针灸治疗带状疱疹后神经痛:一项系统评价方案

Acupuncture for postherpetic neuralgia: a systematic review protocol.

作者信息

Li Wang, Peng Weina, Zhou Jing, Liu Zhishun

机构信息

Department of Acupuncture, Guang'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing, China Beijing University of Traditional Chinese Medicine, Beijing, China.

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

出版信息

BMJ Open. 2014 Nov 12;4(11):e005725. doi: 10.1136/bmjopen-2014-005725.

Abstract

INTRODUCTION

Postherpetic neuralgia (PHN) is one of the most common complications following herpes zoster. Clinical trials indicate that acupuncture could reduce pain and discomfort among patients with PHN. This protocol aims to describe how to accumulate the current evidence on the efficacy and safety of acupuncture for treating PHN.

METHODS AND ANALYSIS

This systematic review will electronically search multiple databases including the Cochrane Skin Group Trials Register, MEDLINE, EMBASE, the Cochrane Central Register of Controlled Trials (CENTRAL), the Chinese Biomedical Literature Database (CBM), the Chinese Medical Current Content (CMCC) and the China National Knowledge Infrastructure (CNKI), and will hand search a list of medical journals as a supplement. Any clinical randomised controlled trials related to acupuncture for treating PHN will be included. Outcomes will include pain intensity, global impression, quality of life, safety and costs. By screening the titles, abstracts and full texts, two reviewers will independently select studies, extract data, and assess study quality. Meta-analysis of randomised controlled trials will be conducted using Revman 5.1 software. The results will be presented as risk ratio for dichotomous data, and standardised or weighted mean difference for continuous data.

ETHICS AND DISSEMINATION

This systematic review does not need ethical approval because there are no data used in our study that are linked to individual patient data. Also, the findings will be disseminated through a peer-review publication or conference presentation.

TRIAL REGISTRATION NUMBER

PROSPERO registration number: CRD42014009555.

摘要

引言

带状疱疹后神经痛(PHN)是带状疱疹最常见的并发症之一。临床试验表明,针灸可以减轻PHN患者的疼痛和不适。本方案旨在描述如何积累目前关于针灸治疗PHN有效性和安全性的证据。

方法与分析

本系统评价将通过电子检索多个数据库,包括Cochrane皮肤组试验注册库、MEDLINE、EMBASE、Cochrane对照试验中心注册库(CENTRAL)、中国生物医学文献数据库(CBM)、中国医学现刊(CMCC)和中国知网(CNKI),并手工检索一份医学期刊列表作为补充。将纳入任何与针灸治疗PHN相关的临床随机对照试验。结局指标将包括疼痛强度评分、整体印象、生活质量、安全性和成本。通过筛选标题、摘要和全文,两名评价员将独立选择研究、提取数据并评估研究质量。将使用Revman 5.1软件对随机对照试验进行Meta分析。结果将以二分类数据的风险比和连续数据的标准化或加权均数差表示。

伦理与传播

本系统评价无需伦理批准,因为我们的研究中没有使用与个体患者数据相关的数据。此外,研究结果将通过同行评审出版物或会议报告进行传播。

试验注册号

PROSPERO注册号:CRD42014009555。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1eb6/4244400/40d786bd4025/bmjopen2014005725f01.jpg

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