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acupuncture:evaluation:gyneco-obstetrique:10. nausees et vomissements gravidiques [13 May 2023 05:22] Nguyen Johan |
acupuncture:evaluation:gyneco-obstetrique:10. nausees et vomissements gravidiques [17 Oct 2025 13:45] (Version actuelle) Nguyen Johan [2. Clinical Practice Guidelines] |
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| ===== Systematic Reviews and Meta-Analysis===== | ===== Systematic Reviews and Meta-Analysis===== | ||
| - | | ☆☆☆ | Evidence for effectiveness and a specific effect of acupuncture | | + | |
| - | | ☆☆ | Evidence for effectiveness of acupuncture | | + | |
| - | | ☆ |Limited evidence for effectiveness of acupuncture | | + | |
| - | | Ø |No evidence or insufficient evidence | | + | |
| ==== Generic Acupuncture ==== | ==== Generic Acupuncture ==== | ||
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| + | |||
| + | === Hu 2024 === | ||
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| + | Hu Y, Yang Q, Hu X. The efficacy and safety of acupuncture and moxibustion for the management of nausea and vomiting in pregnant women: A systematic review and meta-analysis. Heliyon. 2024 Jan 11;10(2):e24439. https://doi.org/10.1016/j.heliyon.2024.e24439 | ||
| + | ^Backgound| Nausea and vomiting, which cause considerable multifaceted effects, are commonly experience in early pregnancy. Various therapeutic strategies are employed, including both conventional agents and complementary medicine. However, the effectiveness of complementary medicine remains controversial. The objective of this meta-analysis is to evaluate efficacy and safety of acupuncture and moxibustion in pregnant women.| | ||
| + | ^Methods| We conducted a comprehensive search using electronic databases such as PubMed, Embase, ISI Web, Medline, Cochrane, clinicaltrial.gov, and several Chinese databases. A total of ** 21 randomized controlled trials** were included in this study for quantitative analysis. Forest plots were utilized to evaluate the efficacy and safety of acupuncture and moxibustion. Egger's test was employed to assess publication bias.| | ||
| + | ^Results| The pooled analysis revealed that the acupuncture/moxibustion group was more effective than control group in alleviating nausea and vomiting in early pregnant women (RR: 0.28; 95%CI: 0.21, 0.37). Similar results were observed when comparing the acupuncture group to traditional herbs (RR: 0.08; 95 % CI: 0.01, 0.60), conventional therapy (RR: 0.15; 95 % CI: 0.04, 0.57), and the blank control group (RR: 0.33; 95 % CI: 0.22, 0.51). Moxibustion also exhibited the ability to alleviate nausea and vomiting compared with the blank control group (RR: 0.21; 95 % CI: 0.08, 0.52). As for safety, there were no significant differences in severe adverse events between the acupuncture group and the control group (RR: 0.77; 95%CI: 0.52, 1.14), the blank control group (RR: 0.61; 95%CI: 0.34, 1.10), the sham acupuncture group (RR: 1.05; 95%CI: 0.63, 1.73), or the conventional therapy group (RR: 0.32; 95%CI: 0.06, 1.55).| | ||
| + | ^Conclusion| Acupuncture and moxibustion might be effective for the management of nausea and vomiting in early pregnant women. Moreover, acupuncture might be a relatively safe treatment for pregnancy.| | ||
| + | |||
| + | === Jin 2024 === | ||
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| + | |||
| + | Jin B, Han Y, Jiang Y, Zhang J, Shen W, Zhang Y. Acupuncture for nausea and vomiting during pregnancy: A systematic review and meta-analysis. Complement Ther Med. 2024 Oct;85:103079. https://doi.org/10.1016/j.ctim.2024.103079 | ||
| + | ^Background and objectives|Pregnant women commonly experience challenging nausea and vomiting, which significantly affect their general well-being and daily life. Although medication is often used for relief, it may not alleviate symptoms completely, emphasizing the need for complementary therapies. Acupuncture is one of the complementary treatments for nausea and vomiting of pregnancy (NVP). Studying the outcomes of acupuncture for NVP can shed light on this issue and inform treatment guidelines. Therefore, we systematically evaluated the effectiveness and safety of acupuncture in managing NVP, considering the traditional meridian and acupoint theories.| | ||
