Acupuncture to initiate labor (Acumoms 2): a randomized, sham-controlled clinical trial.
Acupuncture to initiate labor (Acumoms 2): a randomized, sham-controlled clinical trial.
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DOI：
10.1080/14767050902906386
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发表时间：
2009-10
期刊：
影响因子：
--
通讯作者：
Harper TC
中科院分区：
文献类型：
--
作者：
Asher GN;Coeytaux RR;Chen W;Reilly AC;Loh YL;Harper TC
目的：评价针刺刺激分娩的疗效。将38周或以上的未分娩妇女随机分为中医针刺组、假针刺组或仅常规护理组。针刺双侧LI4、SP6、BL32、BL54穴位。主要结果是从注册到交付的时间。次要结果包括自然分娩和剖宫产率。医疗记录被提取用于母亲的人口统计、医疗和分娩结局数据。采用方差分析、学生t检验、卡方检验和Kaplan-Meier统计方法进行组间比较。89名女性被纳入并随机分组。母亲年龄、胎龄、既往针灸经历、吸烟、饮酒和吸毒、怀孕和妇科手术史在这些组中相似。在从登记到分娩的时间(p=0.20)、自然分娩率(p=0.66)或剖宫产率(p=0.37)方面，组间差异无统计学意义。母亲和新生儿的结局没有显著差异。与假针灸或常规医疗相比，中医针灸在引产或降低剖宫产率方面并不有效。
To evaluate the efficacy of acupuncture for labor stimulation. Nulliparous women at 38 weeks or greater were randomized to Traditional Chinese Medicine (TCM) acupuncture, sham acupuncture, or usual care only groups. Acupuncture points LI4, SP6, BL32 and BL54 were needled bilaterally. The primary outcome was time from enrollment to delivery. Secondary outcomes included rates of spontaneous labor and cesarean delivery. Medical records were abstracted for maternal demographic, medical, and delivery outcome data. ANOVA, Student’s t-test, Chi-square, and Kaplan-Meier statistics were used to compare groups. 89 women were enrolled and randomized. Maternal age, gestational age, prior acupuncture experience, tobacco, alcohol and drug use, gravida, and history of gynecological surgery were similar among the groups. There were no statistically significant differences among groups for time from enrollment to delivery (p=0.20), rates of spontaneous labor (p=0.66), or rates of cesarean delivery (p=0.37). Rates of maternal and neonatal outcomes were not significantly different. TCM acupuncture was not effective in initiating spontaneous labor or reducing the rate of cesarean delivery compared to sham acupuncture or usual medical care.
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影响因子：
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