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针灸结合中草药治疗骨质疏松症的疗效和安全性:系统评价和网络荟萃分析方案。

Efficacy and safety of acupuncture in combination with Chinese herbal medicine in dealing with osteoporosis: A protocol for a systematic review and network meta-analysis.

机构信息

College of Traditional Chinese Medicine, Hunan University of Chinese Medicine, Changsha, China.

Acupuncture Department, The First Hospital of Hunan University of Chinese Medicine, Changsha, China.

出版信息

Medicine (Baltimore). 2022 Dec 30;101(52):e32441. doi: 10.1097/MD.0000000000032441.

Abstract

BACKGROUND

Osteoporosis (OP) has emerged as a major global public health issue due to its high prevalence, unknown pathogenesis, and lack of specific drugs for prevention and treatment. Studies have demonstrated that acupuncture in combination with Chinese herbal medicine (CHM) is effective in treating OP. However, there is a scarcity of experience and high-quality evidence. A network meta-analysis and systematic review were used to evaluate the efficacy and safety of acupuncture in combination with CHM for the treatment of OP.

METHODS

Comprehensive search of Chinese databases such as China National Knowledge Infrastructure, VIP, Wanfang, China Biomedical Literature Database and English databases for example PubMed, Cochrane Library, EMbase, etc. The search period was extended from the creation of the database to November 2022. All randomized controlled trials on acupuncture in combination with CHM in dealing with OP were collected. After literature analysis and data extraction, the Cochrance system was used to evaluate the high quality of the included articles and Stata 14.0 was used for the network meta-analysis.

RESULTS

The current systematic review and network meta-analysis will provide the effectiveness and safety of acupuncture in combination with CHM in dealing with OP.

CONCLUSION

The research will provide reliable evidence for the clinical use of acupuncture in combination with CHM in dealing with OP.

摘要

背景

骨质疏松症(OP)由于其高患病率、未知的发病机制以及缺乏预防和治疗的特定药物,已成为一个主要的全球公共卫生问题。研究表明,针灸结合中药(CHM)在治疗 OP 方面有效。然而,经验和高质量证据仍然缺乏。本研究采用网络荟萃分析和系统评价的方法,评估针灸结合 CHM 治疗 OP 的疗效和安全性。

方法

全面检索中国数据库,如中国知网、维普、万方、中国生物医学文献数据库,以及英文数据库,如 PubMed、Cochrane 图书馆、EMbase 等,检索时间从数据库创建开始延长至 2022 年 11 月。收集针灸结合 CHM 治疗 OP 的随机对照试验。在文献分析和数据提取后,采用 Cochrance 系统评价纳入文章的高质量,采用 Stata 14.0 进行网络荟萃分析。

结果

本次系统评价和网络荟萃分析将为针灸结合 CHM 治疗 OP 的有效性和安全性提供依据。

结论

该研究将为针灸结合 CHM 治疗 OP 的临床应用提供可靠的证据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/41ae/9803413/55878189473a/medi-101-e32441-g001.jpg

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