Hu Xiuwu, Fan Qian, Ma Li, Jin Rui, Gong Rui, Zhao Xiaoying, Qiu Fenfen, Zhou Liang
Nanchang Hongdu Hospital of Traditional Chinese Medicine, Nanchang, China.
Department of Acupuncture, Changshu Hospital Affiliated to Nanjing University of Chinese Medicine, Changshu, China.
Front Public Health. 2022 Jul 14;10:942595. doi: 10.3389/fpubh.2022.942595. eCollection 2022.
There is conflicting evidence on the effectiveness of acupuncture in the treatment of postpartum depression (PPD). This study aimed to assess previous systematic reviews/meta-analyses (SRs/MAs) on the effectiveness of acupuncture to treat PPD.
SRs/MAs regarding the use of acupuncture for PPD were identified from the establishment of digital databases to November 2021. The Assessing the Methodological Quality of Systematic Reviews 2 (AMSTAR-2) was applied to evaluate the methodological quality of included SRs/MAs. The Grades of Recommendations, Assessment, Development and Evaluation (GRADE) was utilized to evaluate the evidence quality for outcomes of interest.
Six studies that conducted quantitative syntheses were included. According to AMSTAR-2, the methodological quality of these SRs/MAs was critically low owing to limitations of items 2, 4, and 7. According to GRADE, no study included high-quality evidence and most studies included low-quality evidence.
Acupuncture m be beneficial for PPD, however, due to limitations of current evidence and inconsistent findings, further studies are needed to provide stronger evidence to draw definitive conclusions.
关于针灸治疗产后抑郁症（PPD）的有效性，证据存在冲突。本研究旨在评估以往关于针灸治疗PPD有效性的系统评价/荟萃分析（SRs/MAs）。
从数字数据库建立至2021年11月，检索关于使用针灸治疗PPD的SRs/MAs。应用系统评价方法学质量评估2（AMSTAR-2）来评价纳入的SRs/MAs的方法学质量。采用推荐分级、评估、制定与评价（GRADE）来评估感兴趣结局的证据质量。
纳入了6项进行定量综合分析的研究。根据AMSTAR-2，由于第2、4和7项的局限性，这些SRs/MAs的方法学质量极低。根据GRADE，没有研究纳入高质量证据，大多数研究纳入的是低质量证据。
针灸可能对PPD有益，然而，由于当前证据的局限性和结果不一致，需要进一步研究以提供更有力的证据来得出明确结论。
