World Journal of Acupuncture-Moxibustion最新文献

{"title":"Mechanistic investigation of acupuncture treatment in patients with migraine: Evidence from brain imaging study (I)","authors":"Guo-yun LIU (刘国韵),&nbsp;Yi-chao CHEN (陈懿超),&nbsp;Zi-min CAO (曹子敏),&nbsp;An-qi SHI (石安琪),&nbsp;Lu-fan XU (许璐凡),&nbsp;Zhi-jun LI (李芷君),&nbsp;Ze-qiu YANG (杨泽秋),&nbsp;Chao-qun YAN (闫超群),&nbsp;Jun WANG (王军)","doi":"10.1016/j.wjam.2023.07.002","DOIUrl":"10.1016/j.wjam.2023.07.002","url":null,"abstract":"<div><h3>Objective</h3><p>Magnetic resonance imaging (MRI) studies have demonstrated anatomical and functional alterations of brain regions in patients with migraine, and the efficacy of acupuncture for migraine could regulate these abnormal alterations. However, its pathogenesis remains ambiguous, and inconsistent results have been reported. The purpose of this study was to explore abnormal structural and functional alterations in patients with migraine using voxel-based morphometry (VBM) analysis and a seed-based functional connectivity (FC) approach and to provide a basis for future research.</p></div><div><h3>Methods</h3><p>The study recruited 34 patients with migraine and 38 healthy controls who underwent structural and resting-state functional magnetic resonance imaging (fMRI). VBM was evaluated across the whole brain, and group differences in the gray matter (GM) were compared. The significantly altered GM volumes considered as the seeding area were further calculated for the FC of the whole brain. The correlation between structural or functional changes of the brain and clinical features was also evaluated.</p></div><div><h3>Results</h3><p>Patients with migraine manifested higher GM volumes in the left occipital lobe than healthy controls. Seed-based analyses demonstrated reduced FC between the left occipital lobe and right inferior frontal gyrus, extending to the anterior cingulate cortex (ACC) and right insula. Decreased FC in the left ACC was positively correlated with visual analog scale (VAS) and self-rating anxiety scale (SAS).</p></div><div><h3>Conclusions</h3><p>This study indicated that patients with migraine exhibited abnormal changes in brain regions, which could facilitate a better understanding of how brain structure and function impact the symptoms of migraine and provide the basis for elucidating the potential mechanisms of acupuncture for migraine.</p></div><div><h3>Trial registration</h3><p>Chinese Clinical Trial Registry, Chi CTR2000033995. Registered on 20 June 2020.</p></div>","PeriodicalId":44648,"journal":{"name":"World Journal of Acupuncture-Moxibustion","volume":"34 1","pages":"Pages 16-23"},"PeriodicalIF":0.7,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1003525723000557/pdfft?md5=1c8f876fe775f5f7f25228b5db245846&pid=1-s2.0-S1003525723000557-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47244908","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Diseases for which acupuncture proves superior: Headache","authors":"Fang YUAN (袁芳),&nbsp;Lin-peng WANG (王麟鹏),&nbsp;Shao-song WANG (王少松)","doi":"10.1016/j.wjam.2023.12.001","DOIUrl":"10.1016/j.wjam.2023.12.001","url":null,"abstract":"","PeriodicalId":44648,"journal":{"name":"World Journal of Acupuncture-Moxibustion","volume":"34 1","pages":"Pages 72-73"},"PeriodicalIF":0.7,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1003525723000806/pdfft?md5=305cbeda38250cbcdf8e65fd55ca0411&pid=1-s2.0-S1003525723000806-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139191754","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The necessity of inheritance and innovation of classical acupuncture from the rising of dry needling从干针崛起看古典针灸传承与创新的必要性","authors":"Guan-Yuan JIN(金观源) ,&nbsp;Louis Lei JIN(金雷) ,&nbsp;Belinda Jie HE(何洁) ,&nbsp;Bonnie Xia JIN(金霞)","doi":"10.1016/j.wjam.2023.05.005","DOIUrl":"10.1016/j.wjam.2023.05.005","url":null,"abstract":"<div><p>By reviewing the historical background and the current state of dry needling (DN), including the \"Anti-DN Independence\" movement by the acupuncture profession in the west, this paper emphasizes that DN is acupuncture, or more precisely, a \"de-meridian\" style of acupuncture. Clinical applications of DN and its modern studies have seen a tremendous growth spurt during the past two decades, which suggests that the meridian theory of traditional Chinese medicine (TCM) may not be the exclusive theory to guide acupuncture. Even certain high-quality DN trials may serve as good examples for acupuncture research, such as refining the stimulation targets in acupoints, recognizing the reflex properties of acupoints known as acu-reflex points (ARPs), or establishing standardized indicators of stimulus amount while objectively assessing the needling efficacy. Like any other therapies, DN has its shares of drawbacks or limitations, which reminds that while innovating classical acupuncture, it is still necessary to inherit the valuable experience of classic acupuncture and the rational core of meridian theory. This is crucial for enhancing the efficacy of clinical acupuncture intervention including DN to broaden the treatment scope and indications of acupuncture.</p></div>","PeriodicalId":44648,"journal":{"name":"World Journal of Acupuncture-Moxibustion","volume":"34 1","pages":"Pages 1-8"},"PeriodicalIF":0.7,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1003525723000314/pdfft?md5=f372ab80b46ee0b577bf97c7fea1ec54&pid=1-s2.0-S1003525723000314-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46716569","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dose-effect relationship between electroacupuncture with different parameters and the regulation of endogenous opioid peptide system","authors":"Ping CHEN (陈平) ,&nbsp;Hong XU (徐红) ,&nbsp;Ren ZHANG (张仁) ,&nbsp;Xue-song TIAN (田雪松)","doi":"10.1016/j.wjam.2023.06.003","DOIUrl":"10.1016/j.wjam.2023.06.003","url":null,"abstract":"<div><p>Endogenous opioid peptides (EOP) are the neurochemical basis of the anesthetic and analgesic effects of acupuncture, and the quantity of acupuncture stimulus can be controlled accurately by using electroacupuncture (EA). The present study explores the dose-effect relationship between EA with different parameters and the regulation of EOP system. In this paper, the intervention effects of EA on EOP system were specially discussed in terms of the single factor and the different combinations of the frequency, waveform and current intensity. This study shows that EOP system presents a frequency-response specificity. The low frequency of EA promotes the release of enkephalin, β-endorphin and endomorphin, the high one activates the dynorphin system selectively, and the intermediate frequency works on promoting the release of enkephalin and β-endorphin, as well as dynorphin. Sparse-dense wave of EA may induce the release of enkephalin, β-endorphin, endomorphin and dynorphin, presenting a synergistic effect. However, the waveform of EA should be selected flexibly in clinical practice. Sometimes the better therapeutic effect can also be obtained with the continuous wave of EA. EOP system is involved in mediating appropriate intensity of EA, while the acupuncture effect generated by an extra strong EA stimulation refers to a kind of stress response of non-opioid mechanism. The different combinations of EA parameters result in various effects. The combination of EA parameters should be optimized in accordance with different diseases, which is valuable for guiding clinical practice and the development of EA therapy.