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针刺治疗脊髓损伤所致神经源性膀胱:一项系统评价方案

Acupuncture for neurogenic bladder due to spinal cord injury: a systematic review protocol.

作者信息

Zhang Tao, Liu Huilin, Liu Zhishun, Wang Linpeng

机构信息

Department of Acupuncture and Moxibustion, Beijing Hospital of Traditional Chinese Medicine affiliated to Capital Medical University, Beijing, China.

Department of Acupuncture and Moxibustion, Guang'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing, China.

出版信息

BMJ Open. 2014 Sep 10;4(9):e006249. doi: 10.1136/bmjopen-2014-006249.

Abstract

INTRODUCTION

Neurogenic bladder is one of the most common complications following spinal cord injury (SCI). In China, acupuncture therapy is a common treatment for neurogenic bladder due to SCI, but its effects and safety remain uncertain. A protocol is described for a systematic review to investigate the beneficial effects and safety of acupuncture for neurogenic bladder due to SCI.

METHODS AND ANALYSIS

Eight databases will be searched from their inception: the Cochrane Central Register of Controlled Trials (CENTRAL), PubMed, Embase, the China National Knowledge Infrastructure (CNKI), the VIP database, the Wanfang database, the China Doctoral Dissertations Full-text Database (CDFD) and the China Master's Theses Full-text Database (CMFD). Any clinical randomised controlled trials (RCTs) and the first period of randomised cross-over studies related to acupuncture for neurogenic bladder due to SCI will be included. Outcomes will include change in urinary symptoms, urodynamic tests, clinical assessment and quality of life (QoL). The incidence of adverse events will be assessed as the safety outcome. Study selection, data extraction and quality assessment will be performed independently by two reviewers. Assessment of risk of bias, data synthesis and subgroup analysis will be carried out using Review Manager software.

ETHICS AND DISSEMINATION

Ethics approval is not required as this is a protocol for a systematic review. The findings of this systematic review will be disseminated via peer-reviewed publications and conference presentations.

TRIAL REGISTRATION NUMBER

PROSPERO (CRD42014010448).

摘要

引言

神经源性膀胱是脊髓损伤(SCI)后最常见的并发症之一。在中国,针灸疗法是治疗SCI所致神经源性膀胱的常用方法,但其疗效和安全性仍不确定。本文描述了一项系统评价方案,以研究针灸治疗SCI所致神经源性膀胱的疗效和安全性。

方法与分析

将检索8个数据库自建库以来的数据:Cochrane对照试验中心注册库(CENTRAL)、PubMed、Embase、中国知网(CNKI)、维普数据库、万方数据库、中国博士学位论文全文数据库(CDFD)和中国硕士学位论文全文数据库(CMFD)。纳入任何与针灸治疗SCI所致神经源性膀胱相关的临床随机对照试验(RCT)和第一阶段随机交叉研究。结局指标将包括泌尿系统症状的变化、尿动力学检查、临床评估和生活质量(QoL)。将不良事件的发生率作为安全性结局指标进行评估。由两名评价员独立进行研究选择、数据提取和质量评估。使用Review Manager软件进行偏倚风险评估、数据合并和亚组分析。

伦理与传播

由于这是一项系统评价方案,无需伦理批准。本系统评价的结果将通过同行评审出版物和会议报告进行传播。

试验注册号

PROSPERO(CRD42014010448)。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd72/4160837/5f3ea3a1a9d1/bmjopen2014006249f01.jpg

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