Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hung Hom, Hong Kong.
Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hung Hom, Hong Kong.
Explore (NY). 2022 Jul-Aug;18(4):488-497. doi: 10.1016/j.explore.2021.11.008. Epub 2021 Nov 24.
The efficacy of different forms of acupuncture for the treatment of nocturnal enuresis in children is not known.
To determine the efficacy of different forms of acupuncture, such as manual acupuncture, laser/electroacupuncture, acupoint injection, and moxibustion, for the treatment of nocturnal enuresis.
A literature search was conducted on Medline, EMBASE, Web of Science, CINAHL, PubMed, Physiotherapy Evidence Database, and Scopus from database inception to September 2020. The Cochrane risk of bias tool was utilised to evaluate the risk of bias in each included study. The quality of the evidence was evaluated using the Grading of Recommendations, Assessment, Development, and Evaluation tool.
Thirteen trials (n = 890) were included. Meta-analyses revealed significantly greater numbers of children reporting improved nocturnal enuresis in the moxibustion (p = 0.004), acupoint injection (p = 0.020), and laser acupuncture (p = 0.001) groups than in the control groups. Meta-analyses showed no significant differences in the numbers of children reporting the complete cure of nocturnal enuresis between laser acupuncture and desmopressin (p = 0.57).
The review identified moxibustion, acupoint injections, and laser acupuncture as effective treatments for nocturnal enuresis in children. However, the evidence for these interventions is limited and of very-low-grade quality. The effects of laser acupuncture compared with desmopressin remain inconclusive.
不同形式的针刺治疗儿童夜间遗尿症的疗效尚不清楚。
确定不同形式的针刺，如手动针刺、激光/电针、穴位注射和艾灸，治疗夜间遗尿症的疗效。
从数据库建立到 2020 年 9 月，对 Medline、EMBASE、Web of Science、CINAHL、PubMed、物理治疗证据数据库和 Scopus 进行了文献检索。使用 Cochrane 偏倚风险工具评估每个纳入研究的偏倚风险。使用推荐、评估、开发和评估工具（Grading of Recommendations，Assessment，Development，and Evaluation，GRADE）评估证据质量。
纳入了 13 项试验（n=890）。荟萃分析显示，在艾灸（p=0.004）、穴位注射（p=0.020）和激光针刺（p=0.001）组中，报告夜间遗尿症改善的儿童数量明显多于对照组。荟萃分析显示，激光针刺与去氨加压素组报告夜间遗尿症完全治愈的儿童数量无显著差异（p=0.57）。
本综述确定了艾灸、穴位注射和激光针刺是治疗儿童夜间遗尿症的有效方法。然而，这些干预措施的证据有限，且质量为极低等级。激光针刺与去氨加压素的效果仍不确定。