</p></div>","PeriodicalId":44648,"journal":{"name":"World Journal of Acupuncture-Moxibustion","volume":"34 1","pages":"Pages 9-15"},"PeriodicalIF":0.7,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1003525723000430/pdfft?md5=16de5dcd788e7810db6265abd243ca2a&pid=1-s2.0-S1003525723000430-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43515529","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of acupuncture on RT-BM1 and maternal-fetal immune tolerance in rats with ovarian hyperstimulation","authors":"Jin-min ZHANG (张金民) ,&nbsp;Meng-hao XU (徐梦浩) ,&nbsp;Xiao-hu XU (许啸虎),&nbsp;Cui-hong ZHENG (郑翠红)","doi":"10.1016/j.wjam.2023.12.002","DOIUrl":"10.1016/j.wjam.2023.12.002","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;p&gt;This study aimed to evaluate the effects of acupuncture on embryo implantation and maternal–fetal immune tolerance in rats with ovarian hyperstimulation, identify the mechanisms of acupuncture treatment, and promote application of acupuncture in the field of assisted reproduction.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;p&gt;Eighty female Wistar rats were randomized into normal (N), model (M), acupuncture treatment (A), and progesterone treatment (P) groups, with 20 rats in each group. An ovarian hyperstimulation model was established in groups M, A, and P by the peritoneal injection of pregnant mare serum gonadotropin (PMSG) combined with human chorionic gonadotropin (HCG). Bilateral “Sanyinjiao (SP6)”, “Zusanli (ST36)” and “Taichong (LR3)” as acupoints were needled in rats in group A. Rats in group P received an intramuscular injection of progesterone (4 mg/kg). All pregnant rats were treated for seven days. On the 8th day, the pregnant rats were sacrificed for testing. The expression levels of estrogen (E&lt;sub&gt;2&lt;/sub&gt;) and progesterone (P&lt;sub&gt;4&lt;/sub&gt;) in serum and their receptors in the endometrium, Th1 and Th2 cytokines in serum and endometrium, RT-BM1 (the counterpart of HLA-G in rats) mRNA, Ly49 activating receptors (Ly49s3, Ly49s5) and inhibitory receptors (Ly49i3, Ly49i4, Ly49i5) on immunocytes in the maternal–fetal interface were detected using ELISA, Western blot, and real-time polymerase chain reaction (PCR).&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;p&gt;Compared with group N, the pregnancy rate and the number of implanted embryos were significantly decreased in group M (&lt;em&gt;P&lt;/em&gt; &lt; 0.05); E&lt;sub&gt;2&lt;/sub&gt; and P&lt;sub&gt;4&lt;/sub&gt; levels in serum, and the protein levels of ER-α and Progesterone Receptor (PGR) in the implantation site of endometrial tissue were significantly reduced in group M (&lt;em&gt;P&lt;/em&gt; &lt; 0.05); the expression of INF-γ and IL-2 in serum and endometrium were significantly increased, while the expression of IL-4, IL-6, and IL-10 in serum and endometrium were significantly decreased in group M(&lt;em&gt;P&lt;/em&gt; &lt; 0.05). The mRNA levels of RT-BM1, Ly49i3, and Ly49i4 receptors in group M were significantly higher than those in group N, whereas the mRNA levels of Ly49i5 and Ly49s5 receptors in group M were significantly lower than those in group N at the maternal–fetal interface (&lt;em&gt;P&lt;/em&gt; &lt; 0.05). The pregnancy rate and number of implanted embryos were significantly higher in group A than in group M (&lt;em&gt;P&lt;/em&gt; &lt; 0.05). Serum E&lt;sub&gt;2&lt;/sub&gt; and P&lt;sub&gt;4&lt;/sub&gt; levels were significantly higher in groups A and P than in group M (&lt;em&gt;P&lt;/em&gt; &lt; 0.05). The expression of ER-α and PGR in the implantation site of endometrial tissue in group A were significantly higher than those in group M (&lt;em&gt;P&lt;/em&gt; &lt; 0.05). The serum levels of INF-γ and IL-2 in group A and group P were significantly lower than those in group M (&lt;em&gt;P&lt;/em&gt; &lt; 0.05). The serum expression of IL-4, IL-6, IL-10 in group A and group P were significantly higher th","PeriodicalId":44648,"journal":{"name":"World Journal of Acupuncture-Moxibustion","volume":"34 1","pages":"Pages 24-30"},"PeriodicalIF":0.7,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1003525723000818/pdfft?md5=475388c869f9327aea6a37c570f55775&pid=1-s2.0-S1003525723000818-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139189113","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Acupuncture for cancer pain: from