摘要
不孕不育症近年来呈上升趋势，尽管现代医学解决了多种生殖障碍，但是总体活产率徘徊在20％～30％，仍有进一步提高的社会需求。针灸是中国传统医学的代表，在妇科不孕症治疗中积累了很多临床经验。本文从针刺／电针（EA）／经皮穴位电刺激（TEAS）相关的原理与技术演变入手，阐述其在生殖领域多种病症类型中的应用原则。从最佳刺激参数筛选，穴位辩证，疗程与治疗次数确定，疗效情况，基本原理等几方面详细论述EA／TEAS技术在诱导排卵、取卵镇痛、卵巢储备功能减退、改善子宫内膜容受性或胚胎种植及男性少弱精子症中的具体应用，以期为广大临床医生正确使用该技术提供帮助。
There is an obvious tendency of rising incidence rate of infertility in recent years. With the rapid development of modern medicine and assisted reproductive technology （ART）, part of reproductive disorders have been effectively resolved, but the live-birth rate after infertility treatment is still unsatisfactory stuck at 20% to 30%. Acupuncture is an important component of traditional Chinese medicine, known to be effective for certain clinical conditions in obstetrics and gynecology. This consensus illustrates the principle and technical evolution of acupuncture, and shows the effect of electroacupuncture （EA）/transcutaneous electrical acupoint stimulation （TEAS） in many aspects in reproductive medicine. It expounded the selection of optimal electrical parameters, correct acupoints, convenient time course and intervals of treatments, efficacy and certain mechanisms of EA/ TEAS intervention in specific clinical conditions, including pain during oocyte retrieval, ovulation disorders, diminished ovarian reserve, low endometrial receptivity or embryo implantation, oligospermia and asthenospermia. It is attempted to serve as a guidline for using EA/TEAS in relevant clinical practice for the treatment of infertility.
出处
《生殖与避孕》
CAS
CSCD
北大核心
2016年第7期527-535,共9页
Reproduction and Contraception
基金
国家人口和计划生育委员会公益性科研专项课题(项目编号201302013)
关键词
电针(EA)
经皮穴位电刺激(TEAS)
子宫内膜容受性
卵巢储备功能减退
少弱精子症
electroacupuncture （EA）
transcutaneous electrical acupoint stimulation （TEAS）
endometrial receptivity
poor ovarian reserve
oligospermia and asthenospermia
