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针灸治疗糖尿病性神经病理性疼痛:一项系统评价与荟萃分析方案

Acupuncture for diabetic neuropathic pain: A protocol for systematic review and meta analysis.

作者信息

Wang Liqin, Gao Zhaohong, Niu Xiangru, Yuan Meiqi, Li Yan, Wang Fei, Guo Chuang, Ren Zhen

机构信息

Department of First Clinical Medicine,First Affiliated Hospital of Heilongjiang University of Chinese Medicine.

Department of Graduate school, Heilongjiang University of Chinese Medicine, Harbin,China.

出版信息

Medicine (Baltimore). 2020 Nov 20;99(47):e23244. doi: 10.1097/MD.0000000000023244.

Abstract

BACKGROUND

Diabetic neuropathic pain (DNP) is a common complication of diabetes mellitus, it severely affects the quality of life of Diabetic patients. Acupuncture is proofed to have favorable effects in treating DNP, however, evidence needs to be gathered and interpreted. We will make a comprehensive review of clinical trials concerning acupuncture in treating DNP and do meta-analysis if possible.

METHOD

The following databases will be searched from the inception to September 2020: PubMed, Embase, Web of Science, China National Knowledge Infrastructure, Wan-Fang Database, and Chinese Scientific Journal Database. RCTs that evaluated acupuncture for patients with DNP will be included. The primary outcome will be patient-reported pain intensity using validated scales or verbal reporting. The secondary outcomes including the Toronto clinical scoring system, Sensory Nerve Conduction Velocity, Motor Nerve Conduction Velocity, and quality of life. The study selection, data extraction, and study quality evaluation will be performed independently by 2 researchers. A meta-analysis will be performed using RevMan V5.3 statistical software if possible; otherwise, descriptive analysis or subgroup analysis will be conducted. The quality of evidence for outcomes will be assessed with the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach.

RESULTS

This study will evaluate the effect and safety of acupuncture in treating DNP.

CONCLUSIONS

The evidence we generated from the present study will provide more options for DNP management in clinical practice.

SYSTEMATIC REVIEW REGISTRATION

INPLASY202090043.

摘要

背景

糖尿病性神经病理性疼痛(DNP)是糖尿病的常见并发症,严重影响糖尿病患者的生活质量。针灸已被证明在治疗DNP方面有良好效果,然而,仍需收集并解读相关证据。我们将对有关针灸治疗DNP的临床试验进行全面综述,并尽可能进行荟萃分析。

方法

检索以下数据库自建库至2020年9月的数据:PubMed、Embase、Web of Science、中国知网、万方数据库和中国科学期刊数据库。纳入评估针灸治疗DNP患者的随机对照试验(RCT)。主要结局将是使用经过验证的量表或口头报告的患者报告的疼痛强度。次要结局包括多伦多临床评分系统、感觉神经传导速度、运动神经传导速度和生活质量。研究筛选、数据提取和研究质量评估将由2名研究人员独立进行。如果可能,将使用RevMan V5.3统计软件进行荟萃分析;否则,将进行描述性分析或亚组分析。结局的证据质量将采用推荐分级评估、制定和评价(GRADE)方法进行评估。

结果

本研究将评估针灸治疗DNP的疗效和安全性。

结论

我们从本研究中得出的证据将为临床实践中DNP的管理提供更多选择。

系统评价注册

INPLASY202090043。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ae2/7676605/c7f2d65eb184/medi-99-e23244-g001.jpg

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