摘要
目的评价针灸治疗变应性鼻炎系统评价/Meta分析的方法学质量和结局指标。方法电子检索The Cochrane Library、Medline(OvidSP)、Embase(OvidSP)、中国知网(CNKI)、中国生物医学文献数据库(CBM)、维普(VIP)和万方(WF)数据库,筛选出符合纳入标准的系统评价/Meta分析文献,检索时限均为建库至2018年8月31日。采用AMSTAR量表评价纳入研究的系统评价文献的方法学质量,运用GRADE系统对纳入研究的结局指标进行证据质量分级。结果共纳入17个系统评价/Meta分析,AMSTAR评分为9~22分,其中14个研究为中等质量,3个研究为高质量。大部分研究结果显示:针灸治疗变异性鼻炎在治疗有效率、改善鼻部症状等方面疗效优于常规药物。结论现有证据显示针灸治疗变应性鼻炎的系统评价/Meta分析方法学质量中等;多数结局指标证据质量低,有少部分中等质量证据支持针灸能够有效改善变应性鼻炎症状和体征。
Objective To evaluate the methodological quality and outcomes of the systematic reviews(SRs)of acupuncture and moxibustion for allergic rhinitis(AR).Methods Electronic retrieving The Cochrane Library,Medline(OvidSP),Embase(OvidSP),CNKI,CBM,VIP and WF databases to screen out the SRs/Meta-analyses that met the inclusion criteria,the retrieval time of each database was from inception to August 31st 2018.The AMSTAR scale was used to evaluate the methodological quality of the included studies,and the GRADE system was utilized to grade the outcome indicators of the included studies.Results A total of 17 systematic reviews/Meta-analyses were included,with AMSTAR scores ranging from 9 to 22,among which 14 were of moderate quality and 3 were of high quality.Most results of studies showed that in the treatment of AR,acupuncture and moxibustion was superior to conventional drugs in response effect,improving nasal symptoms and other aspects.Conclusions At present,available evidence suggested that systematic reviews/meta-analyses of acupuncture and moxibustion for AR had moderate methodological quality.The quality of evidence for most outcome indicators was low,and there was a small amount of moderate-quality evidence supported that acupuncture and moxibustion could effectively improved the symptoms and signs of AR.
作者
周俊
李涓
叶静
程施瑞
肖奇蔚
李政杰
曾芳
梁繁荣
ZHOU Jun;LI Juan;YE Jing;CHENG Shi-rui;XIAO Qi-wei;LI Zheng-jie;ZENG Fang;LIANG Fan-rong(Acupuncture and Tuina School/The 3rd Teaching Hospital,Chengdu University of Traditional Chinese Medicine,Chengdu 610075;School of Health Cultivation and Rehabilitation,Chengdu University of Traditional Chinese Medicine,Chengdu 610075;Acupuncture Brain Research Center,Chengdu University of Traditional Chinese Medicine,Chengdu 610075)
出处
《中国中西医结合杂志》
CAS
CSCD
北大核心
2020年第7期846-853,共8页
Chinese Journal of Integrated Traditional and Western Medicine
基金
国家自然科学基金重大项目(No.81590950)
青年科学基金资助项目(No.81603708)。
