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肌骨超声引导下中医穴位埋线治疗神经根型坐骨神经痛的临床疗效及安全性的研究:系统评价和随机对照试验的荟萃分析方案。

The study on the clinical effectiveness and safety of traditional Chinese medicine acupoint catgut embedding guided by musculoskeletal ultrasound in the treatment of nerve root sciatica: A protocol for systematic review and meta-analysis of randomized controlled trials.

机构信息

Department of Ultrasound.

Department of Anesthesiology, Inner Mongolia Baogang Hospital (The Third Affiliated Hospital of Inner Mongolia Medical University), No. 20 Shaoxian Road, Kundulun District, Baotou 014010, Inner Mongolia Autonomous Region, China.

出版信息

Medicine (Baltimore). 2021 Apr 2;100(13):e25387. doi: 10.1097/MD.0000000000025387.

Abstract

BACKGROUND

Nerve root sciatica (NRS) is a common orthopedic disease, which usually occurs between 20 and 40 years of age, and the incidence rate is increasing year by year and is being younger. The disease has no special effect of treatment, clinically generally taking the symptomatic treatment, such as taking short-term glucocorticoids, sedatives, analgesics, and so on. Long-term use of drugs will adversely affect the patient's gastrointestinal tract, liver, and kidney function. The surgical treatment has a high risk of surgery, high cost, side effects, and other problems, so the choice of treatment method has always been a difficult problem in clinical and scientific research. The study shows that 90% of patients with sciatica can be cured by non-surgical treatment, so conservative therapy is often used in the treatment of sciatica, traditional Chinese medicine treatment methods in the treatment of NRS has been widely used, which has achieved good results, but there is no evidence of evidence-based medicine. Therefore, this study uses systematic evaluation to conduct the scientific evaluation of the clinical effectiveness and safety of traditional Chinese medicine acupoint catgut embedding guided by musculoskeletal ultrasound in the treatment of NRS, and provide evidence-based medical evidence support for the treatment of NRS.

METHODS

Using the computer to retrieve the PubMed, ScienceDirect, Web of Science, Embase, Cochrane Library, CNKI, VIP, WANFANG Database, and CBM. Using the subject words and terminology words to retrieve the Chinese-English database and retrieve a randomized controlled study on the clinical effectiveness and safety of traditional Chinese medicine acupoint catgut embedding guided by musculoskeletal ultrasound in the treatment of NRS, and the range of search time is January 1990 to January 2021. The searched literature is screened and evaluated by two researchers respectively according to the inclusion and exclusion criteria. If there is disagreement, discussing it with the third researcher to determine the final inclusion of the literature. Using the RevMan 5.3 software to conduct the meta-analysis.

RESULTS

This study will compare the effectiveness and safety of traditional Chinese medicine acupoint catgut embedding guided by musculoskeletal ultrasound in the treatment of NRS.

CONCLUSION

The results of this study will be published in internationally influential academic journals to provide evidence-based medical evidence for the clinical effectiveness and safety of traditional Chinese medicine acupoint catgut embedding in the treatment of NRS.

ETHICS AND DISSEMINATION

This study does not involve specific patients, and all research data comes from publicly available professional literature, so an ethics committee is not required to conduct an ethical review and approval of the study.

OSF REGISTRATION NUMBER

DOI 10.17605/OSF.IO/Q492E.

摘要

背景

神经根性坐骨神经痛(NRS)是一种常见的骨科疾病,通常发生在 20 至 40 岁之间,其发病率逐年上升,且呈年轻化趋势。该疾病尚无特殊治疗效果,临床上一般采取对症治疗,如短期使用糖皮质激素、镇静剂、镇痛药等。长期使用药物会对患者的胃肠道、肝肾功能产生不良影响。手术治疗具有手术风险高、费用高、副作用等问题,因此治疗方法的选择一直是临床和科研中的难题。研究表明,90%的坐骨神经痛患者可以通过非手术治疗治愈,因此保守治疗常被用于坐骨神经痛的治疗,中医治疗方法在治疗 NRS 中已得到广泛应用,取得了良好的效果,但缺乏循证医学证据。因此,本研究采用系统评价方法,对肌骨超声引导下中医穴位埋线治疗 NRS 的临床疗效和安全性进行科学评价,为 NRS 的治疗提供循证医学证据支持。

方法

采用计算机检索 PubMed、ScienceDirect、Web of Science、Embase、Cochrane Library、CNKI、VIP、WANFANG Database、CBM 数据库。采用主题词和术语词检索中英文数据库,检索肌骨超声引导下中医穴位埋线治疗 NRS 的临床疗效和安全性的随机对照研究,检索时间范围为 1990 年 1 月至 2021 年 1 月。由 2 位研究者按照纳入和排除标准分别对检索到的文献进行筛选和评价,若意见不一致,与第 3 位研究者讨论后确定文献的最终纳入。采用 RevMan 5.3 软件进行 Meta 分析。

结果

本研究将比较肌骨超声引导下中医穴位埋线治疗 NRS 的有效性和安全性。

结论

本研究的结果将发表在有国际影响力的学术期刊上,为肌骨超声引导下中医穴位埋线治疗 NRS 的临床有效性和安全性提供循证医学证据。

伦理与传播

本研究不涉及具体患者,所有研究数据均来自公开可用的专业文献,因此不需要伦理委员会对研究进行伦理审查和批准。OSF 注册号:DOI 10.17605/OSF.IO/Q492E。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7bf0/8021314/c86f0f75e2ff/medi-100-e25387-g001.jpg

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