clinical evidence to scientific research","authors":"Yi-han HE (何怡瀚) ,&nbsp;Hai-bo ZHANG（张海波） ,&nbsp;Ming-gang BI（毕明刚）","doi":"10.1016/j.wjam.2023.12.003","DOIUrl":"10.1016/j.wjam.2023.12.003","url":null,"abstract":"","PeriodicalId":44648,"journal":{"name":"World Journal of Acupuncture-Moxibustion","volume":"34 1","pages":"Pages 74-75"},"PeriodicalIF":0.7,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S100352572300082X/pdfft?md5=faa023cc71bb65afe261674910b37f59&pid=1-s2.0-S100352572300082X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139194597","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Acupuncture for fibromyalgia: An evidence map 针灸治疗纤维肌痛:证据图","authors":"Lan-jun SHI (施兰君),&nbsp;Xiao-yi HU (胡晓艺),&nbsp;Zi-yu TIAN (田紫煜),&nbsp;Wen-cui XIU (修文萃),&nbsp;Rui-min JIAO (焦睿珉),&nbsp;Xiang-yu HU (胡翔昱),&nbsp;Wei-juan GANG (岗卫娟),&nbsp;Xiang-hong JING (景向红)","doi":"10.1016/j.wjam.2023.07.001","DOIUrl":"10.1016/j.wjam.2023.07.001","url":null,"abstract":"<div><h3>Objective</h3><p>The body of research on acupuncture as a treatment strategy for fibromyalgia (FM) is steadily growing. This evidence map identifies, describes, and summarizes the current status of studies conducted to evaluate the efficacy of acupuncture for FM, identify research gaps, and provide information that could guide the design of future studies.</p></div><div><h3>Methods</h3><p>Seven electronic databases–Cochrane Library, PubMed, Embase, China Biomedical Literature Database, VIP, Wanfang Database, and Chinese National Knowledge Infrastructure–were searched for relevant articles on acupuncture for FM. The search period was from the dates of inception of the databases to December 19, 2022. Original clinical studies and systematic reviews on the use of acupuncture-related modalities for the treatment of FM were included. The basic information, quality assessments, and evidence maps of the included studies are presented as charts and bubble plots. The quality assessment tools used for evaluating the different types of studies included in the present study were Cochrane Collaboration's tool, Canadian Institute of Health Economics quality appraisal tool, and A MeaSurement Tool to Assess systematic Reviews 2.</p></div><div><h3>Results</h3><p>Fifty studies were included in this study. Of these, 39 (78.00%) were randomized controlled trials (RCTs), 6 (12.0%) were case series, and 5 (10.0%) were systematic reviews. The included studies focused on manual acupuncture and conventional treatment in the treatment and control groups, respectively. The outcomes analyzed in the RCTs included pain (94.9%), sleep quality (46.2%), depression (46.2%), physical function (46.2%), stiffness (35.9%), well-being (35.9%), work status (35.9%), anxiety (33.3%), fatigue (33.3%), quality of life (17.9%), and overall effective rate (10.3%). The methodological quality of most of the studies was low or critically low regardless of the study design. In most studies, the therapeutic effect of acupuncture was significantly superior to that of the comparator.</p></div><div><h3>Conclusion</h3><p>This evidence map suggests that acupuncture-related modalities may be promising options for FM management. However, various studies on this topic have a high risk of bias or are of low quality. Further evidence-based research should be conducted to rigorously examine the efficacy of acupuncture for FM and promote generalizability of the findings.