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针刺治疗心绞痛:一项系统评价。

Acupuncture on treating angina pectoris: A systematic review.

作者信息

Wang Ji-Sheng, Yu Xu-Dong, Deng Sheng, Yuan Hong-Wei, Li Hai-Song

机构信息

Department of Andrology.

Department of Acupuncture and Moxibustion, Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, China.

出版信息

Medicine (Baltimore). 2020 Jan;99(2):e18548. doi: 10.1097/MD.0000000000018548.

Abstract

BACKGROUND

Coronary heart disease angina pectoris is a common clinical symptom in patients with coronary heart disease, due to coronary atherosclerotic stenosis or sputum leading to coronary insufficiency, myocardial transient ischemia, hypoxia caused by precordial pain as the main clinical manifestations Group syndrome. Coronary heart disease angina causes coronary blood flow insufficiency, cannot meet the normal activities of myocardial cells, leading to myocardial ischemia or necrosis. When the disease occurs, there is paroxysmal and crushing pain in the precordial area of the patient. Therefore, we recognize the importance of the disease and have paid enough attention. Clinical studies in recent years have found that the use of acupuncture in the treatment of angina pectoris has a good clinical application prospect. This study was conducted to study the effect of using acupuncture to treat angina pectoris.

METHODS AND ANALYSIS

We will search for PubMed, Cochrane Library, AMED, EMbase, WorldSciNet, Nature, Science online and China Journal Full-text Database, China Biomedical Literature CD-ROM Database (CBM), and related randomized controlled trials included in the China Resources Database. The time is limited from the construction of the library to November 2019. We will use the criteria provided by Cochrane 5.1.0 for quality assessment and risk assessment of the included studies, and use the Revman 5.3 and Stata13.0 software for meta-analysis of the effectiveness, recurrence rate, and symptom scores of angina pectoris.

ETHICS AND DISSEMINATION

This systematic review will evaluate the efficacy and safety of acupuncture for angina pectoris. Because all of the data used in this systematic review and meta-analysis have been published, this review does not require ethical approval. Furthermore, all data will be analyzed anonymously during the review process Trial.

REGISTRATION NUMBER

PROSPERO CRD42019138003.

摘要

背景

冠心病心绞痛是冠心病患者常见的临床症状,由于冠状动脉粥样硬化狭窄或痉挛导致冠状动脉供血不足,心肌短暂缺血、缺氧引起以心前区疼痛为主要临床表现的一组综合征。冠心病心绞痛导致冠状动脉血流不足,不能满足心肌细胞正常活动的需要,进而引起心肌缺血或坏死。疾病发作时,患者心前区会出现阵发性压榨样疼痛。因此,我们认识到该疾病的重要性并给予了足够重视。近年来的临床研究发现,针刺疗法在心绞痛治疗中具有良好的临床应用前景。本研究旨在探讨针刺治疗心绞痛的效果。

方法与分析

我们将检索PubMed、Cochrane图书馆、AMED、EMbase、WorldSciNet、Nature、Science在线以及中国期刊全文数据库、中国生物医学文献光盘数据库(CBM)和华润数据库中纳入的相关随机对照试验。检索时间范围为各数据库建库至2019年11月。我们将采用Cochrane 5.1.0提供的标准对纳入研究进行质量评估和风险评估,并使用Revman 5.3和Stata13.0软件对心绞痛的有效性、复发率和症状评分进行荟萃分析。

伦理与传播

本系统评价将评估针刺治疗心绞痛的疗效和安全性。由于本系统评价和荟萃分析中使用的所有数据均已发表,因此本评价无需伦理批准。此外,在评价过程中所有数据将进行匿名分析。

注册号

PROSPERO CRD42019138003。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6f3/6959904/38e71757ddfe/medi-99-e18548-g002.jpg

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