对刺激性肠综合征的针和催化术:一个总体的系统性审查
Yue-Ying Ma1, Zhou Hao1, Zi-Yi Chen2
1Shanghai Clinical Research Centre for Acupuncture and Moxibustion, Yueyang Hospital of Integrated Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai 200437, China.
这一综合性审查发现,针对刺激性肠综合征 (IBS) 的针和催化疗的系统性审查通常具有较低的方法和报告质量. 需要更严格的研究来证实这些治疗方法对IBS的好处.
科学领域:
- 整合和补充医学是整合和补充医学.
- 胃肠病学 胃肠病学
- 基于证据的医学基于证据的医学.
背景情况:
- 刺激性肠综合征 (IBS) 是一种功能性胃肠疾病.
- 针和催情正在作为IBS的治疗方法进行探索.
- 现有的关于这个主题的系统审查提出了不一致的发现.
研究的目的:
- 评估针对IBS的针和催化剂的系统审查的方法严谨性.
- 评估这些系统性审查的报告质量.
- 为了确定证据支持针和moxibustion的IBS的质量.
主要方法:
- 对现有的系统性审查和元分析进行了总体系统性审查.
- 搜索了八个数据库,查找2023年2月20日之前发表的相关文献.
- 使用AMSTAR 2,PRISMA 2020和GRADE标准进行质量评估.
主要成果:
- 包括15项系统性审查,其中大多数具有低至非常低的方法质量.
- 报告质量往往不足,在搜索策略,偏见评估和异质性分析方面存在问题.
- 在治疗IBS时,针和催化剂的整体证据质量被评为低或非常低.
结论:
- 虽然现有审查表明有好处,但其质量不足以得出确定的结论.
- 系统性审查的方法和报告标准需要显著改进.
- 高质量的,大规模的随机对照试验对于在IBS治疗中获得针和治疗的强有力的证据至关重要.
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