Dai Wenkang, Xie Rui, Wang Xiongwei, Zhuang Minghui, Chang Xiaojuan, Wei Xu, Jin Zhefeng, Wang Shangquan, Feng Minshan, Yu Jie, Zhu Liguo
Wangjing Hospital of China Academy of Chinese Medical Sciences.
Beijing University of Chinese Medicine, Beijing, China.
Medicine (Baltimore). 2020 Sep 4;99(36):e22007. doi: 10.1097/MD.0000000000022007.
Cervical radiculopathy (CR) describes compression or stimulation secondary to the cervical nerve root, 1 or 2 types of upper limb pain, and/or with neck. In clinical practice, both acupotomology and acupuncture are very widely and popular for the management of CR. So, we conducted a systematic review and meta-analysis to explore the efficacy, safety of acupotomology in the treatment of CR.
We will search the following databases from inception to the September 2019 : MEDLINE(PubMed), Web of Science(Thomson Reuters), Cochrane Library, Embase (Ovid, Elsevier), SinoMed, Clinical Trials. gov, the China National Knowledge Infrastructure, Wanfang database, and VIP database. We will apply no language restrictions. We will not use a randomized controlled trial filter in EMBASE, as the set of intervention terms will limit the results sufficiently. The randomised controlled trials of acupotomology versus acupuncture for CR; two independent researchers will use the bias risk tool provided by the Cochrane Collaboration to evaluate the quality of the literature using RevMan 5.3 software (Copenhagen, The Nordic Cochrane Centre, The Cochrane Collaboration, 2014).
This systematic review and meta-analysis will provide a synthesis of existing evidence-based medical evidence for acupotomology/ acupotomy/needle knife in the treatment of CR.
The conclusions of this systematic review and meta-analysis will provide evidence to evaluate the effectiveness of acupotomology/ acupotomy/needle knife for CR and further guide clinical decision-making.
This study is based on literature and therefore does not require ethical approval or patient consent. The study will be published in a peer-reviewed journal.
CRD42020172274.
神经根型颈椎病（CR）是指由颈神经根受压或受刺激引起的、伴有上肢1种或2种类型疼痛和/或颈部疼痛。在临床实践中，针刀医学和针灸在CR的治疗中应用都非常广泛且受欢迎。因此，我们进行了一项系统评价和荟萃分析，以探讨针刀医学治疗CR的疗效和安全性。
我们将检索以下数据库，检索时间从建库至2019年9月：医学期刊数据库（MEDLINE，通过PubMed检索）、科学网（Web of Science，汤森路透公司）、考克兰图书馆、荷兰医学文摘数据库（Embase，通过Ovid、爱思唯尔检索）、中国生物医学文献数据库、美国国立医学图书馆临床试验数据库（ClinicalTrials.gov）、中国知网、万方数据库和维普数据库。我们将不设语言限制。在Embase中我们将不使用随机对照试验过滤器，因为干预词集将充分限制检索结果。针刀医学与针灸治疗CR的随机对照试验；两名独立研究人员将使用考克兰协作网提供的偏倚风险工具，通过RevMan 5.3软件（哥本哈根，北欧考克兰中心，考克兰协作网，2014年）评估文献质量。
本系统评价和荟萃分析将综合现有循证医学证据，以评估针刀医学/小针刀/针刀治疗CR的疗效。
本系统评价和荟萃分析的结论将为评估针刀医学/小针刀/针刀治疗CR的有效性提供证据，并进一步指导临床决策。
本研究基于文献进行，因此无需伦理批准或患者同意。本研究将发表在同行评审期刊上。
国际前瞻性注册系统（PROSPERO）注册号：CRD42020172274。
