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耳穴疗法治疗脑卒中后便秘的疗效和安全性的系统评价和荟萃分析方案。

Efficacy and safety of auricular therapy in the treatment of post-stroke constipation: A protocol for systematic review and meta-analysis.

机构信息

Department of Traditional Chinese Medicine, Changchun University of Chinese Medicine, Changchun, Jilin Province, China.

Department of Neurology, First Affiliated Hospital of Changchun University of Chinese Medicine, Changchun, Jilin Province, China.

出版信息

PLoS One. 2024 Feb 26;19(2):e0298537. doi: 10.1371/journal.pone.0298537. eCollection 2024.

Abstract

BACKGROUND

Constipation is one of the common gastrointestinal complications after stroke. It not only aggravates the condition of stroke, but also brings huge medical burden to patients, and has a negative impact on the quality of life of patients. Auricular therapy, as a part of Chinese traditional acupuncture and moxibustion, has been found to be effective in the clinical treatment of constipation. However, no systematic review has investigated the efficacy and safety of auricular therapy in the treatment of post-stroke constipation. Therefore, the aim of this systematic review is to assess the effectiveness and safety of auricular therapy for post-stroke constipation.

METHODS AND ANALYSIS

Eight electronic databases including PubMed, Cochrane Library/Cochrane Central Register of Controlled Trials, Web of Science, Embase, China National Knowledge Internet, Chinese Biomedical Literature Database, Wanfang, and VIP databases, will be searched for relevant studies published from inception to February 2023. Two reviewers will independently conduct research selection, data extraction, and evaluation of research quality. Only randomized controlled trials (RCTs) that assess the efficacy and safety of auricular therapy for the treatment of post-stroke constipation will be included in this study. We will use the Cochrane risk of bias assessment tool to evaluate the methodological qualities (including bias risk). If possible, a meta-analysis will be performed after screening.

RESULTS

This study may provide high-quality evidence for the efficacy and safety of auricular therapy in treating post-stroke constipation.

CONCLUSION

The conclusions of our study will provide an evidence to judge whether auricular therapy is an effective and safe intervention for patients with post-stroke constipation.

ETHICS AND DISSEMINATION

Ethical approval is not required, as this study was based on a review of published research. This review will be published in a peer-reviewed journal and disseminated electronically and in print.

TRIAL REGISTRATION

Registration number: PROSPERO CRD42023402242.

摘要

背景

便秘是中风后常见的胃肠道并发症之一。它不仅加重了中风的病情,还给患者带来了巨大的医疗负担,对患者的生活质量产生了负面影响。耳穴疗法作为中医针灸的一部分,已被发现对便秘的临床治疗有效。然而,目前尚无系统评价研究耳穴疗法治疗中风后便秘的疗效和安全性。因此,本系统评价旨在评估耳穴疗法治疗中风后便秘的疗效和安全性。

方法和分析

将从建库至 2023 年 2 月在 8 个电子数据库(PubMed、Cochrane Library/Cochrane 中央对照试验注册库、Web of Science、Embase、中国知网、中国生物医学文献数据库、万方和维普数据库)中搜索有关耳穴疗法治疗中风后便秘的疗效和安全性的研究。两名评审员将独立进行研究选择、数据提取和研究质量评估。本研究仅纳入评估耳穴疗法治疗中风后便秘疗效和安全性的随机对照试验(RCT)。我们将使用 Cochrane 偏倚风险评估工具来评估方法学质量(包括偏倚风险)。如果可能,将进行筛选后进行荟萃分析。

结果

本研究可能为耳穴疗法治疗中风后便秘的疗效和安全性提供高质量证据。

结论

本研究的结论将为判断耳穴疗法是否是中风后便秘患者有效且安全的干预措施提供依据。

伦理与传播

本研究不需要伦理批准,因为本研究是基于对已发表研究的回顾。本综述将发表在同行评议的期刊上,并以电子和印刷形式传播。

注册

注册号:PROSPERO CRD42023402242。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/813f/10896502/344e5c361840/pone.0298537.g001.jpg

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