糖尿病外围神经病变的针治疗:基于证据映射的系统审查的概述
Junjie Jiang1, Hao Shen2, Yi Zhang3
1Institute of Basic Research in Clinical Medicine, China Academy of Chinese Medical Sciences, Beijing, China.
Frontiers in neurology
|October 18, 2024
概括
针有效地治疗糖尿病外围神经病变 (DPN),改善神经功能和整体结果. 未来对DPN针的元分析需要遵守严格的质量标准,以获得可靠的临床指导.
科学领域:
- 神经学 神经学
- 综合医学是一个整体医学.
- 基于证据的医学基于证据的医学.
背景情况:
- 糖尿病外围神经病变 (DPN) 是糖尿病的常见并发症,导致显著的发病率.
- 针是一种广泛探索的DPN管理的补充疗法.
- 评估现有的元分析 (MAs) 对于明智的临床决策至关重要,关于针DPN.
研究的目的:
- 系统地评估有关糖尿病外围神经病症针的元分析的质量.
- 评估包含的研究的方法和报告质量.
- 确定针在DPN治疗中的疗效证据的质量.
主要方法:
- 在八个主要数据库中进行全面的文献搜索,截至2023年12月22日.
- 包括对DPN针或组合治疗的元分析.
- 使用AMSTAR-2,PRISMA 2020和GRADE方法的质量评估.
主要成果:
- 包括18个涉及23240名患者的元分析,其中大多数被评为低或极低的方法质量.
- 针干预的证据质量主要为低至极低.
- 与传统医学单独相比,针,单独或与传统医学结合,显著改善了总有效率和神经传导速度.
结论:
- 针在改善DPN患者的总有效率和神经传导速度方面具有显著的好处.
- 支持针用于DPN治疗的安全性.
- 未来的元分析和初级研究必须遵守严格的方法和报告标准,以产生可靠的证据.
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