腹腔镜胆囊切除术后管理中针灸治疗策略选择的系统评价和贝叶斯荟萃分析方案。
Acupuncture therapy strategy options in postoperative management after laparoscopic cholecystectomy: A protocol for systematic review and Bayesian meta-analysis.
机构信息
Zhuji People's Hospital of Zhejiang Province.
Zhuji Affiliated Hospital of Shaoxing University, Zhuji, 311800, China.
出版信息
Medicine (Baltimore). 2021 Jan 8;100(1):e24199. doi: 10.1097/MD.0000000000024199.
BACKGROUND
Laparoscopic cholecystectomy (LC) is a common surgery accompanied by some unpleasant adverse effects. Clinical trials indicated that acupuncture therapy may help reduce complications in LC. However, no systematic reviews have been conducted on the topic. Therefore, we will evaluate the current evidence and provide a rank for the efficacy of acupuncture therapy in LC by performing Bayesian network meta-analysis.
METHODS
A total of 9 databases will be searched from inception to 10 December 2020. Randomized control trails met the criterion will be included. Quality evaluation of included studies will be performed using Cochrane risk-of-bias tool. STATA 14.0, Addis 1.16.8, R 3.6.3, and OpenBUGS 3.2.3 will be used to conduct pairwise meta-analysis and network meta-analysis. The evidence will be assessed by the Grades of Recommendations Assessment Development and Evaluation.
RESULTS
This review will be based on clinical evidence to choose the best choice of acupuncture treatment for LC. And the results will be submitted to a peer-reviewed journal for publication.
CONCLUSION
Through this systematic review, we will summarize the best available evidence of acupuncture therapy in LC and help to improve the clinical decision-making ability in LC domain.
SYSTEMATIC REVIEW REGISTRATION
The protocol has been registered on INPLASY2020120056.
背景
腹腔镜胆囊切除术（LC）是一种常见的手术，伴有一些不愉快的不良反应。临床试验表明，针刺疗法可能有助于减少 LC 的并发症。然而，目前尚未对该主题进行系统评价。因此，我们将通过贝叶斯网状meta 分析评估当前的证据，并对针刺疗法在 LC 中的疗效进行排名。
方法
我们将从建库至 2020 年 12 月 10 日，检索 9 个数据库。纳入符合标准的随机对照试验。使用 Cochrane 偏倚风险工具评价纳入研究的质量。使用 STATA 14.0、Addis 1.16.8、R 3.6.3 和 OpenBUGS 3.2.3 进行成对 meta 分析和网络 meta 分析。证据将按照推荐评估、制定与评估分级进行评估。
结果
本综述将基于临床证据，选择 LC 中针刺治疗的最佳选择，并将结果提交给同行评议期刊发表。
结论
通过这项系统评价，我们将总结 LC 中针刺疗法的最佳现有证据，有助于提高 LC 领域的临床决策能力。
系统评价注册
该方案已在 INPLASY2020120056 上注册。
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