The bronze acupuncture model was produced by Emperor Qianlong’s order in 1744 A.D.It has been 274 years since then,and this model has always been well kept and handed down with a full record.It is of great traditiona...The bronze acupuncture model was produced by Emperor Qianlong’s order in 1744 A.D.It has been 274 years since then,and this model has always been well kept and handed down with a full record.It is of great traditional medical and cultural value,regarded as the treasure of Shanghai Museum of Traditional Chinese Medicine due to its rareness and intactness both at home and abroad.展开更多
目的筛选前列腺癌术后尿失禁(PPUI)针刺优势方案,为临床决策提供参考。方法检索MEDLINE、Embase、Cochrane Library、Web of Science、中国生物医学文献库、中国知网、万方医学及重庆维普数据库,检索时间为建库至2024年2月1日,收集针刺...目的筛选前列腺癌术后尿失禁(PPUI)针刺优势方案,为临床决策提供参考。方法检索MEDLINE、Embase、Cochrane Library、Web of Science、中国生物医学文献库、中国知网、万方医学及重庆维普数据库,检索时间为建库至2024年2月1日,收集针刺治疗PPUI的随机对照试验,评价文献质量,排除整体偏倚风险高或改良Jadad<3分的研究,构建针刺方案并进行Meta分析,以国际尿失禁咨询简表(ICI-Q-SF)评分、生活质量分数、总有效率、改良Jadad分数为效益性指标,选穴数量、刺激时长、针刺次数以及疗程为成本性指标,得出标准化方案矩阵,用熵值法确定不同决策指标的权重,最后结合优劣解距离算法(TOPSIS)综合评价。结果9篇文献纳入研究,涉及的针刺疗法构建为六类方案(穴位低频电刺激、电针骶四穴、益气固元针法、体针+盆底肌训练、耳针疗法及电针+盆底肌训练),决策指标中ICI-Q-SF评分、针刺次数以及总有效率获得较高权重,刺激时长和疗程权重较低;TOPSIS熵值法评价结果电针骶四穴方案最佳,该方案使用频率2 Hz的连续波电针,刺激时长每次60 min,要求针感放射到阴茎根部,优势在于选穴精简、显著降低ICI-Q-SF评分和提高临床总有效率。结论最终筛选的优势方案以电针骶四穴最佳,可为临床决策和指南制定提供循证依据。展开更多
文摘The bronze acupuncture model was produced by Emperor Qianlong’s order in 1744 A.D.It has been 274 years since then,and this model has always been well kept and handed down with a full record.It is of great traditional medical and cultural value,regarded as the treasure of Shanghai Museum of Traditional Chinese Medicine due to its rareness and intactness both at home and abroad.
