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针灸治疗慢性疲劳综合征的系统评价再评价*(PDF)

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

期数:
2020年01期
页码:
69-75
栏目:
针灸研究
出版日期:
2020-07-10

文章信息/Info

Title:
Acupuncture and Moxibustion for Chronic Fatigue Syndrome: An Overview of Systematic Reviews
文章编号:
1000 - 2723(2020)01- 0069 - 07
作者:
罗贞艺1黎丽群1刘洪武1岑前丽1谢宜春1余 良1谢 胜2△
(1. 广西中医药大学研究生学院,广西 南宁 530001;2. 广西中医药大学第一附属医院,广西 南宁 530001)
Author(s):
LUO Zhenyi1 LI Liqun1 LIU Hongwu1 CEN Qianli1 XIE Yichun1 YU Liang1 XIE Sheng2
(1.Graduate School of Guangxi University of Traditional Chinese Medicine,Nanning 530001, China;2.The First Affiliated Hospital of Guangxi University of Traditional Chinese Medicine,Nanning 530001,China)
关键词:
慢性疲劳综合征针灸系统评价再评价AMSTAR2GRADE分级
Keywords:
CFS acupuncture therapy overview of systematic review AMSTAR 2 GRADE
分类号:
R246.6
DOI:
10.19288/j.cnki.issn.1000-2723.2020.01.0012
文献标识码:
A
摘要:
目的对针灸治疗慢性疲劳综合征(CFS)的系统评价进行方法学及循证证据的二次评价。方法 计算机检索 PubMed、EMBASE、The Cochrane Library、Web of Science、VIP、CNKI及WanFang Database数据库自创立至2019年12月1日的针灸治疗CFS的系统评价。采用AMSTAR 2量表和GRADE工具对纳入系统评价进行方法学和循证证据的质量评估。结果 最终纳入13个系统评价,包含54个主要结局指标。AMSTAR 2工具评价结果显示,有8篇方法学质量为“低”,有5篇方法学质量为“极低”。GRADE 系统结果表明:纳入的主要结局指标中,“高级别”证据质量等级有8个,“中级别”10个,“低级别”6个,“极低级”30个。结论 当前针灸治疗慢性疲劳综合征的系统评价方法学质量及证据等级均较低。因此,今后在临床试验的设计方面,应采用大样本、高质量RCTs严格地评估针灸治疗CFS的疗效及安全性,并应进一步规范针灸循证研究的方法学质量和证据质量,以期在指导临床决策方面,更好的发挥中医优势与特色。
Abstract:
Objective To reevaluate the methodological quality and evidence quality of systematic reviews(SRs) of acupuncture for chronic fatigue syndrome(CFS). Methods PubMed, EMBASE, the Cochrane Library, web of science, VIP, CNKI and Wanfang database were searched by computer to collect the SRs of acupuncture and moxibustion in the treatment of chronic fatigue syndrome. The retrieval time limit was from the establishment of the database to December 1, 2019.The AMSTAR 2 scale and GRADE tool were used to evaluate the methodological and evidence-based quality of the inclusion SRs. Results Finally, 13 SRs were included, including 54 main outcome indicators. The results of the AMSTAR 2 tool evaluation showed that: 8 were of “low” quality and 5 were of “very low” quality. The results of the GRADE system showed that among the main outcome indicators included, there were 8 “high level” evidence quality grades, 10 “medium level” evidence quality grades, 6 “low level” evidence quality grades and 30 “very low level” evidence quality grades. Conclusion The current systematic review of acupuncture and moxibustion for CFS is of low quality and evidence level. Therefore, in the design of clinical trials in the future, large samples and high-quality RCTs should be used to strictly evaluate the efficacy and safety of acupuncture in the treatment of CFS, and the methodological quality and evidence quality of evidence-based acupuncture research should be further standardized in order to guide clinical in terms of decision-making and better use of the advantages and characteristics of Chinese medicine.

