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针灸治疗排卵障碍性不孕Meta分析OA

Meta-analysis of Acupuncture and Moxibustion in Treating Ovulatory Dysfunctional Infertility

中文摘要英文摘要

目的 系统评价针灸治疗排卵障碍性不孕(ovulatory disorder infertility,ODI)的临床疗效,为临床提供循证医学证据.方法 采用Cochrane系统评价方法,在中国知网、万方、维普、PubMed、Web of science数据库中检索建库至2025年6月发表的关于针灸治疗ODI的随机对照试验,进行文献筛选、质量评价和数据提取.结果 共纳入15项随机对照试验,涉及1 071例患者.Meta分析结果显示,针灸治疗组在总有效率、成熟卵泡直径、子宫内膜厚度、排卵率及妊娠率等多个结局指标上均显著优于对照组.结论 针灸在提升排卵功能、改善子宫内膜环境和提高妊娠率方面效果显著,是治疗ODI的有效方法.但仍需更多高质量研究进一步验证其疗效和安全性.

Objective To systematically evaluate the clinical efficacy of acupuncture and moxibustion in the treatment of ovulatory disorder infertility(ODI),and to provide evidence-based medical evidence for clinical practice.Methods Using the Cochrane systematic review method,randomized controlled trials(RCTs)on acupuncture and moxibustion in the treatment of ODI published from the establishment of the databases to June 2025 were retrieved from CNKI,Wanfang,VIP,PubMed,and Cochrane Library,and literature screening,quality evaluation,and data extraction were conducted.Results A total of 15 RCTs involving 1 071 patients were included.The meta-analysis results showed that the acupuncture and moxibustion group significantly outperformed the control group in multiple outcome indicators,including overall efficacy rate,mature follicle diameter,endometrial thickness,ovulation rate,and pregnancy rate.Conclusion Acupuncture and moxibustion demonstrated significant effects in enhancing ovulation function,improving endometrial environment,and increasing pregnancy rates,making it an effective treatment for ODI.However,more high-quality studies are needed to further validate its efficacy and safety.

蒲相君;刘洁

厦门市同安区中医医院妇产科,福建 厦门 361100厦门市同安区中医医院妇产科,福建 厦门 361100

医药卫生

排卵障碍性不孕针灸疗法妊娠率Meta分析

ovulatory disorder infertilityacupuncture and moxibustion therapypregnancy rateMeta-analysis

《光明中医》 2026 (7)

39-44,6

厦门市扶持中医药发展专项项目(No.XWZY-2023-0620)

10.70976/j.issn.1003-8914.2026.07.008

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