Objective： To assess the methodological quality of systematic reviews and meta-analyses regarding acupuncture intervention for stroke and the primary studies within them. Methods： Two researchers searched Pub Med, C...Objective： To assess the methodological quality of systematic reviews and meta-analyses regarding acupuncture intervention for stroke and the primary studies within them. Methods： Two researchers searched Pub Med, Cumulative index to Nursing and Allied Health Literature, Embase, ISI Web of Knowledge, Cochrane, Allied and Complementary Medicine, Ovid Medline, Chinese Biomedical Literature Database, China National Knowledge Infrastructure, Wanfang and Traditional Chinese Medical Database to identify systematic reviews and meta-analyses about acupuncture for stroke published from the inception to December 2016. Review characteristics and the criteria for assessing the primary studies within reviews were extracted. The methodological quality of the reviews was assessed using adapted Oxman and Guyatt Scale. The methodological quality of primary studies was also assessed. Results： Thirty-two eligible reviews were identified, 15 in English and 17 in Chinese. The English reviews were scored higher than the Chinese reviews（P=0.025）, especially in criteria for avoiding bias and the scope of search. All reviews used the quality criteria to evaluate the methodological quality of primary studies, but some criteria were not comprehensive. The primary studies, in particular the Chinese reviews, had problems with randomization, allocation concealment, blinding, dropouts and withdrawals, intent-to-treat analysis and adverse events. Conclusions： Important methodological flaws were found in Chinese systematic reviews and primary studies. It was necessary to improve the methodological quality and reporting quality of both the systematic reviews published in China and primary studies on acupuncture for stroke.展开更多
Objective:To observe the clinical efficacy of auricular point sticking at different points to relieve the pain in arteriovenous fistula puncture.Methods:A total of 42 patients with arteriovenous fistula were randomize...Objective:To observe the clinical efficacy of auricular point sticking at different points to relieve the pain in arteriovenous fistula puncture.Methods:A total of 42 patients with arteriovenous fistula were randomized into a Shenmen(TF4)group and an Elbow(SF3)group by the random number table method,with 21 cases in each group.After enrolled into different groups,before the dialysis,patients were given auricular point sticking with Wang Bu Liu Xing(Semen Vaccariae)seeds at Shenmen(TF4)and Elbow(SF3),respectively.Patients were asked to press the seeds themselves for 2 min each time,four times a day,and an additional 5-15 min before the arteriovenous fistula puncture.Intensive pressing was offered duri ng the pun cture,15・20 presses for each time,and the plasters were cha nged every 2-3 d.The nu merical rati ng scale(NRS)was used to score the pain level one week before and after auricular point sticking.The NRS score was then compared and analyzed.Results:The intra-group comparison showed that the changes of NRS score in both groups were statistically sigrdficant after auricular point sticking(both P<0.05).After the treatment,there was no sigrdficant differenee in NRS score between the two groups(P>0.05).Conclusion:Auricular point sticking at Shenmen(TF4)or Elbow(SF3)can effectively relieve the pain of arteriovenous fistula puncture,and these two points have equivale nt an algesic effect.展开更多
文摘目的探讨针对2型糖尿病患者采用分级诊疗对其血糖控制效果与并发症预防效果的影响。方法 196例2型糖尿病患者,随机分为对照组与观察组,各98例。对照组患者采用常规诊疗方式,观察组患者给予分级诊疗模式。将两组患者的血糖控制效果与并发症预防情况进行比较。结果治疗后,观察组的空腹血糖(FPG)、餐后2 h血糖(2 h PG)、糖化血红蛋白(HbA1c)分别为(6.2±0.5)mmol/L、(9.8±0.6)mmol/L、(6.1±0.4)%,均低于对照组的(6.8±0.8)mmol/L、(10.9±0.9)mmol/L、(6.5±0.3)%,差异有统计学意义(P<0.05)。两组患者治疗前后的腰围、体质量指数(BMI)、舒张压(DBP)、收缩压(SBP)、甘油三酯(TG)比较,差异均无统计学意义(P>0.05)。观察组的并发症发生率为11.2%,低于对照组的28.6%,差异有统计学意义(P<0.05)。结论针对2型糖尿病患者采用分级诊疗模式不仅能够积极保障良好的血糖控制效果,也可有效预防相关并发症的发生。
基金Supported by the National Natural Science Foundation of China(No.81403296)the Outstanding Youth Foundation of Guangdong Province Colleges and Universities(No.YQ2015041)Guangdong High Level Universities Program of Guangzhou University of Chinese Medicine
文摘Objective： To assess the methodological quality of systematic reviews and meta-analyses regarding acupuncture intervention for stroke and the primary studies within them. Methods： Two researchers searched Pub Med, Cumulative index to Nursing and Allied Health Literature, Embase, ISI Web of Knowledge, Cochrane, Allied and Complementary Medicine, Ovid Medline, Chinese Biomedical Literature Database, China National Knowledge Infrastructure, Wanfang and Traditional Chinese Medical Database to identify systematic reviews and meta-analyses about acupuncture for stroke published from the inception to December 2016. Review characteristics and the criteria for assessing the primary studies within reviews were extracted. The methodological quality of the reviews was assessed using adapted Oxman and Guyatt Scale. The methodological quality of primary studies was also assessed. Results： Thirty-two eligible reviews were identified, 15 in English and 17 in Chinese. The English reviews were scored higher than the Chinese reviews（P=0.025）, especially in criteria for avoiding bias and the scope of search. All reviews used the quality criteria to evaluate the methodological quality of primary studies, but some criteria were not comprehensive. The primary studies, in particular the Chinese reviews, had problems with randomization, allocation concealment, blinding, dropouts and withdrawals, intent-to-treat analysis and adverse events. Conclusions： Important methodological flaws were found in Chinese systematic reviews and primary studies. It was necessary to improve the methodological quality and reporting quality of both the systematic reviews published in China and primary studies on acupuncture for stroke.
文摘Objective:To observe the clinical efficacy of auricular point sticking at different points to relieve the pain in arteriovenous fistula puncture.Methods:A total of 42 patients with arteriovenous fistula were randomized into a Shenmen(TF4)group and an Elbow(SF3)group by the random number table method,with 21 cases in each group.After enrolled into different groups,before the dialysis,patients were given auricular point sticking with Wang Bu Liu Xing(Semen Vaccariae)seeds at Shenmen(TF4)and Elbow(SF3),respectively.Patients were asked to press the seeds themselves for 2 min each time,four times a day,and an additional 5-15 min before the arteriovenous fistula puncture.Intensive pressing was offered duri ng the pun cture,15・20 presses for each time,and the plasters were cha nged every 2-3 d.The nu merical rati ng scale(NRS)was used to score the pain level one week before and after auricular point sticking.The NRS score was then compared and analyzed.Results:The intra-group comparison showed that the changes of NRS score in both groups were statistically sigrdficant after auricular point sticking(both P<0.05).After the treatment,there was no sigrdficant differenee in NRS score between the two groups(P>0.05).Conclusion:Auricular point sticking at Shenmen(TF4)or Elbow(SF3)can effectively relieve the pain of arteriovenous fistula puncture,and these two points have equivale nt an algesic effect.
