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基于现代文献探讨蜂针疗法的循证等级病谱

Based on Modern Literatures to Explore the Evidence-based Grade Disease Spectrum of Apitherapy
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摘要 目的:基于现代文献建立蜂针疗法的等级病谱。方法:计算机系统检索CNKI、VIP、WF、Sino Med、Pub Med、Cochrane Library、Embase等国内外数据库,检索蜂针疗法的临床文献,检索日期截至2022年1月3日。采用ICD-10规范文献病症名,参照循证医学证据五级分类法将研究分级,依据病谱分级理论构建蜂针疗法干预病症的循证等级病谱。结果:共纳入589篇文献,其中A级证据8篇,支持4种病证;B级证据20篇,支持15种病证;C级证据176篇,支持55种病证;D级证据201篇,支持72种病证;E级证据221篇,支持115种病证。Ⅰ级病谱4种,Ⅱ级病谱11种,Ⅲ级病谱17种,Ⅳ级病谱29种,Ⅴ级病谱104种。结论:当前蜂针疗法干预病症研究证据级别较低,Ⅰ、Ⅱ级病谱占比少,后期需提高临床研究质量,提供高级别证据,完善蜂针疗法循证等级病谱。 Objective To bulid the evidence-based grade disease spectrum of apitherapy based on modern literatures.Methods CNKI,VIP,WF,Sino Med,Pub Med,Cochrane Library and Embase databases were searched by computer system,and clinical literatures of apitherapy therapy were retrieved by January 3,2022.We used ICD-10 to standardize the names of symptoms and diseases.The study was classified according to the five-level classification of evidence of evidence-based medical literature,and the evidence-based grade disease spectrum of apitherapy intervention was constructed according to the theory of disease spectrum classification.Results A total of 589 literatures were included,of which 8 were grade A evidences,supporting 4 kinds of disease syndromes.20 grade B evidences supporting 15 diseases and syndromes;176 pieces of grade C evidence supporting 55 diseases and syndromes;201 pieces of grade D evidence supporting 72 diseases and syndromes;There were 221 grade E evidences supporting 115 diseases and syndromes.There were 4 researches for gradesⅠ,11 gradesⅡ,17 gradesⅢ,29 gradesⅣand 104 gradesⅤ.Conclusion At present,the evidence level of apitherapy is low,and the proportion of gradeⅠ,andⅡdisease spectrum is small.It is necessary to improve the quality of clinical research for the further study,provide high-level evidence,and improve the evidence-based grade disease spectrum of apitherapy.
作者 熊俊 杨骏 崔淑君 李逸成 管灵聪 罗函玲 刘荣辉 XIONG Jun;YANG Jun;CUI Shujun;LI Yicheng;GUAN Lingcong;LUO Hanling;LIU Ronghui(Affiliated Hospital of Jiangxi University of Chinese Medicine,Nanchang 330006,China;Acupuncture Department of Jiangxi University of Chinese Medicine,Nanchang 330004,China;Graduate Department of Jiangxi University of Chinese Medicine,Nanchang 330004,China)
出处 《中国民族民间医药》 2022年第21期1-6,共6页 Chinese Journal of Ethnomedicine and Ethnopharmacy
基金 2019中国民族医药学会科研项目(2019KYXM-Z1112-65) 江西省引进培养创新创业高层次人才项目(jxsq2019201104) 江西中医药大学“1050”青年人才工程第一层次青年拔尖人选(5141900101)。
关键词 蜂针疗法 证据分级 循证等级病谱 文献研究 Apitherapy Evidence Classification Evidence-based Grade Disease Spectrum Literature Research
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