参考文献/References

[1] SHARIF K,WATAD A,BRAGAZZI N L,et al. On chronic fatigue syndrome and nosological categories[J]. Clin Rheumatol, 2018,37(5):1161-1170. [2] ROLLNIK J D. Chronic fatigue syndrome:a critical review[J]. Fortschr Neurol Psychiatr,2017,85(2):79-85. [3] FARO M,S?魥EZ-FRANC?魣S N,CASTRO-MARRERO J,et al. Gender differences in chronic fatigue syndrome[J]. Reumatol Clin,2016,12(2):72-77. [4] YANCEY J R,THOMAS S M. Chronic fatigue syndrome:diagnosis and treatment[J]. Am Fam Physician,2012,86(8):741-746. [5] BLITSHTEYN S,CHOPRA P. Chronic fatigue syndrome:from chronic fatigue to more specific syndromes[J]. Eur Neurol,2018,80(1-2):73-77. [6] WYLLER V B, REME S E, MOLLNES T E. Chronic fatigue syndrome/myalgic encephalo-myelitis-pathophysiology, diagnosis and treatment[J]. Tidsskr Nor Laegeforen,2015,135(23-24):2172-2175. [7] DJULBEGOVIC B,GUYATT G H. Progress in evidence-based medicine:a quarter century on[J]. Lancet,2017,390(10092):415-423. [8] 陈昊,王艳,陈耀龙,等. 从GRADE系统方法学看中医药临床证据体系的构建[J]. 中华中医药杂志,2017,32(1):25-28. [9] 蔡荣林,胡玲,吴子建. 循证医学、真实世界研究在针灸临床研究中的应用与思考[J]. 中国针灸,2015,35(9):949-952. [10] JUNG J H,DAHM P. Reaching for the stars - rating the quality of systematic reviews with the Assessment of Multiple Systematic Reviews(AMSTAR)2[J]. BJU International,2018,122(5):717-718. [11] 张方圆,沈傲梅,曾宪涛,等. 系统评价方法学质量评价工具AMSTAR 2解读[J]. 中国循证心血管医学杂志,2018,10(1):14-18. [12] 陈昊,曾宪涛,谷万杰,等. 更新版Guideline Development Tool(GRADE pro GDT)在干预性临床实践指南制定中的应用[J]. 中国循证医学杂志,2018,18(10):1135-1142. [13] ZHANG Y,COELLO P A,GUYATT G H,et al. GRADE guidelines:20. Assessing the certainty of evidence in the importance of〓outcomes or values and preferences-inconsistency, imprecision,and other domains[J]. J Clin Epidemiol,2019,111:83-93. [14] 郭秀君,汤聪,吴琼,等. 灸疗法干预慢性疲劳综合征的Meta分析[J]. 中医药导报,2018,24(16):112-116. [15] 蒋术. 针灸干预慢性疲劳综合征睡眠障碍的Meta分析[D]. 沈阳:辽宁中医药大学,2018. [16] 姜凡. 针刺治疗慢性疲劳综合征随机对照试验的系统评价[D]. 哈尔滨:黑龙江中医药大学,2017. [17] 张勇,陈贵全,严爵,等. 灸法治疗慢性疲劳综合征的系统评价[J]. 中医外治杂志,2017,26(4):57-59. [18] 李培雯,孙颖. 近10年针灸治疗慢性疲劳综合征的系统评价[J]. 针灸临床杂志,2016,32(8):70-72. [19] 谭惠娟. 针灸治疗慢性疲劳综合征的文献研究[D]. 成都:成都中医药大学,2016. [20] 张晶晶. 基于临床证据的针灸治疗慢性疲劳综合征疗效评价及优势方案筛选研究[D]. 天津:天津中医药大学,2016. [21] 张紫航. 针刺治慢性疲劳综合征的系统评价和meta-分析[D]. 成都: 成都中医药大学,2014. [22] 成泽东,陈以国,张涛,等. 针灸治疗慢性疲劳综合征的系统评价[J]. 中国中医药信息杂志,2011,18(9):30-32. [23] 王京京,宋玉静,吴中朝,等. 针灸治疗慢性疲劳综合征随机对照试验的Meta分析[J]. 针刺研究,2009,34(6):421-428. [24] 张维. 针刺背俞穴治疗慢性疲劳综合征系统评价及临床研究[D]. 北京:中国中医科学院,2010. [25] ZHANG Q,GONG J,DONG H,et al. Acupuncture for chronic fatigue syndrome:a systematic review and meta-analysis[J]. Journal of the British Medical Acupuncture Society,2019,37(4):211-222. [26] WANG T,XU C,PAN K,et al. Acupuncture and moxibustion for chronic fatigue syndrome in traditional Chinese medicine:a systematic review and meta-analysis[J]. BMC Complement Altern Med,2017,17(1):163. [27] 刘洪武,黎丽群,岑前丽,等. 中药保留灌肠治疗溃疡性结肠炎的系统评价再评价[J]. 云南中医学院学报,2018,41(6):44-49.

备注/Memo

备注/Memo:
收稿日期: 2019 - 01- 18
* 基金项目: 2019年研究生教育创新计划项目立项课题(YCSZ2019004)
第一作者简介: 罗贞艺(1994-),女,在读硕士研究生,研究方向:脾胃四时调四脏防治疾病的应用研究。
△通信作者: 谢胜(1966-),E-mail:xiesheng2018tougao@163.com
更新日期/Last Update: 2020-07-20