摘要
目的:总结中医非药物干预对吸烟者戒烟效果的证据。方法:本研究为系统综述,依据“6S”证据模型,自上而下系统检索国内外指南网站、相关专业网站和Web of science、PubMed、EMbase、Scopus、Cochrane Library、中国知网、万方、维普和中国生物医学文献数据库中关于中医非药物干预对吸烟者戒烟效果的证据,证据类型包括临床决策、证据总结、指南、系统评价及专家共识。检索时限为建库至2025年4月10日。由2名研究者独立对纳入的文献进行证据提取、汇总和质量评价。结果:共检索出文献8856篇,最终纳入文献13篇,包括10篇系统评价、2篇指南和1篇临床决策。共汇总了22条证据,包括耳穴疗法、火针疗法、针灸疗法、毫针刺法、穴位埋线、穴位贴敷、联合疗法和随访期8个方面,其中86.0%为Ⅰ类证据,72.7%的证据推荐强度为A,纳入文献的总体质量较高。结果表明,这些中医非药物干预方法可显著提高短期和长期戒断率、改善烟草依赖症状,且联合疗法的效果更为显著。结论:证据表明,中医非药物干预对吸烟者具有较好的戒烟效果。
Objective To summarize the evidence of the effect of non-drug intervention of traditional Chinese medicine on smoking cessation in smokers.MethodsThis study was a systematic review.Based on the′6S′evidence model,top-down systematic search of domestic and foreign guidelines websites,relevant professional websites and Web of science,PubMed,EMbase,Scopus,Cochrane Library,China Knowledge Network,Wanfang,Weipu and China Biomedical Literature Database on the evidence of the effect of non-drug intervention of traditional Chinese medicine on smoking cessation in smokers.The types of evidence included clinical decision-making,evidence summary,guidelines,systematic evaluation and expert consensus.The retrieval time limit was from the establishment of the database to April 10,2025.Two researchers independently extracted,summarized and evaluated the evidence of the included literature.ResultsA total of 8856 articles were retrieved,and 13 articles were finally included,including 10 systematic reviews,2 guidelines and 1 clinical decision.A total of 22 pieces of evidence were collected,including ear acupoint therapy,fire needle therapy,acupuncture therapy,filiform needle acupuncture,acupoint catgut embedding,acupoint application,combined therapy and follow-up period.Among them,86.0%of the evidence was typeⅠevidence,and 72.7%of the evidence was recommended as A strength.The results showed that these non-drug intervention methods of traditional Chinese medicine could significantly improved the short-term and long-term abstinence rates and improved the symptoms of tobacco dependence,and the effect of combined therapy was even more significant.ConclusionEvidence shows that non-drug intervention of traditional Chinese medicine has a good effect on smoking cessation in smokers.
作者
张惠玲
吴红霞
Zhang Huiling;Wu Hongxia(Department of Gastroenterology,Shanxi Provincial People′s Hospital,Taiyuan 030012,China;Department of Respiratory and Critical Care Medicine,Shanxi Provincial People′s Hospital,Taiyuan 030012,China)
出处
《中华健康管理学杂志》
北大核心
2025年第8期638-644,共7页
Chinese Journal of Health Management
基金
山西省中医药管理局(2022ZYYC072)。
关键词
戒烟
中医
非药物干预
循证医学
健康管理
系统综述
Smoking cessation
Traditional Chinese medicine
Non-drug intervention
Evidence-based medicine
Health management
Systematic review
