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针刺治疗多囊卵巢综合征糖脂代谢紊乱的系统评价方案

Acupuncture for glucose and lipid metabolic disorders of polycystic ovarian syndrome: A systematic review protocol.

机构信息

Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, P.R. China.

Department of Traditional Chinese Medicine, Chengdu Second People's Hospital, Chengdu, Sichuan, P.R. China.

出版信息

PLoS One. 2021 Aug 5;16(8):e0255732. doi: 10.1371/journal.pone.0255732. eCollection 2021.

DOI:10.1371/journal.pone.0255732
PMID:34352018
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8341540/
Abstract

BACKGROUND

Polycystic ovary syndrome (PCOS) is a common gynecological disease that is often accompanied by some metabolic abnormality such as insulin resistance and dyslipidemia. As a non-pharmacological therapy, acupuncture is widely used for the treatment of PCOS, but the effectiveness for insulin resistance and lipid metabolic disorder remains controversial.

OBJECTIVES

To assess the effectiveness and safety of acupuncture for insulin resistance and lipid metabolic disorder of women with PCOS.

SEARCH METHODS

Eight databases will be searched from inception to June 2021, three clinical trial registration platforms will be searched for relevant trials.

SELECTION CRITERIA

Randomized controlled trials (RCTs) of acupuncture therapy for insulin resistance and lipid metabolic of PCOS will be included.

DATA COLLECTION AND ANALYSIS

Study screening, data collection, and analysis will be performed by two or more reviewers independently. We will calculate mean difference (MD), standard mean difference (SMD) with 95% confidence intervals (CIs). Data synthesis will be performed with RevMan V.5.3 software and with Stata V.15.0 software when necessary.

PROSPERO REGISTRATION NUMBER

CRD42020177846.

摘要

背景

多囊卵巢综合征(PCOS)是一种常见的妇科疾病,常伴有胰岛素抵抗和血脂异常等代谢异常。作为一种非药物治疗方法,针灸广泛用于治疗 PCOS,但对于胰岛素抵抗和脂代谢紊乱的疗效仍存在争议。

目的

评估针灸治疗 PCOS 患者胰岛素抵抗和脂代谢紊乱的疗效和安全性。

检索方法

检索从建库到 2021 年 6 月的 8 个数据库,并在 3 个临床试验注册平台上搜索相关试验。

选择标准

纳入针灸治疗 PCOS 胰岛素抵抗和脂代谢的随机对照试验(RCT)。

数据收集和分析

由两名或多名评审员独立进行研究筛选、数据收集和分析。我们将计算均数差(MD)、95%置信区间(CI)的标准均数差(SMD)。必要时使用 RevMan V.5.3 软件和 Stata V.15.0 软件进行数据综合。

前瞻性注册编号

CRD42020177846。

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本文引用的文献

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The Effect of Acupuncture on Glucose Metabolism and Lipid Profiles in Patients with PCOS: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.针刺对多囊卵巢综合征患者糖代谢和血脂水平的影响:随机对照试验的系统评价和荟萃分析
Evid Based Complement Alternat Med. 2021 Mar 22;2021:5555028. doi: 10.1155/2021/5555028. eCollection 2021.
2
Carotid intima-media thickness in polycystic ovary syndrome and its association with hormone and lipid profiles.多囊卵巢综合征患者的颈动脉内膜中层厚度及其与激素和血脂谱的关系。
PLoS One. 2020 Apr 24;15(4):e0232299. doi: 10.1371/journal.pone.0232299. eCollection 2020.
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Lipid-induced mononuclear cell cytokine secretion in the development of metabolic aberration and androgen excess in polycystic ovary syndrome.脂代谢诱导多囊卵巢综合征代谢异常和雄激素过多中单核细胞细胞因子的分泌。
Hum Reprod. 2020 May 1;35(5):1168-1177. doi: 10.1093/humrep/deaa056.
4
Progression of glucose intolerance and cardiometabolic risk factors over a decade in Chinese women with polycystic ovary syndrome: A case-control study.多囊卵巢综合征中国女性十年间葡萄糖耐量异常及心血管代谢危险因素的进展:一项病例对照研究。
PLoS Med. 2019 Oct 25;16(10):e1002953. doi: 10.1371/journal.pmed.1002953. eCollection 2019 Oct.
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The efficacy of using acupuncture in managing polycystic ovarian syndrome.针刺治疗多囊卵巢综合征的疗效。
Curr Opin Obstet Gynecol. 2019 Dec;31(6):428-432. doi: 10.1097/GCO.0000000000000582.
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Role of acupuncture in the treatment of insulin resistance: A systematic review and meta-analysis.针刺治疗胰岛素抵抗的作用:系统评价和荟萃分析。
Complement Ther Clin Pract. 2019 Nov;37:11-22. doi: 10.1016/j.ctcp.2019.08.002. Epub 2019 Aug 5.
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[Progress of researches on mechanisms of acupuncture therapy for insulin resistance].[针刺疗法治疗胰岛素抵抗的作用机制研究进展]
Zhen Ci Yan Jiu. 2019 Mar 25;44(3):231-4. doi: 10.13702/j.1000-0607.180057.
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[Effects on polycystic ovary syndrome of abdominal obesity treated with the dialing needling method at the abdomen].腹部围刺法治疗腹型肥胖对多囊卵巢综合征的影响
Zhongguo Zhen Jiu. 2018 Dec 12;38(12):1273-6. doi: 10.13703/j.0255-2930.2018.12.006.
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A Turn-On Optoacoustic Probe for Imaging Metformin-Induced Upregulation of Hepatic Hydrogen Sulfide and Subsequent Liver Injury.一种用于成像二甲双胍诱导的肝内硫化氢上调及随后肝损伤的转导型光声探针。
Theranostics. 2019 Jan 1;9(1):77-89. doi: 10.7150/thno.30080. eCollection 2019.
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Acupuncture or metformin to improve insulin resistance in women with polycystic ovary syndrome: study protocol of a combined multinational cross sectional case-control study and a randomised controlled trial.针灸或二甲双胍改善多囊卵巢综合征妇女胰岛素抵抗:一项联合多国横断面病例对照研究和随机对照试验的研究方案。
BMJ Open. 2019 Jan 4;9(1):e024733. doi: 10.1136/bmjopen-2018-024733.