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艾灸治疗慢性盆腔炎:一项系统评价与Meta分析方案

Moxibustion for treating chronic pelvic inflammatory disease: A protocol for systematic review and meta-analysis.

作者信息

Hua Fanghui, Li Honglian, Xiong Jun, Huang Shouqiang, Xiang Jie, Zhou Xiaohong

机构信息

Jiangxi University of Traditional Chinese Medicine, Nanchang.

Haiyang people's Hospital of Shandong Province, Haiyang.

出版信息

Medicine (Baltimore). 2020 Aug 28;99(35):e21925. doi: 10.1097/MD.0000000000021925.

Abstract

BACKGROUND

Chronic pelvic inflammatory disease (CPID) is a difficult-to-treat gynaecological disorder, which has complex etiologies, among married women. In recent years, moxibustion has gradually shown its clinical advantages and been more and more widely used In China. The protocol is try to synthesize and assess the effectiveness and safety of moxibustion for patients with CPID.

METHODS

Seven databases as following: PubMed, Embase, Cochrane Library, China National Knowledge Infrastructure, WangFang Database, Chinese Scientific Journal Database, Chinese Biomedical Literatures Database will be searched from their inception to May 2020. No restrictions about language and status. Study selection, data collection, and quality assessment will be respectively conducted by 2 researchers. Based on the heterogeneity test results, the fixed-effects or random-effects model will be selected to synthesize data. The effective rate, Pelvic inflammatory mass diameter and Pelvic fluid depth will be the primary outcomes. Patient reported outcome scale, visual analog scale, C-reactive protein, transforming growth factor β1 =  transforming growth factor β, incidence of any adverse events will be the secondary outcomes. Revman 5.4 software will be implemented for data synthesis. Dichotomous data will be represented by risk ratio for efficacy and safety of CPID treated with moxibustion, while continuous data will be represented by mean difference with a 95% confidence interval.

RESULTS

The results of this study will be published in a peer-reviewed journal. This study will provide a comprehensive review of the available evidence for the treatment of moxibustion with CPID.

CONCLUSIONS

This study expects to provide high-quality, evidence-based recommendations on further treatment for clinical guidance of CPID.

TRIAL REGISTRATION NUMBER

CRD42020158744 in PROSPERO 2020.

摘要

背景

慢性盆腔炎(CPID)是一种难以治疗的妇科疾病,病因复杂,多见于已婚女性。近年来,艾灸逐渐显示出其临床优势,在中国的应用越来越广泛。本方案旨在综合评估艾灸治疗CPID患者的有效性和安全性。

方法

检索以下七个数据库:PubMed、Embase、Cochrane图书馆、中国知网、万方数据库、维普数据库、中国生物医学文献数据库,检索时间从建库至2020年5月。不限语言和文献类型。由两名研究人员分别进行研究筛选、数据收集和质量评估。根据异质性检验结果,选择固定效应模型或随机效应模型进行数据合成。有效率、盆腔炎性包块直径和盆腔积液深度将作为主要结局指标。患者报告结局量表、视觉模拟量表、C反应蛋白、转化生长因子β1(转化生长因子β)、任何不良事件的发生率将作为次要结局指标。采用Revman 5.4软件进行数据合成。二分类数据将用艾灸治疗CPID的疗效和安全性的风险比表示,连续数据将用95%置信区间的均值差表示。

结果

本研究结果将发表在同行评审期刊上。本研究将对艾灸治疗CPID的现有证据进行全面综述。

结论

本研究期望为CPID的临床治疗提供高质量、基于证据的进一步治疗建议。

试验注册号

2020年在PROSPERO注册,注册号为CRD42020158744。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3cbb/7458211/e471e7eddb75/medi-99-e21925-g002.jpg

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