我们的网站为什么显示成这样?

可能因为您的浏览器不支持样式,您可以更新您的浏览器到最新版本,以获取对此功能的支持,访问下面的网站,获取关于浏览器的信息:

|本期目录/Table of Contents|

针刺治疗原发性高血压RCT报告质量的研究*(PDF)

《云南中医学院学报》[ISSN:1000-2723/CN:53-1048/R]

期数:
2020年01期
页码:
62-68
栏目:
针灸研究
出版日期:
2020-07-10

文章信息/Info

Title:
Study on the Report Quality of Randomized Controlled Trials of Acupuncture in the Treatment of Essential Hypertension
文章编号:
1000 - 2723(2020)01- 0062 - 07
作者:
谭晓婵石学敏
(天津中医药大学第一附属医院,天津 300193)
Author(s):
TAN Xiaochan SHI Xuemin
(First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300193, China)
关键词:
针刺原发性高血压Cochrane风险偏倚CONSORTSTRICTA
Keywords:
acupuncture essential hypertension Cochrane risk bias CONSORT STRICTA
分类号:
R246.1
DOI:
10.19288/j.cnki.issn.1000-2723.2020.01.011
文献标识码:
A
摘要:
目的评价针刺治疗原发性高血压的临床随机对照试验(RCT)报告质量。方法 计算机检索Web of Science、PubMed、Embase、Cochrane Library、中国知网、万方、维普七大数据库建库以来至2019年12月关于针刺治疗原发性高血压的RCT报告,由2名研究者按照纳排标准筛选出符合的文献,并采用Cochrane风险偏倚评估工具、CONSORT声明以及STRICTA标准评估报告质量。结果 最终纳入87篇RCT报告。Cochrane偏倚风险评估工具统计结果表明,大多数文献各类偏倚风险较高或不清楚。CONSORT声明及STRICTA标准条目统计结果表明,纳入文献中仅部分条目的完整报告率较高,受试者合格标准、资料收集的场所和地点、干预措施、结局指标的统计学方法分析、针刺治疗的类型、针刺刺激方式、留针时间、治疗单元数、治疗单元的频数和持续时间的完整报告率分别为63.2%、59.8%、50.5%、88.5%、100%、92%、81.6%、86.2%及75.9%,其余条目完整报告率均偏低甚至无报告。结论 纳入的针刺治疗原发性高血压RCT报告质量不佳,未来的研究中需注重研究设计、严格实施过程、规范试验报告,与国际前沿接轨,以利于针刺疗法的发展和传播。
Abstract:
Objective To evaluate the quality of clinical randomized controlled trials(RCT) of acupuncture in the treatment of essential hypertension. Methods We searched the RCT reports about acupuncture treatment of essential hypertension in seven databases from the database establishment to December 2019, including Web of Science, PubMed, EMBASE, Cochrane Library, CNKI, Wanfang Date, and VIP. Two researchers screened out the eligible literatures according to the inclusion and exclusion criteria, and adopted Cochrane risk bias assessment tool and consort Statement and stricta standard to assess the quality of these reports. Results 87 RCT reports were included. The statistical results of Cochrane bias risk assessment tools show that the risk of bias in most literatures is high or unclear. According to the evaluation results of CONSORT statement and STRICTA standard items, only a few items have a high rate of complete report including the eligibility criteria of subjects, the place of data collection, intervention measures, statistical method analysis of outcome indicators, types of acupuncture treatment, acupuncture stimulation methods, needle retention time, number of treatment units, frequency and duration of treatment units, and the complete report rates of those items were 63.2%, 59.8%, 50.5%, 88.5%, 100%, 92%, 81.6%, 86.2% and 75.9%. The complete report rate of other items is low or even not reported. Conclusion The quality of RCT reports of acupuncture treatment is not good. In the future research, we should pay attention to the research design, strict implementation process, standardized test report, and connect with the international front, so as to facilitate the development and spread of acupuncture treatment.

