针刺干预慢性疲劳综合征的系统评价的再评价

Zi-han YIN; Lin-jia WANG; Ying CHENG; Jiao CHEN; Xiao-juan HONG; Ling ZHAO; Fan-rong LIANG

doi:10.1007/s11655-020-3195-3

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针刺干预慢性疲劳综合征的系统评价的再评价

Literature Research | Updated：2021-11-29

- 针刺干预慢性疲劳综合征的系统评价的再评价
- Acupuncture for Chronic Fatigue Syndrome:An Overview of Systematic Reviews^*
- Chinese Journal of Integrative Medicine 2021年27卷第12期页码：940-946
- Affiliations：
  
  1.School of Acu-Mox and Tuina, Chengdu University of Traditional Chinese Medicine, Chengdu (610075), China
  2.Acupuncture Clinical Research Center, Chengdu University of Traditional Chinese Medicine, Chengdu (610075), China
- Author bio：
  
  Prof. LIANG Fan-rong, E-mail:acuresearch@126.com
- Funds：
  
  the National Natural Science Foundation of China(81590951;81722050)
- DOI：10.1007/s11655-020-3195-3
  中图分类号：
- 纸质出版日期：2021-11-15，
  
  网络出版日期：2020-04-01，
  
  录用日期：2020-02-20
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Zi-han YIN, Lin-jia WANG, Ying CHENG, 等. 针刺干预慢性疲劳综合征的系统评价的再评价[J]. Chinese Journal of Integrative Medicine, 2021,27(12):940-946.

Zi-han YIN, Lin-jia WANG, Ying CHENG, et al. Acupuncture for Chronic Fatigue Syndrome:An Overview of Systematic Reviews^*[J]. Chinese Journal of Integrative Medicine, 2021,27(12):940-946.
Zi-han YIN, Lin-jia WANG, Ying CHENG, 等. 针刺干预慢性疲劳综合征的系统评价的再评价[J]. Chinese Journal of Integrative Medicine, 2021,27(12):940-946. DOI： 10.1007/s11655-020-3195-3.

Zi-han YIN, Lin-jia WANG, Ying CHENG, et al. Acupuncture for Chronic Fatigue Syndrome:An Overview of Systematic Reviews^*[J]. Chinese Journal of Integrative Medicine, 2021,27(12):940-946. DOI： 10.1007/s11655-020-3195-3.

摘要

目的:

系统总结和评估当前针刺干预慢性疲劳综合征 (CFS) 的系统评价/Meta分析 (SRs/MAs) 的文献质量及重要结局指标的证据质量.

方法:

从中国生物医学文献数据库 (CBM) 、维普数据库 (VIP) 、中国知网 (CNKI) 、万方数据库 (WF) 、Web of Science、Embase、Pubmed、Cochrane library这8个数据库检索自各库建库以来至2019年9月1日有关针刺治疗CFS的SRs/MAs文献. 使用Grades of Recommendation

Assessment

Development

and Evaluation (GRADE) 工具对纳入研究的证据质量进行评估

采用A Measure Tool to Assess Systematic Reviews-2 (AMSTAR-2) 对纳入文献的方法学质量进行评价

同时采用Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) 清单评价其报告质量. 本研究采用同类相关系数 (ICC) 评价评估者的一致性 (ICC得分为0.967).

结果:

共纳入10项SRs/MAs

涉及17项结局指标. 总体而言

针刺干预CFS具有一定的有效性和安全性

但其中部分结果仍存在矛盾. 根据GRADE结果显示

在17项结局指标中

0项 (0%) 为高质量证据

3项 (17.65%) 为中等质量证据

10项 (58.82%) 为低等质量证据

4项 (23.53%) 为极低质量证据. 根据AMSTAR评分显示

所有研究的方法学质量均为极低. PRISMA条目显示

8项研究 (80%) 涵盖27个PRISMA条目中的20个条目

2项研究 (20%) 涵盖27个PRISMA条目中的10-19个条目.

结论:

针刺干预CFS具有有效性和安全性

但针刺干预CFS的SRs/MAs质量仍有待提高.

Abstract

Objective:

To evaluate the quality of the existing studies and summarize evidence of important outcomes of meta-analyses/systematic reviews (MAs/SRs) of CFS.

Methods:

Potentially eligible studies were searched in the following electronic databases from inception to 1 September

2019: Chinese Biomedical Literature Database (CBM)

China Science and Technology Journal Database (VIP)

China National Knowledge Infrastructure (CNKI)

WanFang Database (WF)

Web of Science

Embase

PubMed and Cochrane Library. Grades of Recommendation

Assessment

Development

and Evaluation (GRADE) was used to evaluate the quality of evidence. The methodological quality of the literature was evaluated by A Measure Tool to Assess Systematic Reviews-2 (AMSTAR-2) and the quality of the report was assessed by Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA). The intra-class correlation coefficient was used to assess the consistency of the reviewers

with an overall intraclass correlation coefficient score of 0.967.

Results:

Ten MAs/SRs were included. The overall conclusions were that acupuncture had good safety and efficacy in the treatment of CFS

but some of these results were contradictory. The GRADE indicated that out of the 17 outcomes

highquality evidence was provided in 0 (0%)

moderate in 3 (17.65%)

low in 10 (58.82%)

and very low in 4 (23.53%). The results of AMSTAR-2 showed that the methodological quality of all included studies was critically low. The PRISMA statement revealed that 8 articles (80%) were in line with 20 of the 27-item checklist

and 2 articles (20%) matched with 10–19 of the 27 items.

Conclusion:

Acupuncture on treating CFS has the advantage for efficacy and safety

but the quality of SRs/MAs of acupuncture for CFS need to be improved.

关键词

Keywords

chronic fatigue syndromeacupunctureoverviewAMSTAR-2GRADEPRISMA

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