Soo-Yeon Chae, Won-Suk Sung, Eun-Jung Kim, Seong-Sik Park
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引用次数: 0
摘要
背景：CV8神穴拔火罐治疗荨麻疹是一种有潜力的治疗方法。本文将分析CT治疗CV8肾虚的疗效和安全性。方法：随机对照试验（rct）比较CV8神阙CT与其他治疗方法从14个全球数据库中检索，从建立到2024年6月。主要结局为症状评分（SS）、生活质量（QoL）和有效率（ER）。使用Review Manager，结果以风险比（RR）或平均差（MD）表示，置信区间为95%。使用Cochrane“偏倚风险”工具评估偏倚风险，使用推荐评估、发展和评价分级（GRADE）评估证据质量。结果：共纳入6项rct， 409例患者。与其他治疗相比，CV8神阙CT治疗显著改善了ER （RR = 1.20, 95% CI [1.07, 1.35], P = 0.002, 6个RCT， n = 409）、SS(包括车轮评分（MD = -0.64, 95% CI[-0.91, -0.37]， 2个RCT， n = 123）、症状持续时间评分（MD = -0.37, 95% CI[-0.62, -0.12]， 2个RCT， n = 123）和生活质量（MD = -2.08, 95% CI[-3.28, -0.88]， 1个RCT， n = 66）。结论：CT对CV8肾窦有治疗荨麻疹的潜力。由于纳入的rct的整体质量和数量都不令人满意，未来需要高质量的研究来进一步验证结果。
The Effectiveness and Safety of Cupping Therapy on CV8 Shenque for Urticaria: A Systematic Review and Meta‑Analysis.
Background: Cupping therapy (CT) on acupoint CV8 Shenque is a potential treatment of urticaria. This review will analyze the efficacy and safety of CT on CV8 Shenque.
Methods: Randomized controlled trials (RCTs) comparing CT on CV8 Shenque with other treatments were retrieved from 14 worldwide databases from their inception to June 2024. Primary outcomes were symptom scores (SS), quality of life (QoL), and effective rate (ER). Using Review Manager, results were presented as risk ratio (RR) or mean difference (MD), with a 95% confidence interval (CI). The risk of bias was assessed using the Cochrane "risk of bias" tool, and the quality of evidence was evaluated with the Grading of Recommendations Assessment, Development, and Evaluation (GRADE).
Results: A total of six RCTs with 409 patients were included. Compared with other treatments, CT on CV8 Shenque significantly improved ER (RR = 1.20, 95% CI [1.07, 1.35], P = .002, 6 RCTs, n = 409), SS (including wheal scores (MD = -0.64, 95% CI [-0.91, -0.37], 2 RCTs, n = 123), symptom duration scores (MD = -0.37, 95% CI [-0.62, -0.12], 2 RCTs, n = 123), and QoL (MD = -2.08, 95% CI [-3.28, -0.88], 1 RCT, n = 66).
Conclusion: CT on CV8 Shenque can be a potential therapy for urticaria. Since the overall quality and quantity of the included RCTs were not satisfactory, high-quality research is necessary to further verify the results in the future.
期刊介绍：
Launched in 1995, Alternative Therapies in Health and Medicine has a mission to promote the art and science of integrative medicine and a responsibility to improve public health. We strive to maintain the highest standards of ethical medical journalism independent of special interests that is timely, accurate, and a pleasure to read. We publish original, peer-reviewed scientific articles that provide health care providers with continuing education to promote health, prevent illness, and treat disease. Alternative Therapies in Health and Medicine was the first journal in this field to be indexed in the National Library of Medicine. In 2006, 2007, and 2008, ATHM had the highest impact factor ranking of any independently published peer-reviewed CAM journal in the United States—meaning that its research articles were cited more frequently than any other journal’s in the field.
Alternative Therapies in Health and Medicine does not endorse any particular system or method but promotes the evaluation and appropriate use of all effective therapeutic approaches. Each issue contains a variety of disciplined inquiry methods, from case reports to original scientific research to systematic reviews. The editors encourage the integration of evidence-based emerging therapies with conventional medical practices by licensed health care providers in a way that promotes a comprehensive approach to health care that is focused on wellness, prevention, and healing. Alternative Therapies in Health and Medicine hopes to inform all licensed health care practitioners about developments in fields other than their own and to foster an ongoing debate about the scientific, clinical, historical, legal, political, and cultural issues that affect all of health care.
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