Différences
Ci-dessous, les différences entre deux révisions de la page.
| Les deux révisions précédentes Révision précédente Prochaine révision | Révision précédente | ||
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acupuncture:evaluation:pediatrie:14. encephalopathie hypoxique-ischemique du nouveau-ne [24 Aug 2016 12:50] Schvartzapel Martin [1. Wong 2013] |
acupuncture:evaluation:pediatrie:14. encephalopathie hypoxique-ischemique du nouveau-ne [24 Oct 2025 18:46] (Version actuelle) Nguyen Johan [1. Systematic reviews and Meta-Analysis] |
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| + | /*English:Hypoxic Ischemic Encephalopathy in Neonate*/ | ||
| + | |||
| + | ======= Hypoxic Ischemic Encephalopathy in Neonate ======= | ||
| + | |||
| ====== encéphalopathie hypoxique-ischémique du nouveau-né : évaluation de l'acupuncture ====== | ====== encéphalopathie hypoxique-ischémique du nouveau-né : évaluation de l'acupuncture ====== | ||
| - | ====== Zhang 2010 ====== | ||
| - | Yuqing Zhang, M.D.,1 Jianping Liu, M.D., Ph.D.,2 Jie Wang, M.D.,1 and Qingyong He, M.D.1 | + | ===== Systematic reviews and Meta-Analysis ===== |
| + | ==== Sibrecht 2024 ==== | ||
| - | ===== Wong 2013 ===== | + | Sibrecht G, Wong MY, Shrestha R, Bruschettini M. Acupuncture for hypoxic ischemic encephalopathy in neonates. Cochrane Database Syst Rev. 2024 Dec 18;12:CD007968. https://doi.org/10.1002/14651858.CD007968.pub3 |
| + | . | ||
| + | ^Background|Peripartum asphyxia affects three to five per 1000 live births, with moderate or severe hypoxic ischemic encephalopathy (HIE) occurring in 0.5 to 1 per 1000 live births, and is associated with high mortality and morbidity. Therapeutic hypothermia is an effective treatment, but alternative therapies such as acupuncture are also used.| | ||
| + | ^Objectives|To determine the benefits and harms of acupuncture (e.g. needle acupuncture with or without electrical stimulation; laser acupuncture; non-penetrating types of manual or embedded acupressure) on mortality and morbidity in neonates with HIE, compared with 1) no treatment, 2) placebo or sham treatment, 3) any pharmacologic treatment, or 4) different types of acupuncture.| | ||
| + | ^Methods|CENTRAL, PubMed, Embase, ClinicalTrials.gov, and WHO ICTRP were searched in March 2023, along with grey literature from CORDIS EU, NICE, and NHSGGC Paediatrics for Health Professionals. Reference lists of relevant articles were also screened. Randomized controlled trials (RCTs), quasi-RCTs, and cluster-randomized trials were eligible. Participants were term (≥37 weeks) or late preterm (34–36 + 6 weeks) infants ≤10 days old with peripartum asphyxia. Interventions included needle, electro-, laser, or non-penetrating acupuncture, compared with no treatment, sham, pharmacologic therapy, or other acupuncture types. Standard Cochrane methods were applied. Primary outcomes: all-cause mortality, major neurodevelopmental disability (18–24 months and 3–5 years), adverse events, and length of hospital stay.| | ||
| + | ^Results|**Four studies (n = 464 infants)** compared acupuncture with no treatment. Sample sizes ranged from 60 to 200 participants. Three trials were conducted in China and one in Russia. None of the four studies reported on any of the prespecified primary outcomes. No ongoing studies were identified.| | ||
| + | ^Conclusions|There is limited availability of studies addressing this specific population. The included studies did not assess mortality, long-term neurodevelopmental outcomes, or adverse effects of acupuncture. No conclusions can be drawn about the benefits and harms of acupuncture for HIE in neonates. Given the current limitations, clinicians should approach acupuncture use in neonates with HIE cautiously, as there is no evidence supporting its routine application. The available trials assessed surrogate outcomes of limited clinical impact and failed to report key outcomes such as mortality and long-term neurodevelopmental results. Future well-designed randomized trials are essential to evaluate the efficacy and safety of acupuncture for neonatal HIE.| | ||
| + | ==== Wong 2013 ==== | ||