| + | ^Methods| PubMed, Embase, Web of Science, Cochrane Central Register of Controlled Trials, China National Knowledge Infrastructure, Wanfang Database, Chinese Science and Technology Periodical Database, ClinicalTrials.gov, and the Chinese Clinical Trial Registry were searched on May 1, 2024. Randomized controlled trials (RCTs) that compared acupuncture for NVP with sham acupuncture, placebo, and Western medicine (WM) or acupuncture plus WM with WM alone were included. The risk of bias was assessed using the Cochrane risk-of-bias tool. A meta-analysis was conducted using RevMan 5.4.1, and the quality of evidence for each outcome was evaluated using the Grading of Recommendations, Assessment, Development, and Evaluation approach.| | ||
| + | ^Results| **Twenty-four RCTs** (with 26 publications) involving **2390 women** were included. Acupuncture plus WM significantly led to a reduction in Pregnancy-Unique Quantification of Emesis (PUQE) scores and ineffective rates compared with WM alone (PUQE: mean difference [MD] -1.95, 95 % confidence interval [CI] -3.08 to -0.81, P = 0.0008, I2 = 90 %, six studies; ineffective rates: risk ratio [RR] 0.27, 95 % CI 0.19 to 0.39, P < 0.00001, I2 = 7 %, 16 studies). It also resulted in a greater improvement in ketonuria, shorter length of stay, and lower scores on the NVP Quality of Life and Chinese Medicine Syndrome Scale. Acupuncture was superior to WM in terms of reduction in ineffective rates (RR 0.50, 95 % CI 0.30 to 0.81, P = 0.006, I2 = 0 %, five studies). Acupuncture and WM had comparable results in improvement in PUQE scores (MD -0.80, 95 % CI -3.06 to 1.46, P = 0.49, I2 = 89 %, three studies) and ketonuria negative rates. The evidence is not clear regarding the impact of acupuncture on depression and anxiety compared with that of sham acupuncture. The incidence of severe adverse events was not significantly different between acupuncture and WM or sham acupuncture. Evidence certainty ranged from moderate to very low. Of the 24 RCTs, 19 used the Neiguan (PC6) acupoint, 16 used the Zusanli (ST36) acupoint, and 13 used the Zhongwan (CV12) acupoint.| | ||
| + | ^Conclusion| According to the current systematic review and meta-analysis, acupuncture combined with WM may be a more effective treatment for NVP than WM alone. Furthermore, acupuncture may be as effective as WM. PC6, ST36, and CV12 are the most commonly used acupoints. Although more robust and larger studies are required, the current evidence supports the use of acupuncture in NVP treatment, as it has been demonstrated to be safe.| | ||
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| === Tan 2023 ☆ === | === Tan 2023 ☆ === | ||
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| ==== Special Acupuncture Techniques ==== | ==== Special Acupuncture Techniques ==== | ||
| + | |||
| + | === Comparison of Acupuncture techniques === | ||
| + | |||
| + | == Liu 2025 == | ||
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| + | Liu H, Liao C, Deng J, Yang Y, Yang Y, Guo X, Liu C, Tang C. Efficacy of acupoint-related therapies for nausea and vomiting in pregnancy: a Bayesian network meta-analysis. Front Med (Lausanne). 2025 Sep 30;12:1589950. https://doi.org/10.3389/fmed.2025.1589950 | ||
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| + | ^Objective|Bayesian network meta-analysis was used to compare the efficacy of different acupoint-related treatments for Nausea and Vomiting of Pregnancy (NVP).| | ||
