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Acupuncture for functional dyspepsia: Bayesian meta-analysis.

Xiaoyun Liao1, Yu Tian1, Yajun Zhang1

  • 1The Third Clinical Medical College, Zhejiang Chinese Medical University, Hangzhou 310053, China.

Complementary Therapies in Medicine
|May 18, 2024
PubMed
Summary

Acupuncture, alone or with other therapies, effectively treats functional dyspepsia (FD) symptoms. Combining acupuncture with Western medicine offers superior relief for early satiety and fullness compared to Western medicine alone.

Keywords:
AcupunctureFunctional dyspepsiaNetwork meta-analysisSystematic review

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Area of Science:

  • Gastroenterology
  • Complementary and Alternative Medicine
  • Evidence-Based Medicine

Background:

  • Functional dyspepsia (FD) is a common gastrointestinal disorder.
  • Acupuncture is a widely used complementary and alternative medicine (CAM) therapy for FD.
  • The comparative effectiveness and safety of various acupuncture methods for FD require systematic evaluation.

Purpose of the Study:

  • To conduct a Bayesian meta-analysis to evaluate the relative effectiveness and safety of different acupuncture therapies for functional dyspepsia.
  • To compare acupuncture-based treatments against Western medicine and other CAM modalities for FD symptom management.

Main Methods:

  • Systematic literature search of eight electronic databases up to April 2023.
  • Inclusion of randomized controlled trials (RCTs) investigating acupuncture for FD.
  • Application of Bayesian network meta-analysis using RevMan 5.3 and ADDIS V.1.16.6 for efficacy comparison and ranking.

Main Results:

  • Combined acupuncture and Western medicine showed superior efficacy for early satiety and postprandial fullness compared to Western medicine alone.
  • Acupuncture with moxibustion was most effective for epigastric pain; moxibustion alone was optimal for burning sensations.
  • Warming needle acupuncture was identified as the preferred method for increasing motilin levels.

Conclusions:

  • Acupuncture, whether used independently or combined with other treatments, is a safe and effective option for managing functional dyspepsia.
  • Evidence supports the integration of acupuncture-based therapies into the management of FD symptoms.