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非药物中医治疗慢性非特异性下腰痛的临床疗效与安全性:一项系统评价和网状Meta分析方案

The clinical effect and safety of non-pharmacological Chinese medicine therapy in treating chronic nonspecific low back pain: a systematic review and network meta-analysis protocol.

作者信息

Cui Shifang, Liu Lin, Zhang Fuli

机构信息

Heilongjiang University of Chinese Medicine, Harbin, Heilongjiang, China.

出版信息

Front Pharmacol. 2025 Jun 4;16:1514231. doi: 10.3389/fphar.2025.1514231. eCollection 2025.

Abstract

INTRODUCTION

Chronic nonspecific low back pain (CNLBP) significantly affects individual wellbeing, compromising physical health, quality of life, and productivity. As healthcare approaches expand, Non-pharmacological Chinese Medicine Therapies (NPCMT) have garnered global interest. This systematic review and network meta-analysis (NMA) aims to rigorously evaluate the effectiveness and prioritization of various NPCMT interventions for CNLBP, including acupuncture, tui na, gua sha, cupping therapy, taijiquan, baduanjin, yijinjing, and qigong, ultimately providing evidence-based recommendations for healthcare professionals.

METHODS AND ANALYSIS

Our strategy encompasses a meticulous hunt for randomized controlled trials (RCTs) that evaluate Non-pharmacological Chinese Medicine Therapies for treating chronic nonspecific low back pain. This exploration will span an array of databases, such as Web of Science, Cochrane Library, EMBASE, PubMed, China National Knowledge Infrastructure, China Science and Technology Journal Database, Wanfang Database, China Biology Medicine disc, and ClinicalTrials.gov. Our examination will be comprehensive, encompassing evaluations of risk of bias, meta-analytic procedures, analyses of subgroups and sensitivity, assessments concerning publication bias, and the determination of the quality of evidence.

CONCLUSION

This study aims to offer valuable insights into the safety and efficacy of various Non-pharmacological Chinese Medicine therapies for patients with CNLBP. It is hoped that these findings will guide future clinical practice and research in identifying the most suitable treatment methods for CNLBP patients.

摘要

引言

慢性非特异性下腰痛(CNLBP)严重影响个人健康,损害身体健康、生活质量和生产力。随着医疗保健方法的不断扩展,非药物中医治疗(NPCMT)已引起全球关注。本系统评价和网络荟萃分析(NMA)旨在严格评估各种NPCMT干预措施对CNLBP的有效性和优先级,包括针灸、推拿、刮痧、拔罐疗法、太极拳、八段锦、易筋经和气功,最终为医疗保健专业人员提供循证建议。

方法与分析

我们的策略包括精心搜索评估非药物中医治疗慢性非特异性下腰痛的随机对照试验(RCT)。这一探索将涵盖一系列数据库,如科学网、考克兰图书馆、EMBASE、PubMed、中国知网、中国科技期刊数据库、万方数据库、中国生物医学光盘数据库和ClinicalTrials.gov。我们的审查将是全面的,包括偏倚风险评估、荟萃分析程序、亚组和敏感性分析、发表偏倚评估以及证据质量的确定。

结论

本研究旨在为各种非药物中医治疗对CNLBP患者的安全性和有效性提供有价值的见解。希望这些发现将指导未来的临床实践和研究,以确定最适合CNLBP患者的治疗方法。

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