| + | ^Methods|PubMed, Embase, Cochrane Library, CNKI, Wan Fang, and VIP databases were systematically searched from the time of library construction to February 20, 2025, to include randomized controlled trials (RCTs) comparing acupoint-related treatments for the treatment of nausea and vomiting in pregnancy. Literature screening, data extraction and risk of bias assessment were performed independently by two investigators, Bayesian network Meta-analysis was performed by R4.4.1 software.| | ||
| + | ^Result|A total of **38 studies containing 1,164 patients** were included, this Bayesian network meta-analysis assessed the efficacy of various treatments for NVP across multiple outcomes. Results indicated that Acupoint Application (AA), Acupressure, Auriculotherapy Acupoint Application (ATAA), Ginger Moxibustion Acupoint Application (GMAA), and Moxibustion Acupoint Application (Mox_AA) were significantly more effective than Press Needle (PN) in improving PUQE scores. Thunder Fire Moxibustion (TFM) ranked highest in efficacy (89.1%), followed by GMAA (74.2%) and Acupressure (70.3%). Regarding overall efficacy, AA was less effective than AA_WA (OR = 0.22) and Acupuncture (OR = 0.44), but more effective than usual care (UT) (OR = 3.76), with AA_WA ranking highest (84.7%). In terms of NVP quality of life, TCM_acupuncture showed the greatest benefit (MD = 30.43), significantly outperforming AA (MD = -42.54), Mox_AA, and UT. Overall, TCM_acupuncture emerged as the most effective treatment for both symptom relief and quality of life improvement, followed by Mox_AA and ATAA, while UT was the least effective across all measures.| | ||
| + | ^Conclusion|Overall, the analyses showed that TFM may be the most effective in treating NVP, followed by GMAA and ear pressure therapy. Compared to PN, AA, auricular pressure therapy, ATAA and GMAA were more effective. AA was more effective than UT, but not as effective as AA_WA and acupuncture. In terms of quality-of-life improvement, TCM_acupuncture may be the most effective, followed by Mox_AA and ATAA, and UT was the least effective. Overall, acupuncture-based treatments, especially Thunder Fire Moxibustion and TCM acupuncture, performed better in the treatment of NVP.| | ||
| + | === Acupressure === | ||
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| + | |||
| + | == Gong 2024 == | ||
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| + | Gong J, Gu D, Wang H, Zhang F, Shen W, Yan H, Xie J. Effect of acupressure in nausea and vomiting treatment during pregnancy: A meta-analysis. Explore (NY). 2024 Jan-Feb;20(1):17-26. https://doi.org/10.1016/j.explore.2023.06.015 | ||
| + | ^Background and objective| Many women experience nausea and vomiting in early pregnancy. Regardless of the disease severity, it affects the work and life of pregnant women. However, drug treatment may potentially impact the foetus; thus, alternative safe and effective measures are essential. We aimed to evaluate the effect of acupressure, a non-drug treatment for nausea and vomiting, during pregnancy.| | ||
| + | ^Methods| PubMed, EMBASE, Cochrane, Web of Science, CNKI, CBM, VIP, and Wanfang databases were searched using 'pregnancy', 'nausea', 'vomiting', and 'acupressure' as keywords. The search period was from database inception to 30 November 2022. Two researchers independently screened articles, extracted data, and used RevMan 5.4 software for statistical analysis.| | ||
| + | ^Results| We included **33 trials and 3 390 patients** in this meta-analysis. Acupressure was effective for women with nausea and vomiting during pregnancy (odds ratio (OR)= 4.81, 95% confidence interval (CI) [3.47, 6.68]; p<0.0001); it significantly reduced the nausea score of the Rhodes index (mean square deviation (MD): -3.21, 95% CI [-4.85, -1.57], Z = 3.83, p = 0.0001), modified Pregnancy Unique Quantification of Emesis and Nausea score (MD: -2.18, 95% CI [-3.21, -1.15], Z = 4.15, p<0.0001), and hospital stay (OR=-3.27, 95% CI [-6.18, -0.36]; p = 0.03) and improved quality of life (MD: -14.06,95% CI [- 17.31, -10.18], Z = 8.48, p<0.00001). However, no significant difference was observed in nursing satisfaction and anxiety scores (OR=4.13, 95% CI [0.89, 19.15]; p = 0.07) (MD: -13.26,95% CI [-32.04,5.53], Z = 1.38, p = 0.17).| | ||
