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电针治疗帕金森病的有效性和安全性:系统评价和荟萃分析方案。

Effectiveness and safety of electroacupuncture in treating Parkinson disease: A protocol for systematic review and meta-analyses.

机构信息

The Affiliated Hospital of Jiangxi University of Traditional Chinese Medicine, Nanchang, China.

Science and Technology college of Jiangxi University of Traditional Chinese Medicine.

出版信息

Medicine (Baltimore). 2021 Mar 12;100(10):e25095. doi: 10.1097/MD.0000000000025095.

Abstract

BACKGROUND

Parkinson disease (PD) is an Extrapyramidal Disease mainly characterized by static tremor, myotonia, bradykinesia and postural gait disorder. As China's population ages, the number of people suffering from PD is increasing. Since there are many side effects of western medicine for Parkinson's patients, and the high price of the drugs make it difficult for many patients to adhere to treat. At present, many clinical studies have shown that electroacupuncture is effective in treating PD. Therefore, this systematic review aims to explore the effectiveness and safety of electroacupuncture in the treatment of PD.

METHODS

Comprehensive search of PubMed, Embase, Medline, Cochrane Database of Systematic Reviews, Chinese Biomedical Literatures Database, China National Knowledge Infrastructure, Chinese Scientific Journal Database, Wang Fang Database from inception to February 2021, the literature selected is not restricted by language. In addition, we will search for unpublished studies and the references that were originally included in the literature manually. There were two reviewers screened the data and cross-checked the information individually, the quality of the literature was assessed by reviewers independently. The outcomes of interest include:the scale of Unifified PD Rating Scales, the Webster scale, the Quality of Life Questionnaire, total effective rate, recurrence rate, adverse events. The laboratory inspection indicators include:the content of lipid peroxidase, Superoxide dismutase activity in plasma and erythrocyte. The relevant randomized controlled trials will be included in this study. And we will evaluate the quality of the selected literature according to the Cochrane Handbook. Meta-analysis will be performed using RevMan 5.4.0 software. The heterogeneity test will be implemented in the included literature, the tests' thresholds will be P < .1 and I2 > 50%. We will use either fixed effects model or random effects model according to the size of heterogeneity.

RESULTS

The results of this systematic review will provide a comprehensive evidence for the clinical treatment of PD, and we will report this result soon.

CONCLUSION

This paper will explore whether or not electroacupuncture can be used as a non-drug therapy for PD.

ETHICS AND DISSEMINATION

Ethical approval is not required for this paper, our plan will be published in the journal.

TRIAL REGISTRATION NUMBER

INPLASY202120031.

摘要

背景

帕金森病(PD)是一种锥体外系疾病,主要表现为静止性震颤、肌强直、运动徐缓和姿势步态障碍。随着中国人口老龄化,PD 患者人数不断增加。由于 PD 患者的西药有很多副作用,且药物价格昂贵,导致许多患者难以坚持治疗。目前,许多临床研究表明电针对治疗 PD 有效。因此,本系统评价旨在探讨电针对 PD 的疗效和安全性。

方法

全面检索 PubMed、Embase、Medline、Cochrane 系统评价数据库、中国生物医学文献数据库、中国知网、中国科学引文数据库、万方数据库,从建库至 2021 年 2 月,文献语种不限。另外,我们还将手工检索纳入文献的参考文献及未发表的研究。由 2 位评价员独立筛选数据和交叉核对信息,评价员独立评估文献质量。主要结局指标包括:统一帕金森病评定量表(Unifified PD Rating Scales)、Webster 量表、生活质量问卷、总有效率、复发率、不良反应。实验室检查指标包括:血浆和红细胞中脂质过氧化物、超氧化物歧化酶活性。本研究将纳入相关随机对照试验。并根据 Cochrane 手册评价所选文献的质量。使用 RevMan 5.4.0 软件进行 Meta 分析。纳入文献进行异质性检验,检验水准 P<0.1,I2>50%时采用固定效应模型或随机效应模型。

结果

本系统评价的结果将为 PD 的临床治疗提供全面的证据,我们将尽快报告这一结果。

结论

本文将探讨电针是否可以作为 PD 的非药物治疗方法。

伦理和传播

本文不需要伦理批准,我们的计划将在期刊上发表。

注册编号

INPLASY202120031。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a080/7969292/46a15ebf7d51/medi-100-e25095-g001.jpg

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