近9年针灸抗早孕研究进展  

Progress on the research of acupuncture's role in anti-early pregnancy in recent 9 years

作　　者：苑鸿雯[1] 马良宵[1] 陈滢如[1] 舒福政[1] 任晓暄[1] 李春华[1] 刘玉祁[1] 张鹏[1] 李静[1] 辛思源[1] 林驰[1] 朱江[1] 

机构地区：[1]北京中医药大学针灸推拿学院,国家中医药管理局针灸特色疗法评价重点研究室,北京100029

出　　处：《中国针灸》2012年第9期860-864,共5页Chinese Acupuncture & Moxibustion

基　　金：国家自然科学基金面上资助项目:30973793;国家重点基础研究发展计划(973计划)资助项目:2012CB 518506;教育部博士点基金资助项目:20090013110005

摘　　要：通过计算机检索中国期刊全文数据库(CNKI)等2003年1月至2011年12月全部医学期刊,对所获40篇文献的研究方法、具体操作及结论进行分析。结果表明在临床研究上,针灸主要应用于人流和药流的辅助治疗:在人流中主要表现为镇痛、减轻人流综合征及扩张宫颈方面;在药流中主要表现为提高完全流产率、加速排囊、减轻不良反应及对术后出血情况的影响方面。机制研究上,从神经-内分泌激素角度一定程度上揭示了针灸对子宫组织的影响。表明针灸在人流、药流术中的作用已得到较多临床试验证实,但对其机制的揭示相当有限。下一阶段研究应着眼于改进临床研究方法,规范针灸操作过程,优化刺激参数,重视阐明针灸抗早孕的作用机制,从而提高针灸抗早孕的疗效和科学性。Through CNKI retrieval, 40 articles were selected from Medical Journals published between January 2003 and December 2011, and the study designs, intervention methods and conclusions of the articles were ana- lyzed. It turned out that in the area of clinical research, the main usage of acupuncture was assist treatment of arti- ficial abortion and drug-induced abortion~ in artificial abortion, acupuncture can play a role in analgesia, artificial abortion syndrome relieving, and cervix dilating, while in the drug induced abortion, acupuncture can play a role in improving completed abortion rate, accelerating foetal sac release, decreasing side effects and regulating postopera tlve bleeding. In mechanism research, the effect of acupuncture on uterine tissue was revealed in terms of neu-- roendoerine. Although the certain role of acupuncture in assisting artificial abortion and drug-induced abortion has been confirmed in numerous clinical trials, its mechanism revealing was limited. The further study should focus on improving research method, acupuncture manipulation standardization and stimulation parameters optimization. What＇s more, the revealing of acupuncture＇s role in anti-early pregnancy should be emphasized to improve its ef- fectiveness and scientificalness.

关 键 词：针灸 抗早孕 人流 药流 文献综述 

分 类 号：R246.3[医药卫生—针灸推拿学]