| + | ^Conclusions| This meta-analysis provides evidence of a non-drug intervention for women with nausea and vomiting during pregnancy; acupressure effectively reduces nausea and vomiting during pregnancy.| | ||
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| ^Conclusion|Compared to single intravenous infusion, acupoint injection and acupoint injection plus intravenous infusion can produce a better clinical efficacy with less adverse reactions. | | ^Conclusion|Compared to single intravenous infusion, acupoint injection and acupoint injection plus intravenous infusion can produce a better clinical efficacy with less adverse reactions. | | ||
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| + | ===== Overviews of systematic reviews ===== | ||
| + | |||
| + | ==== Choi 2025 ==== | ||
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| + | Choi SJ, Choi S, Kim DI. Acupuncture and Herbal Medicine for Nausea and Vomiting in Pregnancy: An Overview and Quality Assessment of Systematic Reviews. Int J Womens Health. 2025 May 11;17:1343-1361. https://doi.org/10.2147/IJWH.S512247 | ||
| + | |||
| + | ^Backgound|Up to 85% of pregnant women experience nausea and vomiting in pregnancy (NVP), which can impact both the pregnant woman and developing fetus. Traditional East Asian Medicine (TEAM) including acupuncture and herbal medicine has been used to treat NVP; however, its effectiveness remains under debate. This study aimed to systematically review the existing evidence from systematic reviews on the effectiveness of TEAM for NVP and to critically evaluate the quality of these reviews.| | ||
| + | ^Methods|Nine databases were searched from their inception until January 2024. Search terms included, "Hyperemesis gravidarum", "Nausea", "Vomiting", "acupuncture" and "herbal medicine". Systematic reviews (SRs) that evaluated the effect of TEAM treatment for NVP were included. We evaluated methodological quality, reporting quality, and risk of bias using the AMSTAR-2, ROBIS tool, and PRISMA guidelines.| | ||
| + | ^Results|In total, 20,121 publications were retrieved from the databases. **Twenty-five SRs met the inclusion criteria**, indicating that acupuncture and related techniques, and herbal medicines are effective in alleviating NVP. Various methods including traditional acupuncture, acupressure, acupoint injection, electroacupuncture, herbal acupoint patching, and herbal decoctions were used. Herbs like ginger and additional aromatherapies such as lemon and cardamom have also shown beneficial effects. However, there are controversies regarding the consistency of results and the quality of methodologies. Despite low risk of bias across reviews, all were deemed low or critically low in methodological quality, with none fully adhering to PRISMA guidelines.| | ||
| + | ^Conclusion|This comprehensive review underscores the potential of TEAM in managing NVP but highlights significant gaps in research quality and reporting. Future studies of higher methodological quality are essential to validate these findings and guide clinical practice.| | ||
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| |Certains traitements de médecine douce tels que les suppléments de gingembre, l’acupuncture et l’acupression peuvent avoir des effets favorables. (I-A)| | |Certains traitements de médecine douce tels que les suppléments de gingembre, l’acupuncture et l’acupression peuvent avoir des effets favorables. (I-A)| | ||
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| + | ===== Randomized controlled trials ===== | ||
| + | ==== Sources ==== | ||
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| + | Systematic reviews and guidelines for a listing of randomized control trials included: | ||
| + | - **Acudoc2**: RCT included in the GERA Database and not cited in other sources. | ||
