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穴位埋线治疗功能性便秘的系统评价和 Meta 分析方案

Acupoint catgut embedding therapy for functional constipation: A protocol for systematic review and meta-analysis.

机构信息

School of Acupuncture-Moxibustion and Tuina.

School of Nursing.

出版信息

Medicine (Baltimore). 2021 Jan 29;100(4):e24286. doi: 10.1097/MD.0000000000024286.

DOI:10.1097/MD.0000000000024286
PMID:33530217
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7850654/
Abstract

BACKGROUND

This review will assess current evidence related to the effectiveness and safety of acupoint catgut embedding therapy for functional constipation (FC) and provide efficacy assessments for clinical applications.

METHODS

We will search the following databases for relevant trials: PubMed, EMBASE OVID, Cumulative Index of Nursing and Allied Health Literature, OVID MEDLINE, Web of Science, the Cochrane Central Register of Controlled Trials, Cochrane library, and Scopus. We will also search the following Chinese databases for trials published in the Chinese literature: China National Knowledge Infrastructure Database (CNKI), Chinese Scientific Journals Database, Wan Fang Database, Chinese Biomedicine and other resources from inception to December 2020. Only randomized controlled trials comparing acupoint catgut embedding versus acupuncture or sham acupuncture or placebo or other therapies will be included. The outcomes involved mean spontaneous bowel movements, complete spontaneous bowel movements, the Bristol Stool Form Scale, the Cleveland Clinic Score, Patient Assessment of Constipation symptom and so on. The risk of bias assessment and quality of evidence for outcomes will be appraised using the Cochrane Risk of Bias Tool and the Grading of Recommendations, Assessment, Development and Evaluation guidelines. RevMan 5.3 software will be employed for the meta-analysis.

RESULTS

This work will compare and arrange the comparative efficacy of acupoint catgut embedding with different treatments for FC by summarizing the current evidences.

CONCLUSION

The results of this meta-analysis may help doctors determine the best treatments for patients to manage FC.

ETHICS AND DISSEMINATION

This is a protocol with no patient recruitment and personal information collection, approval by the ethics committee is not required.

OSF REGISTRATION NUMBER

DOI 10.17605/OSF.IO/XTKE2.

摘要

背景

本综述旨在评估穴位埋线疗法治疗功能性便秘(FC)的有效性和安全性的现有证据,并为临床应用提供疗效评估。

方法

我们将检索以下数据库中的相关试验:PubMed、EMBASE OVID、护理学及相关健康学科累积索引、OVID MEDLINE、Web of Science、Cochrane 对照试验中心注册库、Cochrane 图书馆和 Scopus。我们还将检索中国文献中的以下中文数据库中的试验:中国国家知识基础设施数据库(CNKI)、中国科学期刊数据库、万方数据库、中国生物医学文献数据库等,检索时间截至 2020 年 12 月。仅纳入比较穴位埋线与针灸或假针灸或安慰剂或其他疗法的随机对照试验。结局指标包括自发排便次数、完全自发排便次数、布里斯托大便形状量表、克利夫兰诊所评分、患者便秘症状评估等。采用 Cochrane 偏倚风险工具和推荐评估、制定与评价指南对结局的偏倚风险评估和证据质量进行评价。使用 RevMan 5.3 软件进行荟萃分析。

结果

本研究将通过总结现有证据,比较和整理穴位埋线与不同治疗方法治疗 FC 的比较疗效。

结论

荟萃分析的结果可能有助于医生确定治疗 FC 的最佳方法。

伦理和传播

本研究是一份方案,不涉及患者招募和个人信息收集,不需要伦理委员会的批准。

OSF 注册号:DOI 10.17605/OSF.IO/XTKE2。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6063/7850654/89a3604b9229/medi-100-e24286-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6063/7850654/89a3604b9229/medi-100-e24286-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6063/7850654/89a3604b9229/medi-100-e24286-g001.jpg

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本文引用的文献

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Lactobacillus reuteri DSM 17938 and Magnesium Oxide in Children with Functional Chronic Constipation: A Double-Blind and Randomized Clinical Trial.罗伊氏乳杆菌 DSM 17938 和氧化镁治疗儿童功能性慢性便秘的双盲随机临床试验。
Nutrients. 2020 Jan 15;12(1):225. doi: 10.3390/nu12010225.
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Tuina for functional constipation: A protocol for the systematic review of randomized clinical trials.推拿治疗功能性便秘:一项随机临床试验系统评价方案
Medicine (Baltimore). 2019 Mar;98(10):e14775. doi: 10.1097/MD.0000000000014775.
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Exercise therapy in patients with constipation: a systematic review and meta-analysis of randomized controlled trials.
便秘患者的运动疗法:一项随机对照试验的系统评价和荟萃分析
Scand J Gastroenterol. 2019 Feb;54(2):169-177. doi: 10.1080/00365521.2019.1568544. Epub 2019 Mar 7.
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Efficacy of electroacupuncture compared with transcutaneous electric nerve stimulation for functional constipation: Study protocol for a randomized, controlled trial.电针与经皮电刺激神经疗法治疗功能性便秘的疗效比较:一项随机对照试验的研究方案
Medicine (Baltimore). 2018 May;97(19):e0692. doi: 10.1097/MD.0000000000010692.
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[Acupoint embedding for female functional constipation:a randomized controlled trial].穴位埋线治疗女性功能性便秘:一项随机对照试验
Zhongguo Zhen Jiu. 2017 Jul 12;37(7):717-721. doi: 10.13703/j.0255-2930.2017.07.009.
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Clinical Practice Guideline: Irritable bowel syndrome with constipation and functional constipation in the adult.临床实践指南:成人便秘型肠易激综合征和功能性便秘
Rev Esp Enferm Dig. 2016 Jun;108(6):332-63. doi: 10.17235/reed.2016.4389/2016.
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Constipation and Botanical Medicines: An Overview.便秘与植物药:概述。
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Acupuncture for functional constipation: protocol of an individual patient data meta-analysis.针刺治疗功能性便秘:个体患者数据荟萃分析方案
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Zhongguo Zhen Jiu. 2012 Oct;32(10):947-51.
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