</p></div>","PeriodicalId":44648,"journal":{"name":"World Journal of Acupuncture-Moxibustion","volume":"34 1","pages":"Pages 31-39"},"PeriodicalIF":0.7,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1003525723000545/pdfft?md5=692c0d4fbc8cd8294fca5239a99d3f3e&pid=1-s2.0-S1003525723000545-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48026234","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Current status, considerations and suggestion on real-world acupuncture research","authors":"Ming-lin SUN (孙铭璘) ,&nbsp;Yang LI (李 杨) ,&nbsp;Bao-yan LIU (刘保延) ,&nbsp;Li-yun HE (何丽云) ,&nbsp;Jia LIU (刘佳) ,&nbsp;Yan-ke AI (艾艳珂)","doi":"10.1016/j.wjam.2023.10.005","DOIUrl":"https://doi.org/10.1016/j.wjam.2023.10.005","url":null,"abstract":"<div><p>In recent years, the importance of real-world research based on real-world data has been widely recognized in many countries and regions around the world. Oriented by real-world data, real-world research is conducted to obtain real-world evidence, which becomes a hot spot in clinical study. In such circumstances, how to use the diagnosis and treatment data of clinical practice to evaluate the effect and safety of acupuncture becomes future direction of acupuncture research. This paper analyzed the current situation of the real-world research in the field of acupuncture and put forward the influencing factors and the countermeasures to provide the references for the real-world research of acupuncture.</p></div>","PeriodicalId":44648,"journal":{"name":"World Journal of Acupuncture-Moxibustion","volume":"33 4","pages":"Pages 305-308"},"PeriodicalIF":0.7,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92035213","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hotspots and emerging trends in acupuncture research during 2012–2022: A bibliometric analysis","authors":"Fang-hua ZHAO(赵芳华) ,&nbsp;Mei-ling SUN(孙美玲) ,&nbsp;Man GAO(高曼),&nbsp;Hai-yan LI(李海燕)","doi":"10.1016/j.wjam.2023.09.005","DOIUrl":"https://doi.org/10.1016/j.wjam.2023.09.005","url":null,"abstract":"<div><h3>Objective</h3><p>To find the hotspots of acupuncture research in the last decade and predict future trends.</p></div><div><h3>Methods</h3><p>The Web of Science Core Collection was used to retrieve articles published on the topic of acupuncture from January 1, 2012, to August 31, 2022. CiteSpace 6.1.R3, VOSviewer 1.6.18, SCImago Graphics and other tools were used to visualize and analyze the number of publications, countries, authors, journals, institutions, keywords, and cited articles.</p></div><div><h3>Result</h3><p>A total of 10,942 articles published from January 2012 to August 2022 were analysed. A total of 97 countries and regions have conducted acupuncture research, with the highest number of research conducted in China. Furthermore, 8,056 institutions were involved in acupuncture research. In addition, 1,823 journals have published articles related to acupuncture research, with the highest number published by the journal <em>Evid-Based Compl Alt</em><span> (1,096 articles). The hotspots of acupuncture research are acupuncture analgesia<span> (low back pain, knee osteoarthritis<span><span><span><span>, headache, shoulder pain, neck pain, cancer pain, migraine), acupuncture anti-inflammatory (allergic rhinitis [AR], inflammatory pain), female-related diseases (polycystic ovary syndrome and breast cancer), cerebrovascular diseases (stroke and hemiplegia), rehabilitation </span>treatment (postoperative nausea and vomiting, </span>postoperative pain, and trauma pain in veterans), resting functional magnetic resonance imaging (fMRI), </span>nervous system diseases (nerve regeneration and neuroprotection), depression, insomnia, Alzheimer's disease (AD), evidence-based researches, etc.</span></span></span></p></div><div><h3>Conclusion</h3><p>From the analysis of acupuncture research hotspots, acupuncture research was mainly focused on acupuncture mechanisms, clinical efficacy, and acupuncture standards. The emerging trends for the future include the standardization of acupuncture research and the treatment of chronic diseases with a clinical basis and more efficacy through the use of acupuncture in internal medicine.