 纳入26篇文献,Meta分析结果示:试验组的总有效率高于对照组,差异具有统计学意义[相对危险度(RR)=1。28,95% 可信区间(CI)=(1。22,1。33),P<0。00001];试验组的妊娠率高于对照组,差异具有统计学意义[RR=1。71,95%CI=(1。42,2。06),P<0。00001];试验组输卵管通畅率高于对照组[RR=1。54,95%CI=(1。42,1。68),P<0。00001]。结论 相对以往常规非针药结合疗法,针药并用可提高输卵管阻塞性不孕症的治疗效果、妊娠率和输卵管通畅率,也可以避免因手术治疗所致的粘连发生,因其不良反应较少,临床效果和安全性较高。
Meta-analysis of the treatment of tubal obstructive infertility by combination of acupuncture and medicine
Objective To evaluate the clinical effect of combination of acupuncture and medicine in the treatment of tubal obstructive infertility. Methods By searching SinoMed,CNKI,Wanfang,and VIP,clinical research literatures on the combination of acupuncture and medicine in the treatment of tubal obstructive infertility published from January 2018 to December 2022 were collected,and Meta-analysis was performed on the included literatures using Revman5.3 software. Results 26 papers were included,and Meta-analysis showed that the total effective rate of the test group was higher than that of the control group,and the difference was statistically significant[relative risk (RR)=1.28,95% confidence interval (CI)=(1.22,1.33);P<0.00001]. The pregnancy rate in the test group was higher than that in the control group,and the difference was statistically significant[RR=1.71;95%CI=(1.42,2.06);P<0.00001]. The rate of tubal patency in the test group was higher than that in the control group[RR=1.54;95%CI=(1.42,1.68);P<0.00001]. Conclusion Compared with the previous conventional non-acupuncture-medicine combination therapy,the combination of acupuncture and medicine can improve the therapeutic effect,pregnancy rate and tubal patency rate of tubal obstructive infertility,and can also avoid the occurrence of adhesion due to surgical treatment,with fewer adverse reactions and higher clinical effectiveness and safety.

Combination of acupuncture and medicineTubal obstructive infertilityMeta-analysis

周星、张同梅、王丹、徐夏菲、梁凤娟

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277000 枣庄市中医医院

针药并用 输卵管阻塞性不孕症 Meta分析

2024

中国现代药物应用
中国水利电力医学科学技术学会

中国现代药物应用

影响因子:0.862
ISSN:1673-9523
年,卷(期):2024.18(20)