参考文献/References

[1] WANG Z,CHEN Z,ZHANG L,et al. Status of hypertension in China:results from the China hypertension survey,2012-2015[J]. Circulation,2018,137 (22):2344-2356. [2] 李立明,饶克勤,孔灵芝,等. 中国居民2002年营养与健康状况调查[J]. 中华流行病学杂志,2005(7):478-484. [3] LI D Z,ZHOU Y,YANG Y N,et al. Acupuncture for essential hypertension: a meta-analysis of randomize sham-controlled clinical trials[J]. Evid Based Complement Alternat Med,2014,2014:279478. [4] 周敏,郭治波,杜宇征. 针灸治疗原发性高血压病临床研究进展[J]. 中华中医药杂志,2011,26(12):2939-2942. [5] HIGGINS J P T, GREEN S. Cochrane Handbook for Systematic Reviews of Interventions: Version 5.1.0[EB/OL].The Cochrane Collaboration, 2011[2019-12-31]. http://www.cochrane-handbook.org. [6] SCHULZ K F,ALTMAN D G,MOHER D. CONSORT 2010 statement: Updated guidelines for reporting parallel group randomised trials[J]. J Pharmacol Pharmacother,2010, 1(2):100-107. [7] MACPHERSON H,ALTMAN D G,HAMMERSCHLAG R,et al. Revised standards for reporting interventions in clinical trials of acupuncture(STRICTA): extending the CONSORT statement[J]. J Altern Complement Med,2010, 16(10):ST1-ST14. [8] YIN C,SEO B,PARK H J,et al. Acupuncture,a promising adjunctive therapy for essential hypertension: a double-blind,randomized,controlled trial[J]. Neurol Res,2007, 29(Suppl. 1):S98-S103. [9] KIM H M,CHO S Y,PARK S U,et al. Can acupuncture affect the circadian rhythm of blood pressure? a randomized,double-blind,controlled trial[J]. J Altern Complement Med,2012,18(10):918-923. [10] 李会娟,申鹏飞,高鹤,等. 针刺对老年脑梗死伴原发性高血压患者血压变异性的影响[J]. 中国针灸,2019,39(7):685-688. [11] 张晓梅,李浩,陈昊. 针刺联合揿针对轻度原发性高血压患者血压的影响[J]. 上海针灸杂志,2019,38(2):156-159. [12] 刘梅芳,施静. 针刺对痰湿壅盛型原发性高血压患者hs-CRP、IL-6的影响[J]. 上海针灸杂志,2017,36(11):1295-1298. [13] 刘芹,黄乃好,孙旭,等. 针刺治疗体质量超标伴原发性高血压前期的临床观察[J]. 河北中医,2017,39(6):906-908. [14] 王克红,王青. 平衡针灸治疗原发性高血压的疗效观察[J]. 临床医药文献电子杂志,2018,5(48):24. [15] 冯闪闪,孙朝军,郭蕴萍,等. 针刺人迎穴对缺血性脑卒中伴原发性高血压患者血压的影响[J]. 中国针灸,2019, 39(11):1160-1163. [16] 胡珊,许丽,陈航. 原发性高血压给予曲池穴捻转补泻法治疗的疗效评价[J]. 养生保健指南,2017(33):228. [17] WANG Y,ZHENG Y,QU S,et al. Cerebral targeting of acupuncture at combined acupoints in treating essential hypertension: an Rs-fMRI study and curative effect evidence[J]. Evid Based Complement Alternat Med,2016, 2016:5392954. [18] PARK J M,SHIN A S,PARK S U,et al. The acute effect of acupuncture on endothelial dysfunction in patients with hypertension: a pilot,randomized,double-blind,placebo-controlled crossover trial[J]. J Altern Complement Med,2010. 16(8):883-888. [19] 赵若谷,李金香. 择时选穴针刺治疗高血压病肝阳上亢证临床观察[J]. 健康必读(下旬刊),2011(7):24-25. [20] 万霞,李赞华,刘建平. 临床研究中的样本量估算:(1)临床试验[J]. 中医杂志,2007(6):504-507. [21] 吴清明,冯国湘. 针刺开四关加百会穴温针灸的降压效应与血浆AngⅡ相关性临床观察[J]. 新中医,2003,35(12):45-47. [22] 王凌云. 针刺风池穴治疗高血压病的临床疗效及对ET与TNF-α调节作用的观察[J]. 武汉:湖北中医学院,2006. [23] 吴清明,冯国湘,汤雪飞. 针刺开"四关"加百会穴温针灸对原发性高血压患者血浆中ET和NO的影响[J]. 中国针灸,2004,24(1):53-55. [24] 张朝晖,周洁,王强,等. 针刺治疗原发性高血压病及其对血管内皮功能的影响[J]. 中国针灸,2004(8):24-25.

备注/Memo

备注/Memo:
收稿日期: 2020 - 01- 09
* 基金项目: 国家中医药管理局中医药行业科研专项项目(201507001-08)
第一作者简介: 谭晓婵(1993-),女,在读博士研究生,研究方向:针灸治疗中风病的机制研究。
△通信作者: 石学敏,E-mail:tjdrshi@msn.com
更新日期/Last Update: 2020-07-20