| + | - **Hu 2024**:Hu Y, Yang Q, Hu X. The efficacy and safety of acupuncture and moxibustion for the management of nausea and vomiting in pregnant women: A systematic review and meta-analysis. Heliyon. 2024 Jan 11;10(2):e24439. https://doi.org/10.1016/j.heliyon.2024.e24439 (n=21) | ||
| + | - **Jin 2024**:Jin B, Han Y, Jiang Y, Zhang J, Shen W, Zhang Y. Acupuncture for nausea and vomiting during pregnancy: A systematic review and meta-analysis. Complement Ther Med. 2024 Oct;85:103079. https://doi.org/10.1016/j.ctim.2024.103079 (n=24) | ||
| + | - **Tan 2023**: Tan MY, Shu SH, Liu RL, Zhao Q. The efficacy and safety of complementary and alternative medicine in the treatment of nausea and vomiting during pregnancy: A systematic review and meta-analysis. Front Public Health. 2023 Mar 9;11:1108756. https://doi.org/10.3389/fpubh.2023.1108756 (n=33) | ||
| + | - **Gong 2021**: Gong J, Gu D, Wang H, Zhang F, Shen W, Yan H, Xie J. Effect of acupressure in nausea and vomiting treatment during pregnancy: A meta-analysis. Explore (NY). 2024 Jan-Feb;20(1):17-26. https://doi.org/10.1016/j.explore.2023.06.015 | ||
| + | - **Lu 2021**: Lu H, Zheng C, Zhong Y, Cheng L, Zhou Y. Effectiveness of Acupuncture in the Treatment of Hyperemesis Gravidarum: A Systematic Review and Meta-Analysis. Evid Based Complement Alternat Med. 2021. [220826]. https://doi.org/10.1155/2021/2731446 | ||
| + | - **Matthews 2015**: Matthews A, Haas DM, O'Mathúna DP, Dowswell T. Interventions for nausea and vomiting in early pregnancy. Cochrane Database Syst Rev. 2015 Sep 8;2015(9):CD007575. https://doi.org/10.1002/14651858.cd007575.pub4 | ||
| + | ==== List ==== | ||
| + | |||
| + | ^ ^ RCT | | control ^ Sources ^ | ||
| + | ^ 2024 | Wang Q, Zhu J. [Clinical study on the treatment of hyperemesis gravidarum by acupuncture based on the theory of regulating the spirit]. Inner Mongolia J Tradit Chin Med. 2024;43(2):102–104. https://doi.org/10.16040/j.cnki.cn15-1101.2024.02.066. | | | Jin 2024, | | ||
| + | ^ 2023 | Lai YQ, Guo QY, Xue D, et al. [Clinical study of acupuncture in the treatment of hyperemesis gravidarum]. Yunnan J Tradit Chin Med Mat Med. 2023;44(2):70–72. https://doi.org/10.16254/j.cnki.53-1120/r.2023.02.023. | | | Jin 2024, | | ||
| + | | | Wu XK, Gao JS, Ma HL, Wang Y, Zhang B, Liu ZL, Li J, Cong J, Qin HC, Yang XM, Wu Q, Chen XY, Lu ZL, Feng YH, Qi X, Wang YX, Yu L, Cui YM, An CM, Zhou LL, Hu YH, Li L, Cao YJ, Yan Y, Liu L, Liu YX, Liu ZS, Painter RC, Ng EHY, Liu JP, Mol BWJ, Wang CC. Acupuncture and Doxylamine-Pyridoxine for Nausea and Vomiting in Pregnancy : A Randomized, Controlled, 2 × 2 Factorial Trial. Ann Intern Med. 2023 Jul;176(7):922-933. https://doi.org/10.7326/m22-2974 | électroacupuncture | sham \\ doxylamine–pyridoxine | Hu 2024, Jin 2024, | | ||
| + | ^ 2022 | Deng L. [Clinical effect of screw acupuncture therapy for spleen-stomach weakened pregnancy obstruction]. China Mod Med. 2022;29(4):134–137. | | | Jin 2024, | | ||
| + | | | Liu L, Hao XY, Cheng YL, et al. [The clinical observation of 212 patients with pregnancy nausea and vomiting treated by acupuncture and medicine]. World J Integr Tradit West Med. 2022;17(2):331–335. https://doi.org/10.13935/j.cnki.sjzx.220225. | | sham | Jin 2024, | | ||
| + | | | Mohd Nafiah NA, Chieng WK, Zainuddin AA, Chew KT, Kalok A, Abu MA, Ng BK, Mohamed Ismail NA, Nur Azurah AG. Effect of Acupressure at P6 on Nausea and Vomiting in Women with Hyperemesis Gravidarum: A Randomized Controlled Trial. Int J Environ Res Public Health. 2022 Sep 1;19(17):10886. https://doi.org/10.3390/ijerph191710886 | acupression 6MC | metoclopramide | Tang 2023 | | ||
| + | | | Zhang CH. [Application of wrist and ankle acupuncture in hyperemesis gravidarum]. Elecrron J Pr Gynecol Endocrinol. 2022;9(29):35–37. https://doi.org/10.3969/j.issn.2095-8803.2022.29.011. | | | Jin 2024, | | ||
| + | ^ 2021 | Chen Y, Hu S, Ning Y, Liao J, Yu D. [The effect of huolong moxibustion for treatment of hyperemesis gravidarum with spleen and stomach weakness]. Chin Acupunct Moxibustion. 2021;41(4):449–450. | | | Hu 2024, | | ||
