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穴位治疗心绞痛:系统评价和荟萃分析方案。

Acupoint for angina pectoris: A protocol for systematic review and meta-analysis.

机构信息

Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan Province.

Chengdu University of Traditional Chinese Medicine, PR China.

出版信息

Medicine (Baltimore). 2021 Jan 22;100(3):e24080. doi: 10.1097/MD.0000000000024080.

Abstract

INTRODUCTION

Patients with angina pectoris (AP) often experience heavy psychological distress, especially anxiety and depression, which results in poorer quality of life, shorter survival time. Acupoint therapies, including massage, acupuncture, acupoints injection, acupressure, and moxibustion, showed clinical and long-lasting benefits for AP, but the efficiency of acupoint therapies was poorly evaluated. The current review is attempted to evaluate the efficacy and safety of the different acupoint-based therapies for AP.

METHODS AND ANALYSIS

A literature search will be conducted in MEDLINE, EMBASE, Web of Science, Cochrane Library, Web of Science, PubMed, Science Direct, Wan Fang Data Knowledge Service Platform, Chinese Biomedical Literature Database (CBM), Chinese Scientific Journal Database (VIP database), and China National Knowledge Infrastructure (CNKI). Observational studies regarding the association between liver cancer and depression and anxiety written in English or Chinese will be included. Study inclusion, data extraction, and quality assessment will be performed independently by 2 reviewers. We will use RevMan V.5.0 and STATA V.12.0 software for statistical analysis. The I2 test will be used to identify the extent of heterogeneity. Publication bias will be assessed by generating a funnel plot and performing the Begg and Egger test. The quality of the systematic review will be evaluated using the Measurement Tool to Assess Systematic Reviews (AMSTAR) and Grading of Recommendations Assessment Development and Evaluation (GRADE) criteria. With the permitted numeric data, we will carry out a meta-analysis.

RESULTS

This study will provide a high-quality synthesis of pain VAS and functional disability or the quality of life, the success treatment rate, the recurrent rate and the complications rate to assess the effectiveness and safety of acupoint for AP patients. This systematic review will provide evidence to judge whether acupoint is an effective intervention for patients with AP.

CONCLUSION

This systematic review and meta-analysis will provide evidence to judge whether acupoint is an effective intervention for patients with AP and provide evidence for designing early targeted interventions for high-risk survivors that can attenuate negative reactions.

PROSPERO REGISTRATION NUMBER

10.17605/OSF.IO/VNXWE.

摘要

简介

心绞痛(AP)患者常经历严重的心理困扰,尤其是焦虑和抑郁,这导致生活质量下降,生存时间缩短。穴位疗法,包括按摩、针灸、穴位注射、穴位按压和艾灸,对 AP 具有临床和持久的益处,但穴位疗法的疗效评价不佳。本综述旨在评估不同穴位疗法治疗 AP 的疗效和安全性。

方法与分析

我们将在 MEDLINE、EMBASE、Web of Science、Cochrane 图书馆、Web of Science、PubMed、Science Direct、万方数据知识服务平台、中国生物医学文献数据库(CBM)、中国科学期刊数据库(VIP 数据库)和中国国家知识基础设施(CNKI)中进行文献检索。纳入的研究为评估肝癌与抑郁和焦虑之间相关性的观察性研究,语种为英文或中文。由 2 名评审员独立进行研究纳入、数据提取和质量评估。我们将使用 RevMan V.5.0 和 STATA V.12.0 软件进行统计分析。采用 I2 检验评估异质性程度。采用生成漏斗图和进行贝叶斯和伊格检验评估发表偏倚。采用测量工具评估系统评价(AMSTAR)和推荐评估、制定与评价(GRADE)标准评估系统评价的质量。对于允许的数值数据,我们将进行荟萃分析。

结果

本研究将综合疼痛 VAS 和功能障碍或生活质量、治疗成功率、复发率和并发症率,以评估穴位治疗 AP 患者的有效性和安全性。本系统综述将提供判断穴位是否为 AP 患者有效干预措施的证据。

结论

本系统综述和荟萃分析将提供判断穴位是否为 AP 患者有效干预措施的证据,并为设计针对高危幸存者的早期靶向干预措施提供证据,以减轻负面反应。

前瞻性注册

10.17605/OSF.IO/VNXWE。

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