针灸辅助改善冻融胚胎移植疗效的网状meta分析

作     者：罗敏辉 谭艳 左耀辰 石文英 王鑫 章薇 Min-hui LUO;Yan TAN;Yao-chen ZUO;Wen-ying SHI;Xin WANG;Wei ZHANG

作者机构：湖南中医药大学长沙410208 湖南中医药大学第一附属医院长沙410007 

出 版 物：《World Journal of Acupuncture-Moxibustion》 (世界针灸杂志（英文版）)

年 卷 期：2024年第34卷第2期

页      面：103-116页

核心收录：

学科分类：1205[管理学-图书情报与档案管理] 12[管理学] 1005[医学-中医学] 120502[管理学-情报学] 100512[医学-针灸推拿学] 10[医学] 

基　　金：Supported by TCM Evidence-Based Capacity Construction Project,National Administration of Traditional Chinese Medicine,2019:2019XZZX-ZJ007 National Key Research and Development Program:2019YFC1709104 

主　　题：Acupuncture Moxibustion Frozen-thawed embryotransfer Pregnancy rate Endometriumthickness Endometrial morphology Networkmeta-analysis 

摘      要：Objective:To evaluate the clinical effect of acupuncture-moxibustion as the adjuvant therapy on frozenthawed embryo transfer(FET)using network ***:In PubMed,Embase,Cochrane Library,Chinese National Knowledge Infrastructure(CNKI),Wanfang database(WanFang),VIP database and Chinese Biomedical Literature Database(SinoMed),the randomized controlled trials(RCTs)of the adjuvant therapy of acupuncture-moxibustion for FET were retrieved,from database inception to April 1,*** risk of bias assessment tool was used to screen and evaluate the quality of the included studies,and RevMan 5.3,GeMTC0.14.3 and Stata16.0 software were adopted to complete the network ***:Twenty-nine RCTs comprising 2880 patients were finally included,involving 17 interventions and 4 outcome *** results of network meta-analysis showed that the top three therapies under each outcome based on the magnitude of SUCRA values were:(1)Clinical pregnancy rate(CPR,%):transcutaneous electrical acupoint stimulation+herbal medicine(76.4),moxibustion+herbal medicine(74.7),acupuncture+moxibustion(73.3);(2)Biochemical pregnancy rate(BPR):moxibustion+herbal medicine(89.3),acupuncture+moxibustion(82.1),acupuncture+herbal medicine(78.7);(3)Endometrial thickness:acupoint injection+Western medicine(87.2),auricular therapy(76.8),acupuncture+herbal medicine(73.5);(4)Type A endometrial morphology rate:acupoint injection+Western medicine(78.3),moxibustion+herbal medicine(58.0)andacupuncture+moxibustion(52.6).Conclusion:The combined treatment of acupuncture-moxibustion was superior to single therapy for FET *** combined therapy of transcutaneous electrical acupoint stimulation and herbal medicine had the best effect for improving CPR,moxibustion+herbal medicineobtained the best average comprehensive effect,andacupoint injection+Western medicinewas conductive to ameliorate the endome trial thickness and *** to the limitations of e