| + | | | Lyu J, Wang R, Wang Q. [Efficacy of needling eight confluence points combined with press-needle embedding in treating pernicious vomiting due to deficiency of spleen and stomach and its influence to the scores of SAS and SDS]. Journal of Clinical Acupuncture and Moxibustion. 2021;37(2):32–35. | | | Hu 2024, | | ||
| + | | | Zhao YT. [Observation of the effect of press-acupuncture therapy on the patients with pregnancy obstruction due to spleen and stomach weakness]. Heilongjiang Univ Chin Med. 2021. | | | Jin 2024, | | ||
| + | ^ 2020 | Ma WJ, Cui SY, Ning Y, et al. [Observation on the therapeutic effect of lingnan flying needling combined with symptomatic supportive therapy in the treatment of hyperemesis gravidarum]. Guangming J Chin Med. 2020;35(2):228–230. https://doi.org/10.3969/j.issn.1003-8914.2020.02.032. | | | Jin 2024, Lu 2021 | | ||
| + | | | Negarandeh R, Eghbali M, Janani L, Dastaran F, Saatchi K. Auriculotherapy as a means of managing nausea and vomiting in pregnancy: a double-blind randomized controlled clinical trial. Complement Ther Clin Pract. 2020;40:101177. | acupuncture auriculaire | sham | | | ||
| + | | | Tara F, Bahrami-Taghanaki H, Amini Ghalandarabad M, Zand-Kargar Z, Azizi H, Esmaily H, Azizi H. The Effect of Acupressure on the Severity of Nausea, Vomiting, and Retching in Pregnant Women: A Randomized Controlled Trial. Complement Med Res. 2020;27(4):252-259. https://doi.org/10.1159/000505637 | acupression 6MC | sham \\ vit B6 + metaclopramide | Tang 2023 | | ||
| + | | | Yan GH. [The clinical observation on the therapeutic effect of wrist-ankle acupuncture on hyperemesis gravidarum]. Fujian University of Traditional Chinese Medicine. 2020. | | | Hu 2024, Jin 2024, | | ||
| + | | | Zhu YR, Fang SF. [Effect of percutaneous electrical stimulation at Neiguan acupoint on hyperemesis gravidarum]. China Modern Doctor. 2020;58:59–61. | électroacupuncture 6MC | injection placebo | Tang 2023 | | ||
| + | ^ 2019 | Yang R. Analysis of the efficacy and safety of acupuncture in the auxiliary treatment of hyperemesis gravidarum. Health Horizon. 2019;7:92. | | | Lu 2021 | | ||
| + | ^ 2018 | Huang Shi-wei. [Therapeutic Observation of the Treatment of Hyperemesis Gravidarum Majorly with Intradermal Needle plus Acupressure]. Shanghai Journal of Acupuncture and Moxibustion. 2018;37(1):51-55. [100905]. | Acupuncture intradermique | | | | ||
| + | | | Qiu Y 25 | Acupression 6MC + 5TR | | Gong 2021 | | ||
| + | | | Yu Xiao-Lei, Liu Jing, Mao Qun-Yan. [Therapeutic Observation of Acupoint injection at Different Groups of Acupoints for Hyperemesis Gravidarum]. Shanghai Journal of Acupuncture and Moxibustion. 2018;37(8):887. [189731]. | Injection au point d'acupuncture | | Acudoc2 | | ||
| + | | | Zhang Wan-Yu, Ding Ying, Jin Yong, Cal Shao-Ren. [Clinical Observation of Acupuncture at the Eight Confluent Points plus Acupoint Sticking for Hyperemesis Gravidarum]. Shanghai Journal of Acupuncture and Moxibustion. 2018;37(8):891. [189499]. | | | Lu 2021 | | ||
| + | ^ 2017 | Adlan AS, Chooi KY, Mat Adenan NA. Acupressure as adjuvant treatment for the inpatient management of nausea and vomiting in early pregnancy: a double-blind randomized controlled trial. J Obstet Gynaecol Res. 2017;43:662–8 | acupression 6MC | sham | Tang 2023 | | ||
| + | | | Shang G, Liu J, Qi B, Liu J, Li H. [Effect observation of modified sini san combined with acupuncture for pregnant vomiting patients with the pattern of liver-stomach disharmony]. Information on Traditional Chinese Medicine. 2017;34(4):113–115. | | | Hu 2024, | | ||
| + | | | Zhong Q. Clinical observation of acupuncture and moxibustion in the treatment of hyperemesis gravidarum. Inner Mongolia Journal of Traditional Chinese Medicine. 2017;36(14):120–1. | | | Lu 2021 | | ||
| + | ^ 2015 | Chong Zeng | acupression 36E + 6MC | | Gong 2021 | | ||
| + | | | Jin Cao | acupression 12VC+6MC+4Rte | | Gong 2021 | | ||
