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针刺治疗与脊柱相关的慢性非复杂性肌肉骨骼疼痛:一项系统评价方案

Acupuncture for chronic uncomplicated musculoskeletal pain associated with the spine: A systematic review protocol.

作者信息

Xu Tao, Zhou Siyuan, Zhang Yutong, Yu Yang, Li Xiang, Chen Jiao, Du Jiarong, Wang Ziwen, Zhao Ling

机构信息

College of Acupuncture and Moxibustion and Tuina, Chengdu University of Traditional Chinese Medicine, China.

出版信息

Medicine (Baltimore). 2019 Jan;98(2):e14055. doi: 10.1097/MD.0000000000014055.

Abstract

BACKGROUND

Chronic uncomplicated neck pain, back pain, and lower back pain, with incidences of 18%, 17.7% and 36%, respectively. Although these three conditions occur in different parts of the body, we can summarize them as chronic uncomplicated musculoskeletal pain associated with the spine (CMPS) in accordance with the pathogenesis. Acupuncture is often used to treat them. We aim to conduct a systematic review to evaluate the efficacy of acupuncture for patients experiencing CMPS.

METHODS

The following electronic databases will be searched from inception to Mar 2019: Cochrane Central Register of Controlled Trials, Web of Science, ScienceDirect, PubMed, MEDLINE, EMBASE, Springer, WHO International Clinical Trials Registry Platform, China National Knowledge Infrastructure, Chinese Biomedical Literature Database, VIP Chinese Science and Technology Periodical Database, and Wanfang Database. All randomized controlled trials published in English or Chinese related to acupuncture for CMPS will be included. The primary outcome will be the visual analog scale. Adverse events will be evaluated as secondary outcomes for safety evaluation. Study selection, data extraction, and assessment of study quality will be performed independently by two reviewers. RevMan V.5.3.5 software will be used for the assessment of risk of bias and data synthesis.

RESULTS

This study will provide a high-quality synthesis of current evidence of acupuncture for CMPS from visual analog scale.

CONCLUSION

The conclusion of our study will provide an evidence to judge whether acupuncture is an effective intervention for patients suffered from CMPS.

ETHICS AND DISSEMINATION

Formal ethical approval is not required, as the data are not individualized. The findings of this systematic review will be disseminated in a peer-reviewed publication and/or presented at relevant conferences.

PROSPERO REGISTRATION NUMBER

CRD42018114806.

摘要

背景

慢性非复杂性颈部疼痛、背部疼痛和下背部疼痛的发生率分别为18%、17.7%和36%。尽管这三种情况发生在身体的不同部位,但根据发病机制,我们可以将它们归纳为与脊柱相关的慢性非复杂性肌肉骨骼疼痛(CMPS)。针灸常被用于治疗这些疼痛。我们旨在进行一项系统评价,以评估针灸对CMPS患者的疗效。

方法

从建库至2019年3月,检索以下电子数据库:Cochrane对照试验中心注册库、科学网、ScienceDirect、PubMed、MEDLINE、EMBASE、Springer、世界卫生组织国际临床试验注册平台、中国知网、中国生物医学文献数据库、维普中文科技期刊数据库和万方数据库。纳入所有以英文或中文发表的与针灸治疗CMPS相关的随机对照试验。主要结局指标将为视觉模拟量表。不良事件将作为安全性评价的次要结局指标进行评估。由两名评价员独立进行研究选择、数据提取和研究质量评估。使用RevMan V.5.3.5软件进行偏倚风险评估和数据合成。

结果

本研究将从视觉模拟量表方面对目前针灸治疗CMPS的证据进行高质量的综合分析。

结论

我们研究的结论将为判断针灸是否为CMPS患者的有效干预措施提供证据。

伦理与传播

由于数据不涉及个体信息,无需正式伦理批准。本系统评价的结果将在同行评审的出版物上发表和/或在相关会议上展示。

PROSPERO注册号:CRD42018114806。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6e1/6336643/86695f6a45aa/medi-98-e14055-g002.jpg

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