在IVF-ET的卵巢反应较差的患者中针:系统性审查和网络分析
Junqian Liu1, Tianyong Mai1, Fengya Zhu2
1Preventive Treatment Department, Guanghan Municipal Hospital of Traditional Chinese Medicine, Deyang, China.
Medicine
|February 3, 2026
概括
通过皮肤进行电针点刺激 (TEAS) 和其他针方法有望改善IVF-ET接受的卵巢反应不良 (POR) 患者的妊娠结果. 在增加卵细胞产量和卵泡数量方面,TEAS似乎最有效.
科学领域:
- 生殖医学 生殖医学
- 综合医学是一个整体的医学.
- 临床研究 临床研究
背景情况:
- 卵巢反应不良 (POR) 在体外受精和胚胎移植 (IVF-ET) 中是一个挑战.
- 针作为一种辅助疗法正在探索,以提高POR患者的IVF-ET成功率.
- 不同针方式的比较疗效,包括截面电针点刺激 (TEAS),手动针 (MA) 和电针 (EA),需要澄清.
研究的目的:
- 为了比较TEAS,MA和EA作为辅助治疗的有效性,以改善POR患者的IVF-ET结果.
- 提供科学证据,以指导关于在POR管理中使用针的临床决策.
主要方法:
- 在8个数据库中进行了系统的文献搜索,截至2023年9月10日.
- 包括随机对照试验 (RCT),比较TEAS,MA或EA与传统的受控卵巢刺激.
- 使用网络元分析,使用Cochrane工具和累积排名曲线 (SUCRAs) 评估偏差风险,进行结果比较.
主要成果:
- 分析了15个涉及1195名女性的RCT.
- 在提取卵细胞数量的增加方面,TEAS在EA,MA和控制方面表现出优越性.
- 与MA,EA和对照组相比,TEAS在增强腹卵泡数方面也显示出优势,而MA与对照组相比提高了成熟卵细胞产量.
结论:
- 辅助针疗法,特别是TEAS,在IVF-ET接受POR患者的妊娠结果改善方面显示出积极的效果和良好的安全性.
- 泰斯 (TEAS) 成为一种潜在的,更有前途的针方法来增强卵巢反应.
- 需要进一步的研究来确定针方法之间临床怀孕率的明确差异.
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