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针灸治疗骨质疏松症:一项系统评价方案

Acupuncture for osteoporosis: a systematic review protocol.

作者信息

Guo Taipin, Chen Xiao, Wu Xiangnong, Shan Exian, Jin Yaju, Tai Xiantao, Liu Zili, Zhu Bowen, Yuan Kai, Chen Zukun

机构信息

School of Acupuncture-Tuina and Rehabilitation, Yunnan University of Traditional Chinese Medicine, Kunming, Yunnan Province, China.

Xi'an Encephalopathy Hospital of Traditional Chinese Medicine, Xi'an, Shanxi Province, China.

出版信息

Syst Rev. 2016 Sep 21;5(1):161. doi: 10.1186/s13643-016-0330-5.

DOI:10.1186/s13643-016-0330-5
PMID:27653783
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5031268/
Abstract

BACKGROUND

Osteoporosis is a global high prevalence of chronic metabolic disease with serious disability-adjusted life years losing. Acupuncture is used to treat osteoporosis broadly in China and other countries although the evidence on effectiveness cannot give a certain answer. The aim of this systematic review protocol is to appraise the efficacy and safety of acupuncture for osteoporosis.

METHODS

A literature search of randomized controlled trials focusing on acupuncture for osteoporosis will be performed in the databases of Medline, Cochrane Library, Web of Science, EBASE, Springer, WHO International Clinical Trials Registry Platform (ICTRP), China National Knowledge Infrastructure (CNKI), Wan fang, Chinese Biomedical Literature Database (CBM), Chinese Scientific Journal Database (VIP), and other possible resources with a valid search strategy. Outcomes of pain, bone mineral density, fracture, mortality, improvement proportion, biochemical indicators, quality of life, adverse event, and other valid will be extracted and merged for quantitative analysis using Review Manager software (V.5.3.5) or descriptive analysis correspondingly.

DISCUSSION

This is the first systematic review to estimate the effect of acupuncture on osteoporosis, and the result may provide evidence to clinical doctor.

SYSTEMATIC REVIEW REGISTRATION

PROSPERO CRD42016037829.

摘要

背景

骨质疏松症是一种全球高发性慢性代谢疾病,导致伤残调整生命年严重损失。在中国和其他国家,针灸被广泛用于治疗骨质疏松症,尽管关于其有效性的证据尚无定论。本系统评价方案的目的是评估针灸治疗骨质疏松症的疗效和安全性。

方法

将采用有效的检索策略,在Medline、Cochrane图书馆、科学网、EBASE、Springer、世界卫生组织国际临床试验注册平台(ICTRP)、中国知网、万方、中国生物医学文献数据库(CBM)、中文科技期刊数据库(VIP)以及其他可能的资源数据库中,检索聚焦于针灸治疗骨质疏松症的随机对照试验。将提取疼痛、骨密度、骨折、死亡率、改善比例、生化指标、生活质量、不良事件等有效结局,并相应地使用Review Manager软件(V.5.3.5)进行合并以进行定量分析,或进行描述性分析。

讨论

这是首次评估针灸对骨质疏松症疗效的系统评价,其结果可能为临床医生提供证据。

系统评价注册

PROSPERO CRD42016037829。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c2f/5031268/8b83c4401b7a/13643_2016_330_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c2f/5031268/8b83c4401b7a/13643_2016_330_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c2f/5031268/8b83c4401b7a/13643_2016_330_Fig1_HTML.jpg

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本文引用的文献

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Electroacupuncture stimulation at CV4 prevents ovariectomy-induced osteoporosis in rats via Wnt-β-catenin signaling.针刺关元穴通过Wnt-β-连环蛋白信号通路预防大鼠去卵巢诱导的骨质疏松症。
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Electroacupuncture at the governor vessel and bladder meridian acupoints improves postmenopausal osteoporosis through osteoprotegerin/RANKL/RANK and Wnt/β-catenin signaling pathways.针刺督脉和膀胱经穴位通过骨保护素/核因子κB受体活化因子配体/核因子κB受体活化因子及Wnt/β-连环蛋白信号通路改善绝经后骨质疏松症。
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Acupuncture in osteoporosis: more evidence is needed.
针灸治疗骨质疏松症:尚需更多证据。
Acupunct Med. 2015 Dec;33(6):440-1. doi: 10.1136/acupmed-2015-010983. Epub 2015 Oct 27.
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Effects of electroacupuncture at GB points on markers of osteoporosis and bodyweight in ovariectomised rats.电针足少阳胆经穴位对去卵巢大鼠骨质疏松标志物及体重的影响。
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Disability-adjusted-life-years losses in postmenopausal women with osteoporosis: a burden of illness study.绝经后骨质疏松症女性的伤残调整生命年损失:一项疾病负担研究。
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Acupuncture for treatment of secondary osteoporosis in patients with spinal cord injury: a controlled study.针刺治疗脊髓损伤患者继发性骨质疏松:一项对照研究。
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The recent prevalence of osteoporosis and low bone mass in the United States based on bone mineral density at the femoral neck or lumbar spine.基于股骨颈或腰椎骨密度的美国近期骨质疏松症和低骨量患病率
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