Mesh : Humans Dyspepsia Acupuncture Therapy / methods Stomach Diseases / etiology Syndrome Medicine, Chinese Traditional Treatment Outcome Randomized Controlled Trials as Topic

来  源:   DOI:10.1097/MD.0000000000033968   PDF(Pubmed)

Abstract:
BACKGROUND: Traditional Chinese medicine advocates the use of acupuncture for the treatment of postprandial distress syndrome (PDS) in people with Functional dyspepsia, but large clinical trials of acupuncture have produced controversial results. This study aims to confirm the clinical significance of acupuncture in the treatment of PDS .
METHODS: This study only randomized controlled trials were included from the following databases: CNKI, Medline, Cochrane Central, Web of Science, and Clinical Trial. The risk of bias in the included studies was assessed using Revman 5.4.1 (Revman 2020), and all 12 included studies were considered to have a low risk of bias. This study used Stata 16.1 for data analysis, including sensitivity analysis and publication bias test. The quality of each study was evaluated with the Cochrane tool. The main outcomes included the overall therapeutic rate, the SID score, the HADS Score, The NDI score, and Side effects.
RESULTS: This study identified a total of 1532 studies interested in the curative effect of acupuncture on Postprandial discomfort syndrome (PDS) and finally included a total of 12 studies with 1113 patients after identifying their abstracts, titles, and full text. The process of literature searches and identifying is shown in Figure 1 and data analysis showed that acupuncture is effective in the treatment of PDS and promotes the life quality of patients.
CONCLUSIONS: This study analyzed the effects of acupuncture on PDS from 5 aspects: overall therapeutic rate, SID, HADS, NDI, and side effects, overall therapeutic rate as primary outcome measure. Statistical analysis results showed that acupuncture has a significant effect on the treatment of PDS. In conclusion, it is an effective clinical treatment method. Also, the potential bias in the included studies, high-quality studies are needed to further confirm the possible side effects of acupuncture in treatment.
摘要:
背景:中医提倡使用针灸治疗功能性消化不良患者的餐后窘迫综合征(PDS),但是针灸的大型临床试验产生了有争议的结果。本研讨旨在证实针刺在PDS医治中的临床意义。
方法:本研究仅纳入以下数据库的随机对照试验:CNKI,Medline,CochraneCentral,WebofScience,和临床试验。纳入研究的偏倚风险使用Revman5.4.1(Revman2020)进行评估,所有12项纳入的研究均被认为存在低偏倚风险.本研究使用Stata16.1进行数据分析,包括敏感性分析和发表偏倚检验。使用Cochrane工具评估每个研究的质量。主要结果包括总体治疗率,SID得分,HADS得分,NDI得分,和副作用。
结果:这项研究确定了总共1532项对针灸对餐后不适综合征(PDS)的疗效感兴趣的研究,最后包括总共12项研究,其中1113名患者在确定了他们的摘要后,titles,和全文。文献检索和鉴定的过程如图1所示,数据分析表明,针灸治疗PDS有效,提高了患者的生活质量。
结论:本研究从总体治疗率、SID,HADS,NDI,和副作用,总治疗率作为主要结局指标。统计剖析成果显示,针刺对PDS的医治具有显著的疗效。总之,是一种有效的临床治疗方法。此外,纳入研究的潜在偏差,需要高质量的研究来进一步证实针灸治疗可能的副作用。
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