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艾灸治疗原发性痛经:随机对照试验的系统评价方案

Moxibustion for primary dysmenorrhea: Protocol for a systematic review of randomized controlled trials.

作者信息

Wu Xiao, Gan Lu, Zhang Yong, Chen Bailu, Luo Jing, Yan Jue, Chen Guiquan

机构信息

Acupuncture Department, Hospital (T.C.M) Affiliated to Southwest Medical University, Luzhou, Sichuan, China.

出版信息

Medicine (Baltimore). 2020 Jan;99(1):e18547. doi: 10.1097/MD.0000000000018547.

Abstract

BACKGROUND

Primary dysmenorrhea (PD) is one of the most common gynecological complaint among menstruating females. Acupuncture has been employed to relieve the pain-based symptoms and to avoid the side effects of conventional medication, especially, moxibustion has confirmed as an effective, convenient, and safe treatment for various types of menstrual pain. The purpose of this study is to systematically assess the effect and safety of moxibustion for treating PD.

METHODS AND ANALYSIS

The following databases will be searched from their inception to December 2019: PubMed, Cochrane Central Register of Controlled Trials, MEDLINE, EMBASE, Wan-Fang Databases, China National Knowledge Infrastructure, Chinese Biomedical Literature Database, Citation Information by National Institute of Informatics, Chinese Scientific Journal Database. Two reviewers will search these databases, select data and evaluate the quality of studies separately. The methodological quality will be measured by the Cochrane risk of bias tool. The primary outcome is the pain degree evaluation including visual analog scale, numerical visual scale, verbal rating scale, Cox retrospective symptom scale, or any other scale used to evaluate the level of pain. And the response rate involved overall reduction in symptoms. The adverse effects, quality of life will be assessed as secondary outcomes. Risk ratio for dichotomous data and mean differences with a 95% confidence interval for continuous data will be adopted to express the effect and safety of moxibustion for PD.

TRIAL REGISTRATION NUMBER

PROSPERO CRD42019130141.

摘要

背景

原发性痛经(PD)是月经来潮女性中最常见的妇科问题之一。针灸已被用于缓解疼痛相关症状,并避免传统药物的副作用,尤其是艾灸已被确认为治疗各种类型痛经的有效、便捷且安全的方法。本研究的目的是系统评价艾灸治疗PD的效果和安全性。

方法与分析

将检索以下数据库自创建至2019年12月的数据:PubMed、Cochrane对照试验中心注册库、MEDLINE、EMBASE、万方数据库、中国知网、中国生物医学文献数据库、日本国立信息学研究所的文献信息、中国科学期刊数据库。两名研究者将分别检索这些数据库、选择数据并评估研究质量。方法学质量将采用Cochrane偏倚风险工具进行衡量。主要结局是疼痛程度评估,包括视觉模拟量表、数字视觉量表、语言评定量表、Cox回顾性症状量表或用于评估疼痛程度的任何其他量表。反应率涉及症状的总体减轻情况。不良反应、生活质量将作为次要结局进行评估。二分类数据采用风险比,连续数据采用95%置信区间的均值差来表示艾灸治疗PD的效果和安全性。

试验注册号

PROSPERO CRD42019130141。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff86/6946293/caca52e7205b/medi-99-e18547-g001.jpg

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