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穴位注射治疗糖尿病胃轻瘫的疗效和安全性:一项系统评价与Meta分析方案

The efficacy and safety of acupoint injection for diabetic gastroparesis: A protocol for systematic review and meta-analysis.

作者信息

Long Tao, Yue Rensong, Wu Tingchao, Xu Chenyi, Yang Maoyi

机构信息

Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, PR China.

出版信息

Medicine (Baltimore). 2020 Nov 6;99(45):e23086. doi: 10.1097/MD.0000000000023086.

Abstract

BACKGROUND

Diabetic gastroparesis (DGP) is one of the common complications of diabetes. Accumulated evidences have shown that acupoint injection is beneficial for the clinical treatment of diabetic gastroparesis. However, there is currently no systematic review to assess this therapy. This program aims to evaluate the effectiveness and safety of this therapy for the patients with DGP.

METHODS AND ANALYSIS

Literature search will be conducted via following electronic bibliographic databases from inception to Aug 2020: the Cochrane Library, PubMed, MEDLINE, Web of Science, EMBASE, Springer, China National Knowledge Infrastructure (CNKI), China Biology Medicine (CBM), Chinese Scientific Journal Database (VIP), Wan-Fang Database. All randomized controlled trials published in English or Chinese related to acupoint injection for DGP will be included. The primary outcome is the total effective rate. The secondary outcomes are the change of motilin and gastrin levels before and after the treatment. Two researchers will be responsible for the selection of study, extraction of data, and assessment of study quality independently. RevMan V5.3 Software will be used for assessing the risk of bias and synthesizing data.

RESULTS

This study will provide a high-quality synthesis of current available evidence for the treatment of DGP with this therapy clinically.

CONCLUSION

The conclusions of our study will provide new evidence to judge whether acupoint injection is an effective intervention for patients suffered from DGP. OSF REGISTRATION NUMBER:: osf.io/ms58j.

摘要

背景

糖尿病胃轻瘫(DGP)是糖尿病常见的并发症之一。越来越多的证据表明穴位注射对糖尿病胃轻瘫的临床治疗有益。然而,目前尚无系统评价来评估这种疗法。本项目旨在评估该疗法对糖尿病胃轻瘫患者的有效性和安全性。

方法与分析

通过以下电子文献数据库进行文献检索,检索时间范围从建库至2020年8月:Cochrane图书馆、PubMed、MEDLINE、科学网、EMBASE、Springer、中国知网(CNKI)、中国生物医学文献数据库(CBM)、中文科技期刊数据库(维普)、万方数据库。纳入所有发表的与穴位注射治疗糖尿病胃轻瘫相关的英文或中文随机对照试验。主要结局指标为总有效率。次要结局指标为治疗前后胃动素和胃泌素水平的变化。两名研究人员将独立负责研究的筛选、数据提取和研究质量评估。将使用RevMan V5.3软件评估偏倚风险并进行数据合成。

结果

本研究将为临床上应用该疗法治疗糖尿病胃轻瘫提供现有证据的高质量综合分析。

结论

我们的研究结论将为判断穴位注射是否为糖尿病胃轻瘫患者的有效干预措施提供新的证据。开放科学框架注册号:osf.io/ms58j。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9011/7647630/30dd6d820b2e/medi-99-e23086-g001.jpg

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