</p></div>","PeriodicalId":44648,"journal":{"name":"World Journal of Acupuncture-Moxibustion","volume":"33 4","pages":"Pages 328-341"},"PeriodicalIF":0.7,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92035212","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Systematic review and meta-analysis of moxibustion on urinary incontinence among women","authors":"Shuo DU (杜朔),&nbsp;Ji-ping ZHAO (赵吉平),&nbsp;Shi-hao DU (杜世豪),&nbsp;Wei GUO (郭玮),&nbsp;Xiao-long XIE (解小龙),&nbsp;Guan-qun WANG (王冠群),&nbsp;Guan-xiong HAN (韩冠雄),&nbsp;Chao YANG (杨超)","doi":"10.1016/j.wjam.2023.09.007","DOIUrl":"https://doi.org/10.1016/j.wjam.2023.09.007","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;p&gt;&lt;span&gt;&lt;span&gt;&lt;span&gt;&lt;span&gt;Urinary incontinence (UI) is a common condition that bothers women's lives, including &lt;/span&gt;stress urinary incontinence (SUI), urgency urinary incontinence (UUI) and &lt;/span&gt;mixed urinary incontinence&lt;span&gt; (MUI). The current non-surgical treatment of Western medicine includes pelvic floor muscle training (PFMT), medication, &lt;/span&gt;&lt;/span&gt;electric stimulation&lt;span&gt;&lt;span&gt;, etc., all of which have varied limitations. For instance, the patients are poor in compliance with PFMT and medication results in frequent adverse effects. Being one of the featured treatments of TCM, &lt;/span&gt;moxibustion has several merits including safety, low cost and simple operation. In recent years, the clinical evidences prove increasingly that moxibustion may be effective for women with UI. However, there is no high-quality &lt;/span&gt;&lt;/span&gt;systematic review of moxibustion for this disease.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;p&gt;To evaluate the effect and safety of moxibustion on UI (including SUI, UUI and MUI) among women.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;p&gt;From the inception to October 13, 2022, the data of the randomized controlled trials&lt;span&gt; (RCTs) of moxibustion on UI among women were collected from CNKI, WanFang Data, VIP, SinoMed, Web of Science, Pubmed, EMBASE and Cochrane Library databases. Two investigators screened the articles independently and extracted the data according to the inclusion and exclusion criteria developed in advance. Using the risk of bias assessment tool of Cochrane Handbook, the included RCTs were evaluated. With RevMan 5.3 software, meta-analysis was performed, and the GRADE tool was adopted to assess evidence certainty of different outcomes.&lt;/span&gt;&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;p&gt;A total of 1176 articles were retrieved and 19 of them with 1397 patients were eligible and included in the review. In experimental groups, moxibustion combined with PFMT was used, while in control groups PFMT was applied alone. And the subjects were all women with SUI. Meta-analysis showed that compared with PFMT alone, moxibustion combined with PFMT reduced the urine leakage volume (1-hour pad test) (&lt;em&gt;MD&lt;/em&gt; = -1.95g, 95%&lt;em&gt;CI&lt;/em&gt; [-2.32, -1.57], &lt;em&gt;P&lt;/em&gt; &lt; 0.001), the frequency of UI in 24-hour (&lt;em&gt;MD&lt;/em&gt; = -0.64, 95%&lt;em&gt;CI&lt;/em&gt; [-0.88, -0.40], &lt;em&gt;P&lt;/em&gt;&lt;span&gt; &lt; 0.001) and the score of the short form of International Consultation on Incontinence Questionnaire (ICIQ-SF) of women with SUI (&lt;/span&gt;&lt;em&gt;MD&lt;/em&gt; = -2.53, 95%&lt;em&gt;CI&lt;/em&gt; [-3.43, -1.63], &lt;em&gt;P&lt;/em&gt; &lt; 0.001); and this combined intervention measure did not increase significantly the adverse events (&lt;em&gt;RR&lt;/em&gt; = 0.82, 95%&lt;em&gt;CI&lt;/em&gt; [0.15, 4.6], &lt;em&gt;P&lt;/em&gt; = 0.82). GRADE assessment showed that the UI frequency in 24-hour and the incidence of adverse events were rated as low quality, the urine leakage volume of 1-hour pad test and ICIQ-SF score were very low quality.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;p&gt;Compared with PFMT alone, the interventio","PeriodicalId":44648,"journal":{"name":"World Journal of Acupuncture-Moxibustion","volume":"33 4","pages":"Pages 314-324"},"PeriodicalIF":0.7,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92035181","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}