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针灸治疗乳腺增生的有效性和安全性:一项系统评价与Meta分析

The Effectiveness and Safety of Acupuncture for Mammary Hyperplasia: A Systematic Review and Meta-Analysis.

作者信息

Li Jifeng, Zhang Dongxiao, Hu Jing, Cui Jianchun, Mansoor Khattak Mazher

机构信息

Beijing Hospital of Traditional Chinese Medicine, Capital Medical University, Beijing, People's Republic of China.

Liaoning Provincial People's Hospital (Department of Thyroid and Breast Surgery, People's Hospital of China Medical University), Shenyang, People's Republic of China.

出版信息

J Pain Res. 2024 May 17;17:1761-1772. doi: 10.2147/JPR.S457039. eCollection 2024.

Abstract

OBJECTIVE

This study aims to systematically evaluate the effectiveness and safety of acupuncture in treating mammary hyperplasia.

METHODS

A comprehensive search was conducted in various databases, including PubMed, Web of Science, Cochrane Library, Embase, SinoMed, China National Knowledge Infrastructure (CNKI), Wanfang, and VIP Database, from their inception until July 2023. Only randomized controlled trials (RCTs) researching the use of acupuncture for mammary hyperplasia were included. Quality assessment and data analysis were performed using RevMan 5.3 software.

RESULTS

Eight RCTs, comprising 573 patients, were included in this analysis. The meta-analysis revealed that in the acupuncture group, the experimental group was better than the control group in improving breast pain, breast lump extent, and the texture of breast lump (P=0.0007, I=61%; P=0.02, I=0%; P=0.0002, I=0%). We found that both could be improved, but after statistical analysis, there was no significant advantage in the acupuncture group compared with the patent Chinese medicine group (p>0.05).

CONCLUSION

Acupuncture appears to be an effective and safe treatment for mammary hyperplasia, providing pain relief and reducing mass volume, texture, and extent. However, the insufficient quality of the available evidence indicates the need for further methodologically rigorous and convincingly designed studies to determine the efficacy and safety of acupuncture in the treatment of breast hyperplasia.

摘要

目的

本研究旨在系统评价针刺治疗乳腺增生的有效性和安全性。

方法

对包括PubMed、Web of Science、Cochrane图书馆、Embase、中国生物医学文献数据库、中国知网、万方和维普数据库在内的多个数据库进行全面检索,检索时间从建库至2023年7月。仅纳入研究针刺治疗乳腺增生的随机对照试验(RCT)。使用RevMan 5.3软件进行质量评估和数据分析。

结果

本分析纳入了8项RCT,共573例患者。荟萃分析显示,在针刺组中,试验组在改善乳房疼痛、乳房肿块程度及乳房肿块质地方面优于对照组(P = 0.0007,I = 61%;P = 0.02,I = 0%;P = 0.0002,I = 0%)。我们发现两者均可改善,但经统计学分析,针刺组与中成药组相比无显著优势(p>0.05)。

结论

针刺似乎是治疗乳腺增生的一种有效且安全的方法,可缓解疼痛并减小肿块体积、质地和范围。然而,现有证据质量不足表明需要进一步开展方法学严谨且设计有说服力的研究,以确定针刺治疗乳腺增生的疗效和安全性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c13a/11107910/2ca50340decc/JPR-17-1761-g0001.jpg

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