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针刺治疗胆绞痛:系统评价方案。

Acupuncture for biliary colic: a systematic review protocol.

机构信息

Acupuncture and Tuina School/The 3rd Teaching Hospital, Chengdu University of Traditional Chinese Medicine, Chengdu, China.

Department of General Surgery, The First Affiliated Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, China.

出版信息

BMJ Open. 2021 Jan 17;11(1):e041931. doi: 10.1136/bmjopen-2020-041931.

DOI:10.1136/bmjopen-2020-041931
PMID:33455934
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7813305/
Abstract

INTRODUCTION

Biliary colic (BC) is a severe pain associated with nausea and vomiting, which is the most common symptom among the gallstone population. This protocol proposes a methodology for conducting a systematic review and meta-analysis that aims to assess the benefits and safety of acupuncture in patients with BC.

METHODS AND ANALYSIS

Clinical trials will be identified through nine databases from inception to December 2020, using Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE, Embase, Allied and Complementary Medicine Database (AMED), CINAHL, China National Knowledge Infrastructure (CNKI), Chinese Biomedical Literature Database (CBM), VIP Database and Wanfang Database. Search words will be used for the BC and acupuncture. The analysis would include randomised, controlled, clinical trials of adults with BC that were published in either Chinese or English. The primary outcome is to measure pain relief. Two or three reviewers should be in charge of study selection, data extraction and evaluating the risk of bias. RevMan software (V.5.4) will be used to perform the assessment of the risk of bias and data synthesis.

ETHICS AND DISSEMINATION

Ethics approval will not be required for this review, as it will only involve the collection of literature previously published. The results of this meta-analysis will be disseminated in a peer-reviewed journal or relevant conference, through publication.

TRIAL REGISTRATION NUMBER

CRD42020167510.

摘要

简介

胆绞痛(BC)是一种伴有恶心和呕吐的严重疼痛,是胆石症人群中最常见的症状。本方案提出了一种系统评价和荟萃分析的方法,旨在评估针刺治疗 BC 患者的疗效和安全性。

方法和分析

将从建库至 2020 年 12 月,通过 9 个数据库(Cochrane 中央对照试验注册库(CENTRAL)、MEDLINE、Embase、辅助和补充医学数据库(AMED)、CINAHL、中国知网(CNKI)、中国生物医学文献数据库(CBM)、维普数据库和万方数据库)检索临床试验。检索词将用于 BC 和针灸。分析将包括成人 BC 的随机对照临床试验,无论其发表于中文还是英文。主要结局指标是衡量疼痛缓解程度。应由 2 或 3 位评审员负责研究选择、数据提取和评估偏倚风险。RevMan 软件(V.5.4)将用于评估偏倚风险和数据综合。

伦理和传播

本综述不需要伦理批准,因为它只涉及以前发表的文献的收集。荟萃分析的结果将在同行评议的期刊或相关会议上发表,以发表的形式传播。

注册号

CRD42020167510。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/186b/7813305/ecc4091d9e3f/bmjopen-2020-041931f01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/186b/7813305/ecc4091d9e3f/bmjopen-2020-041931f01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/186b/7813305/ecc4091d9e3f/bmjopen-2020-041931f01.jpg

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Evid Based Complement Alternat Med. 2020 Jul 30;2020:7509481. doi: 10.1155/2020/7509481. eCollection 2020.
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Acupuncture/Electroacupuncture as an Alternative in Current Opioid Crisis.针刺/电针作为当前阿片类药物危机的一种替代方法。
Chin J Integr Med. 2020 Sep;26(9):643-647. doi: 10.1007/s11655-019-3175-7. Epub 2019 Oct 15.
3
Reduction of Opioid Use by Acupuncture in Patients Undergoing Hematopoietic Stem Cell Transplantation: Secondary Analysis of a Randomized, Sham-Controlled Trial.
针刺减少造血干细胞移植患者阿片类药物使用:一项随机、假对照试验的二次分析。
Pain Med. 2020 Mar 1;21(3):636-642. doi: 10.1093/pm/pnz190.
4
Gallstones and Biliary Colic.胆结石与胆绞痛
JAMA. 2018 Oct 16;320(15):1612. doi: 10.1001/jama.2018.11868.
5
Effects of Electroacupuncture on Opioid Consumption in Patients with Chronic Musculoskeletal Pain: A Multicenter Randomized Controlled Trial.电针对慢性肌肉骨骼疼痛患者阿片类药物消耗的影响:一项多中心随机对照试验。
Pain Med. 2019 Feb 1;20(2):397-410. doi: 10.1093/pm/pny113.
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Bi-directional regulation of acupuncture on extrahepatic biliary system: An approach in guinea pigs.双向调节针刺对豚鼠肝胆外胆道系统的作用。
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A systematic review found that deviations from intention-to-treat are common in randomized trials and systematic reviews.一项系统评价发现,在随机试验和系统评价中,违背意向性分析的情况很常见。
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