A systematic review and meta-analysis of acupuncture for De Quervain's tenosynovitis treatment.

IF 3.6 4区医学 Q1 MEDICINE, GENERAL & INTERNAL

Postgraduate Medical Journal Pub Date : 2024-09-22 DOI:10.1093/postmj/qgae057

Yuxi Qin, Dan Luo, Heng Qiu, Jingyu Zhang, Huang Yong, Shuguang Yu

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引用次数: 0

Abstract

Background: De Quervain's tenosynovitis (DQt) is a prevalent chronic inflammatory musculoskeletal disorder predominantly affecting the radial aspect of the wrist. This study conducted a comprehensive review of the efficacy of acupuncture in treating De Quervain's tenosynovitis (DQt). Although there is evidence suggesting that acupuncture can alleviate symptoms of DQt-characterized by pain, swelling, and functional impairment-higher-level evidence is still required to further substantiate its efficacy and safety. This study conducted a comprehensive review of the efficacy of acupuncture in treating De Quervain's tenosynovitis (DQt).

Methods: By systematically searching databases such as PubMed, Science Direct, Web of Science, Google Scholar, EMbase, PEDro, China National Knowledge Infrastructure Database (CNKI), Wanfang Database, and Chongqing VIP China Science, Technology Journal Database (VIP), we retrieved randomized controlled trial (RCT) literature on acupuncture for DQt, with the search period extending to November 1, 2023. After extracting and assessing data from the included literature, we performed Meta-analysis using RevMan 5.4.1 software.

Results: The results encompassed 14 RCT papers, involving 851 patients. The Meta-analysis findings indicated that, when compared to topical analgesics, acupuncture demonstrated a significant increase in treatment effectiveness (RR = 1.24; 95% CI = 1.11, 1.39, P = 0.0002) and a notable reduction in VAS pain scores (MD = -1.06; 95% CI = -1.51, -0.61, P < 0.00001). However, no statistically significant difference was observed in conney wrist joint scores. Furthermore, acupuncture was found to reduce VAS pain scores compared to the waiting list group. In comparison to corticosteroid injections (CSI), acupuncture did not show statistical significance in VAS, effectiveness rate, and conney wrist scores.

Conclusion: Acupuncture exhibited a promising trend in alleviating pain associated with DQt and enhancing treatment effectiveness. Nonetheless, due to limitations in the quantity and quality of the included studies, these findings warrant further validation through additional research.

查看原文本刊更多论文

针灸治疗杜氏腱鞘炎的系统回顾和荟萃分析。

背景：杜氏腱鞘炎（DQt）是一种常见的慢性炎症性肌肉骨骼疾病，主要影响腕关节的桡侧。本研究对针灸治疗杜氏腱鞘炎（DQt）的疗效进行了全面回顾。尽管有证据表明针灸可减轻以疼痛、肿胀和功能障碍为特征的 DQt 症状，但仍需要更高级别的证据来进一步证实其疗效和安全性。本研究对针灸治疗杜氏腱鞘炎（DQt）的疗效进行了全面回顾：方法：通过系统检索PubMed、Science Direct、Web of Science、Google Scholar、EMbase、PEDro、中国知网数据库（CNKI）、万方数据库、重庆VIP中国科技期刊数据库（VIP）等数据库，检索到针灸治疗DQt的随机对照试验（RCT）文献，检索期至2023年11月1日。在提取和评估纳入文献的数据后，我们使用RevMan 5.4.1软件进行了Meta分析：结果：共纳入 14 篇 RCT 论文，涉及 851 名患者。Meta 分析结果表明，与局部止痛药相比，针灸的疗效显著提高（RR = 1.24; 95% CI = 1.11, 1.39, P = 0.0002），VAS 疼痛评分明显降低（MD = -1.06; 95% CI = -1.51, -0.61, P 结论：针灸的疗效显著提高（RR = 1.24; 95% CI = 1.11, 1.39, P = 0.0002），VAS 疼痛评分明显降低（MD = -1.06; 95% CI = -1.51, -0.61, P = 0.0002）：针灸在缓解 DQt 相关疼痛和提高治疗效果方面表现出良好的趋势。然而，由于所纳入研究的数量和质量有限，这些发现需要通过更多的研究来进一步验证。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Postgraduate Medical Journal 医学-医学：内科

CiteScore

8.50

自引率

2.00%

发文量

131

审稿时长

2.5 months

期刊介绍： Postgraduate Medical Journal is a peer reviewed journal published on behalf of the Fellowship of Postgraduate Medicine. The journal aims to support junior doctors and their teachers and contribute to the continuing professional development of all doctors by publishing papers on a wide range of topics relevant to the practicing clinician and teacher. Papers published in PMJ include those that focus on core competencies; that describe current practice and new developments in all branches of medicine; that describe relevance and impact of translational research on clinical practice; that provide background relevant to examinations; and papers on medical education and medical education research. PMJ supports CPD by providing the opportunity for doctors to publish many types of articles including original clinical research; reviews; quality improvement reports; editorials, and correspondence on clinical matters.