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Tytuł pozycji:

Systematic Review and Meta-Analysis of Acupuncture for Pain Management in Women Undergoing Transvaginal Oocyte Retrieval

Tytuł:
Systematic Review and Meta-Analysis of Acupuncture for Pain Management in Women Undergoing Transvaginal Oocyte Retrieval
Autorzy:
Liu LY
Tian ZL
Zhu FT
Yang H
Xiao F
Wang R
Chen L
Xiao Z
Yu S
Liang FR
Hu WH
Yang J
Temat:
acupuncture
analgesia
oocyte retrieval
meta-analysis
systematic review
Medicine (General)
R5-920
Źródło:
Journal of Pain Research, Vol Volume 14, Pp 2833-2849 (2021)
Wydawca:
Dove Medical Press, 2021.
Rok publikacji:
2021
Kolekcja:
LCC:Medicine (General)
Typ dokumentu:
article
Opis pliku:
electronic resource
Język:
English
ISSN:
1178-7090
Relacje:
https://www.dovepress.com/systematic-review-and-meta-analysis-of-acupuncture-for-pain-management-peer-reviewed-fulltext-article-JPR; https://doaj.org/toc/1178-7090
Dostęp URL:
https://doaj.org/article/2371a9a1c639460a8e61b3de91bef8d3  Link otwiera się w nowym oknie
Numer akcesji:
edsdoj.2371a9a1c639460a8e61b3de91bef8d3
Czasopismo naukowe
Li-Ying Liu,1,* Zi-Lei Tian,1,* Fu-Ting Zhu,1 Han Yang,1 Fang Xiao,1 Rong-Rong Wang,1 Ling Chen,1 Zhi-Yong Xiao,1 Si-Yi Yu,1 Fan-Rong Liang,1 Wen-Hui Hu,2 Jie Yang1,2 1Acupuncture and Tuina School, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan Province, People’s Republic of China; 2Clinical Research Center for Acupuncture and Moxibustion in Sichuan province, Chengdu Xinan Gynecological Hospital, Chengdu, Sichuan Province, People’s Republic of China*These authors contributed equally to this workCorrespondence: Jie Yang No. 37 Shi’er Qiao Road, Chengdu, Sichuan, 610023, People’s Republic of ChinaTel +86 138 82296714Email jenny_yang_jie@126.comWen-Hui Hu No. 66 Bisheng Road, Chengdu, Sichuan, 610023, People’s Republic of ChinaTel +86 130 56699956Email 642926505@qq.comObjective: To obtain evidence-based conclusions about the effect of acupuncture on pain relief in women undergoing oocyte retrieval, the results of randomized controlled trials (RCTs) that met the criteria were assessed on the Pain Assessment Scale and pregnancy indicators.Search Methods: References were retrieved in MEDLINE, EMBASE, CNKI database, CBM database, VIP database, and Wanfang database from inception to June 26, 2021. Unpublished ongoing trials were searched in the Clinical Trials Registries. This review included RCTs that investigated the acupuncture analgesic effects during oocyte retrieval in women undergoing in vitro fertilization.Results: Fourteen RCTs (2503 women in total) with six types of comparisons were finally included. The quality of concluding evidence was generally low or very low. Performance bias and outcome assessment bias was the main risk of bias of the included studies. Acupuncture combined with conscious sedation and analgesia (CSA) was associated with less intraoperative (SMD=− 1.03; 95% CI: − 1.71 to − 0.36) and postoperative (SMD = − 1.11; 95% CI: − 1.51 to − 0.71) pain compared to receive CSA alone in oocyte retrieval. Acupuncture with non-steroidal anti-inflammatory drugs (NSAIDs) was more effective than using NSAIDs alone for postoperative analgesia (MD = − 1.76; 95% CI: − 2.08 to − 1.44).Conclusion: Acupuncture complex analgesic therapy is more effective than utilizing CSA or NSAIDs alone. Furthermore, there is no significant consensus on whether there is an analgesic effect of applying acupuncture alone during oocyte retrievals, which needs further research. The overall results should be interpreted with caution due to the high risk of bias/low-GRADE scores among these studies.Protocol and Registration: PROSPERO registration number: CRD42020170095.Keywords: acupuncture, analgesia, oocyte retrieval, meta-analysis, systematic review

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