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电磁疗法治疗静脉性腿部溃疡患者的效果:系统评价概述。

Effects of electromagnetic therapy in treating patients with venous leg ulcers: An overview of systematic reviews.

机构信息

Department of Respiratory and Critical Care Medicine, The First Affiliated Hospital of Zhejiang Chinese Medical University (Zhejiang Provincial Hospital of Chinese Medicine), Hangzhou, China.

The First Clinical Medical School, Guangzhou University of Chinese Medicine, Guangzhou, China.

出版信息

Int Wound J. 2024 Apr;21(4):e14852. doi: 10.1111/iwj.14852.

Abstract

This study aims to evaluate the effects of electromagnetic therapy (EMT) on the treatment of venous leg ulcers (VLUs) by synthesising and appraising available meta-analyses (MAs) and systematic reviews (SRs). A comprehensive literature search was conducted across major databases up to 10 January 2024, focusing on SRs/MAs that investigated the use of EMT for VLUs. Selection criteria followed the PICO framework, and dual-author extraction was used for accuracy. Quality assessment tools included AMSTAR2, ROBIS, PRISMA, and GRADE. The search yielded five eligible studies. The reviews collectively presented moderate methodological quality and a low risk of bias in several domains. Reporting quality was high, albeit with inconsistencies in fulfilling certain PRISMA checklist items. The evidence quality, primarily downgraded due to small sample sizes, was rated as moderate. Whilst some studies suggest potential benefits of EMT in the treatment of VLUs, the overall evidence is inconclusive due to methodological limitations and limited sample sizes. This review underscores the need for future research with more rigorous methodologies and larger cohorts to provide clearer insights into the efficacy of EMT for VLUs.

摘要

本研究旨在通过综合评估现有的荟萃分析(MAs)和系统评价(SRs)来评估电磁治疗(EMT)治疗静脉性下肢溃疡(VLUs)的效果。我们对截至 2024 年 1 月 10 日的主要数据库进行了全面的文献检索,重点关注研究 EMT 治疗 VLUs 的 SRs/MAs。选择标准遵循 PICO 框架,并采用双作者提取方法确保准确性。质量评估工具包括 AMSTAR2、ROBIS、PRISMA 和 GRADE。检索共得到五项符合条件的研究。这些综述综合来看,在多个领域具有中等的方法学质量和低偏倚风险。报告质量较高,但在满足某些 PRISMA 清单项目方面存在不一致性。由于样本量小,证据质量主要被降级为中等。虽然一些研究表明 EMT 治疗 VLUs 可能具有潜在益处,但由于方法学限制和样本量有限,总体证据仍不确定。本综述强调了未来研究需要采用更严格的方法和更大的队列,以更清楚地了解 EMT 治疗 VLUs 的疗效。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e6d4/10999496/0f921da2c06c/IWJ-21-e14852-g001.jpg

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