| + | | | Shao G | acupression auriculaire | | Gong 2021 | | ||
| + | | | Xu Y, Huang WZ, Li QW, et al. Clinical observation of acupuncture combined with moxibustion in the treatment of hyperemesis gravidarum with spleen and stomach weakness syndrome type. Journal of Frontiers of Medicine. 2015;5(10):341–2. | | | Lu 2021 | | ||
| + | | | Xueying Wu | acupression 6MC +36E | | Gong 2021 | | ||
| + | | | Yazhen Zeng | acupression 20V +21V | | Gong 2021 | | ||
| + | | | Zhaoqian Zhu | acupression 36E + 6MC | | Gong 2021 | | ||
| + | ^ 2014 | Jin LH, Hu DX. Clinical observation on filiform needling combined with symptomatic and supportive therapy for 20 cases of intractable hyperemesis gravidarum. J Tradit Chin Med. 2014;55(11):939–941. https://doi.org/10.13288/j.11-2166/r.2014.11.011. | | | Hu 2024, Jin 2024, Lu 2021 | | ||
| + | | | Saberi F, Sadat Z, Abedzadeh-Kalahroudi M, Taebi M. Effect of ginger on relieving nausea and vomiting in pregnancy: a randomized, placebo-controlled trial. Nurs Midwifery Stud. 2014 Apr;3(1):e11841. doi: 10.17795/nmsjournal11841. Epub 2014 Apr 17. https://doi.org/10.17795/nmsjournal11841 | acupression 6MC | gingembre | Matthews 2015 | | ||
| + | ^ 2013 | Agham | acupression 6MC | sham | Gong 2021 | | ||
| + | | | Jin Ruifen | acupression 36E + 6MC | | Gong 2021 | | ||
| + | | | Ma JZ, Meng LP. [Observations on the therapeutic effect of applying the method of matching acupoints to treat 30 cases of hyperemesis gravidarum]. J Sichuan Tradit Chin Med. 2013;31(11):134–135. | | | Hu 2024, Jin 2024, Lu 2021 | | ||
| + | | | Sabeiri | | | Gong 2021 | | ||
| + | | | Xie H. [Therapeutic observation on acupuncture for hyperemesis gravidarum]. Shanghai Journal of Acupuncture and Moxibustion. 2013;32(9):734–735. | | | Hu 2024, Tang 2023 | | ||
| + | | | Ye Chunmei | Acupression shenmen auriculaire | | Gong 2021 | | ||
| + | | | Zhang X. [Therapeutic effect of acupuncture combined with psychological counseling in treating 31 cases of hyperemesis gravidarum]. Hunan J Tradit Chin Med. 2013;29(6):74–75. https://doi.org/10.16808/j.cnki.issn1003-7705.2013.06.040. | | | Jin 2024, Lu 2021 | | ||
| + | ^ 2012 | Lu X. [The effect of citicoline combined with moxibustion in the treatment of hyperemesis gravidarum]. Zhejiang JITCWM. 2012;22(10):806–807. | | | Hu 2024, | | ||
| + | | | Naeimi Rad M, Lamyian M, Heshmat R, Jaafarabadi MA, Yazdani S. A randomized clinical trial of the efficacy of KID21 point (Youmen) acupressure on nausea and vomiting of pregnancy. Iran Red Crescent Med J. 2012;14:697–701. | acupression 21Rn | sham | Tang 2023, Gong 2021 | | ||
| + | | | Yan L, Liu RR, Ji FS, et al. [Observations on the efficacy of acupuncture therapy in the treatment of hyperemesis gravidarum]. Mod J Integr Tradit Chin West Med. 2012;21(29):3246–3304. | | | Jin 2024, Lu 2021 | | ||
| + | | | Zhou Y. [Gastric Tocolysis Soup Combined with Acupuncture Therapy Hyperemesis Gravidarum Incoordination between the Liver and Stomach Syndrome Clinical Observation] [Master’s Degree]. Hunan University of Chinese Medicine; 2012. | | | Hu 2024, | | ||
| + | ^ 2010 | Khavandizadeh AS, Mahfouzi B. Evaluation of the effects of acupressure by sea band on nausea and vomiting in pregnancy. Iranian Journal of Obstetrics, Gynecology and Infertility. 2010;13(2):39-44. | acupression 6MC | sham | Matthews 2015 | | ||
| + | | | Liang SD, Huang Y. [Observation on the efficacy of plum blossom needle in treating 24 cases of severe vomiting in pregnancy by percussing the frontal and temporal regions through the meridians]. Chin Fore Med Res. 2010;8(8):90–91. | | | Jin 2024, | | ||
| + | | | Sinha A, Paech MJ, Thew ME, Rhodes M, Luscombe K, Nathan E, et al. A randomised, double-blinded, placebo-controlled study of acupressure wristbands for the prevention of nausea and vomiting during labour and delivery. Int J Obstet Anesth. 2011;20:110–7. | | | Tang 2023 | | ||
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