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针灸治疗耳鸣的有效性和安全性:系统评价与荟萃分析方案

Effectiveness and safety of acupuncture for treatment of tinnitus: A protocol for systematic review and meta-analysis.

作者信息

Yang Yepeng, Fu Qinwei, Fu Li, Wang Xuemei, Zhong Juan, Zhang Qinxiu

机构信息

Hospital of Chengdu University of Traditional Chinese Medicine.

College of Clinical Medicine, Chengdu University of Traditional Chinese Medicine.

出版信息

Medicine (Baltimore). 2020 Oct 2;99(40):e22501. doi: 10.1097/MD.0000000000022501.

DOI:10.1097/MD.0000000000022501
PMID:33019447
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7535697/
Abstract

BACKGROUND

Tinnitus is a common disease in otolaryngology. In China, acupuncture has been used as a promising treatment for tinnitus. Yet, the specific effect and safety of acupuncture are still disputable. The ultimate goal of this paper is to formulate a protocol for systematic review and meta-analysis, which can be employed in assessing the benefits and safety of acupuncture on tinnitus.

METHODS

Seven databases should be retrieved from their establishment until June 2020, including PubMed, Cochrane Central Register of Controlled Trials, Excerpt Medical Database, Chinese Biomedical Literature Database, Chinese Science and Technology Periodical Database, China National Knowledge Infrastructure and Wan Fang Database. Randomized controlled trials of acupuncture treatment of tinnitus will be included. The experimental group is acupuncture or combined with additional treatment measures, and the control group is a placebo, sham acupuncture, Cognitive Behavioral Therapy, sound therapy, conventional medication, or same additional treatment. The clinical efficacy rate, Tinnitus Handicap Inventory, Tinnitus Questionnaire, visual analogue scale or other indicators are all concerned in the systematic evaluation of the program. Data collection, selection and extraction should be made separately by different researchers. The quality of the literature will be evaluated by the bias analysis table in the Cochrane Handbook, and Review Manager 5.3 software shall be applied to data analysis.

RESULTS

This protocol has made a concrete plan to evaluate whether acupuncture is effective and safe in curing tinnitus.

CONCLUSION

This protocol is suitable for evaluating the effectiveness and safety of acupuncture in curing tinnitus, and is helpful for subsequent evaluation.Open Science Framework Registration DOI: 10.17605/OSF.IO/85FCS.

摘要

背景

耳鸣是耳鼻喉科的常见疾病。在中国,针灸已被用作治疗耳鸣的一种有前景的疗法。然而,针灸的具体疗效和安全性仍存在争议。本文的最终目的是制定一项系统评价和荟萃分析方案,可用于评估针灸治疗耳鸣的益处和安全性。

方法

检索从建库至2020年6月的7个数据库,包括PubMed、Cochrane对照试验中心注册库、医学文摘数据库、中国生物医学文献数据库、中国科技期刊数据库、中国知网和万方数据库。纳入针灸治疗耳鸣的随机对照试验。试验组为针灸或联合其他治疗措施,对照组为安慰剂、假针灸、认知行为疗法、声疗法、传统药物或相同的其他治疗。该方案的系统评价关注临床有效率、耳鸣障碍量表、耳鸣问卷、视觉模拟量表或其他指标。数据收集、筛选和提取应由不同的研究人员分别进行。文献质量将采用Cochrane手册中的偏倚分析表进行评估,并应用Review Manager 5.3软件进行数据分析。

结果

本方案已制定具体计划,以评估针灸治疗耳鸣是否有效和安全。

结论

本方案适用于评估针灸治疗耳鸣的有效性和安全性,有助于后续评估。开放科学框架注册DOI:10.17605/OSF.IO/85FCS。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37d2/7535697/8d74eba6a6dd/medi-99-e22501-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37d2/7535697/8d74eba6a6dd/medi-99-e22501-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37d2/7535697/8d74eba6a6dd/medi-99-e22501-g002.jpg

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本文引用的文献

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Acupuncture Treatment in Patients with Chronic Subjective Tinnitus: A Prospective, Randomized Study.慢性主观性耳鸣患者的针灸治疗:一项前瞻性随机研究。
Med Acupunct. 2020 Feb 1;32(1):24-28. doi: 10.1089/acu.2019.1367. Epub 2020 Feb 3.
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Influence of Acupuncture on Autonomic Balance in Adult Tinnitus Patients: An Exploratory Study.针刺对成人耳鸣患者自主平衡的影响:一项探索性研究。
Curr Med Sci. 2019 Dec;39(6):947-953. doi: 10.1007/s11596-019-2127-y. Epub 2019 Dec 16.
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A multidisciplinary European guideline for tinnitus: diagnostics, assessment, and treatment.
欧洲耳鸣多学科指南:诊断、评估与治疗
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[Clinical observation on idiopathic tinnitus treated with acupuncture, and ].针刺治疗特发性耳鸣的临床观察及……(原文此处不完整)
Zhongguo Zhen Jiu. 2018 Apr 12;38(4):369-73. doi: 10.13703/j.0255-2930.2018.04.007.
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