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针灸治疗帕金森病的研究方法与疗效:系统评价和Meta分析的范围综述

Research methods and efficacy of acupuncture in the treatment of Parkinson's disease: a scoping review of systematic reviews and meta-analyses.

作者信息

Yu Bin, Ma Shi-Qi, Huang Hai-Peng, Zhong Zhen, Yu Shuo, Huang Ke, Zhang Li-Ying, Li Meng-Yuan, Yao Lin

机构信息

College of Traditional Chinese Medicine, Changchun University of Chinese Medicine, Changchun, China.

College of Acupuncture and Massage, Changchun University of Chinese Medicine, Changchun, China.

出版信息

Front Neurol. 2023 Jun 2;14:1196446. doi: 10.3389/fneur.2023.1196446. eCollection 2023.

Abstract

INTRODUCTION

Research on acupuncture for Parkinson's Disease is growing rapidly. A scoping review examines emerging evidence and is important to guide policy and practice. The purpose of this scoping review was to examine the breadth and methodological quality of systematic reviews and meta-analyses, and to map the quality of evidence of these studies to evaluate the efficacy of acupuncture for treatment of PD.

METHODS

Seven literature databases were searched. Two researchers independently screened the literature and extracted relevant information (such as general characteristics, inclusion criteria, study results, and report quality).The inclusion criteria include publicly published systematic reviews/meta-analyses/systematic reviews of acupuncture treatment for Parkinson's disease. The research subjects are any patients who meet the diagnostic criteria for Parkinson's disease, and intervention measures include acupuncture treatment including electro acupuncture, scalp acupuncture, or combination with other treatment methods. The outcome indicators are all types of results related to PD and the effective measurement tools used.

RESULTS

A total of 23 systematic reviews and/or meta-analyses of studies were included. Most of the articles were published between 2019 and 2023 (47.8%). A total of 14 articles (60.9%) were evaluated and classified, and 89 (36.8.1%) of the 242 included articles were of medium and high quality.

DISCUSSION

This study comprehensively evaluates the quality and research methods of incorporating SRs/MAs, and concludes that acupuncture treatment for Parkinson's disease may be significant. Considering the shortcomings in research design and methodology, it is not possible to draw conclusions on the evidence of acupuncture treatment for PD at this stage, but it does not mean that acupuncture treatment is ineffective. We hope to focus on improving research design and methods in the study of acupuncture treatment for Parkinson's disease, an increase the credibility of research results.

摘要

引言

关于针灸治疗帕金森病的研究正在迅速发展。范围综述审查新出现的证据,对指导政策和实践很重要。本范围综述的目的是检查系统评价和荟萃分析的广度和方法学质量,并梳理这些研究的证据质量,以评估针灸治疗帕金森病的疗效。

方法

检索了七个文献数据库。两名研究人员独立筛选文献并提取相关信息(如一般特征、纳入标准、研究结果和报告质量)。纳入标准包括公开发表的关于帕金森病针灸治疗的系统评价/荟萃分析/系统综述。研究对象为任何符合帕金森病诊断标准的患者,干预措施包括针刺治疗,包括电针、头皮针或与其他治疗方法联合使用。结局指标是与帕金森病相关的所有类型结果以及所使用的有效测量工具。

结果

共纳入23项关于该研究的系统评价和/或荟萃分析。大多数文章发表于2019年至2023年之间(47.8%)。共对14篇文章(60.9%)进行了评估和分类,242篇纳入文章中有89篇(36.81%)为中高质量。

讨论

本研究全面评估了纳入系统评价/荟萃分析的质量和研究方法,得出针灸治疗帕金森病可能有显著效果的结论。考虑到研究设计和方法学方面的不足,现阶段无法就针灸治疗帕金森病的证据得出结论,但这并不意味着针灸治疗无效。我们希望在帕金森病针灸治疗研究中重点改进研究设计和方法,提高研究结果的可信度。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7af7/10272821/e2d7bb287950/fneur-14-1196446-g0001.jpg

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