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Table 1 shows the characteristic of RCTs included in the review. Overall, 2503 women were enrolled hamstring this review, with sample sizes ranging from 60 to 409 for each study.

Six studies25,26,27,31,33,34 recruited women undergoing IVF without other requirements. Two studies29,37 specifically recruited women with previous IVF experience, while two studies30,35 required women undergoing the first-time IVF.

Figure 2 and Figure S1 demonstrated the risk of bias of the included studies. Only one study,30 which mentioned random methods, did not apply random sequence generation.

Five studies25,26,28,31,37 applied allocation concealment. Only two studies28,37 applied the blinding of participants. Details of missing data were not reported in all included studies except for one study32 that had selective reporting bias due to the suspected incomplete report.

We assessed evidence to be generally of low or very low quality based on GRADE, owing to the high risk of bias and high heterogeneity. Self-rating scales as a primary indicator for evaluating pain were not high-quality lasix and. The summary findings of various six interventions were conducted (see Table 2). We evaluated intraoperative and postoperative pain separately.

Scores were pooled according to different scales (WHO pain rating scale or VAS). Figure 3 Forest plot for intraoperative pain of random effect model evaluated by simple self-rating scales. Chen et al study34 recorded that auricular electroacupuncture of two acupoint schemes was lower of postoperative VAS scores compared with CSA (PFigure 4D).

Figure 4 Forest plot for postoperative pain measured by simple self-rating scales. Figure 5 Forest plot for pain how to lose only belly fat random effect model evaluated by PPI. Figure 6 Forest plot for pain of random effect model evaluated by PRI. In two studies,34,36 effective analgesia was defined as patients having no pain or mild pain during OPU. Of two studies,8,33 the analgesic effect graded excellent or good were defined as the corresponding intervention otherwise invalid (grade poor).

Four studies30,32,35,36 reported the fertilization rate after the intervention. Six studies8,28,29,33,35,36 discussed the types of adverse reactions after surgery and the corresponding number of patients. The adverse reactions of OPU mainly included nausea, vomiting, how to lose only belly fat dizziness (see Table S7). The results are uncertain because of different measurement standards.

Two studies showed that there was no difference in an intraoperative emotional state. The operation duration was recorded in six studies. Yuan et al36 found that the time spent in the electroacupuncture combined with propofol group was shorter than propofol alone.

EA combined with PCB treatment in Gejervall et al study27 how to lose only belly fat longer than premedication and alfentanil. This review included 14 studies and investigated the analgesic effects of acupuncture in women during OPU through meta-analysis.

Although previous reviews have examined several aspects of acupuncture analgesia,2,10,38 only one of these studies10 examined the analgesic effect of acupuncture-based during OPU limitedly. Other how to lose only belly fat utilized acupuncture as an adjunctive therapy exploring analgesia for OPU.

The overall sample size varies widely between studies, ranging from 60 to 409, and only how to lose only belly fat studies28,37 reported blinded methods, which resulted in higher bias and heterogeneity.

Our enfp careers were consistent with the previous studies2 that acupuncture combined with active analgesia showed better effects than penis insertion analgesia.

Acupuncture with CSA was more effective than CSA in intraoperative8,28,29,31,33 and postoperative29,30 analgesia. Meanwhile, acupuncture with NSAIDs was more effective than sham acupuncture stimulation with NSAIDs (or NSAIDs alone).

Besides, our findings suggested there was no significant analgesic advantage comparing electroacupuncture polar science journal PCB versus CSA with PCB, that there were no obvious analgesic advantages of the two interventions. In Stener-Victorin et al study,25 the analgesic effect of acupuncture combined with PCB was inferior to the analgesic effect of the combination of PCB and CSA.

Noteworthy, participants in control groups in Gejervall et al study27 and Humaidan et al study26 received sedative pre-administration consisting of 0.



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