Dominant diseases of acupuncture in clinical efficacy: an overview of systematic reviews_Chinese Journal of Evidence-Based Medicine

Authors：

LI Xiuxia ^1,2 , GUO Kangle ^1,2 , SHANG Xue ^1,2 , E Fenfen ^1,2 , YANG Chaoqun ^1,2 , WANG Yan ^1,2 , CHEN Nan ^1,2 , LI Yanfei ^1,2 , WANG Shizhong ³ , NIU Junqiang ⁴ ,  WANG Yongfeng ⁵ ,  YANG Kehu ^1,2,6

1. Evidence-Based Social Science Research Center & Health Technology Assessment Center, School of Public Health, Lanzhou University, Lanzhou 730000, P.R.China;
2. Key Laboratory of Evidence Based Medicine and Knowledge Translation of Gansu Province, Lanzhou 730000, P.R.China;
3. Wuwei People’s Hospital, Wuwei 733000, P.R.China;
4. Department of Traditional Chinese Medicine, the First Hospital of Lanzhou University, Lanzhou 730000, P.R.China;
5. Gansu University of Chinese Medicine, Lanzhou 730000, P.R.China;
6. Evidence-Based Medicine Center, School of Basic Medicine, Lanzhou University, Lanzhou 730000, P.R.China;

Corresponding?author：

WANG Yongfeng, Email: wangyongfeng2020@126.com; YANG Kehu, Email: kehuyangebm2006@126.com

Keywords：

Acupuncture; Dominant diseases; Systematic review; Meta-analysis; Overview

DOI：

10.7507/1672-2531.202102050

Video：

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Objective To overview the systematic reviews of dominant diseases of acupuncture in clinical efficacy.Methods PubMed, The Cochrane Library, Web of Science, CNKI, CBM, VIP and WanFang Data databases were electronically searched to collect systematic reviews or meta-analyses of dominant diseases of acupuncture in clinical efficacy from inception to December 2020. Two reviewers independently screened literature, extracted data and assessed the quality of the included studies. Then, Excel 2010 and VOS viewer were used for data analysis.Results A total of 263 systematic reviews were included. Acupuncture techniques involved electroacupuncture (n=29), point thread-embedding (n=25), dermal needle (n=15), acupoint injection (n=12), spoon needle (n=12), fire needle (n=8), laser (n=8), intradermal needle (n=5), filiform needle (n=4), pricking blood therapy (n=2) and round-sharp needle (n=1). A total of 94 kinds of diseases were identified, and their total effective rate ranged from 4% (bladder cancer) to 98% (bladder stones, renal colic), 72 kinds of which were above 85%.Conclusions Acupuncture is currently widely used in clinical practice. Based on the clinical effectiveness evidence, this study finally identifies 94 types of dominant diseases. However, the total sample size and total effective rate vary considerably, and the types of acupuncture are not yet specified in this study, which requires to be focused in future research.

Citation： LI Xiuxia, GUO Kangle, SHANG Xue, E Fenfen, YANG Chaoqun, WANG Yan, CHEN Nan, LI Yanfei, WANG Shizhong, NIU Junqiang, WANG Yongfeng, YANG Kehu. Dominant diseases of acupuncture in clinical efficacy: an overview of systematic reviews. Chinese Journal of Evidence-Based Medicine, 2021, 21(6): 703-709. doi: 10.7507/1672-2531.202102050 Copy

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2.	Liu Z, Liu Y, Xu H, et al. Effect of electroacupuncture on urinary leakage among women with stress urinary incontinence: a randomized clinical trial. JAMA, 2017, 317(24): 2493-2501.
3.	Hershman DL, Unger JM, Greenlee H, et al. Effect of acupuncture vs sham acupuncture or waitlist control on joint pain related to aromatase inhibitors among women with early-stage breast cancer: a randomized clinical trial. JAMA, 2018, 320(2): 167-176.
4.	霍蕊莉, 馬勝興. 試解現代針刺療法臨床研究之困惑. 中國中西醫結合雜志, 2016, 36(3): 261-265.
5.	高麗麗, 陳波, 郭義. 西方針灸與中國針灸比較分析. 遼寧中醫雜志, 2015, 42(12): 2407-2409.
6.	Li X, Wang R, Xing X, et al. Acupuncture for myofascial pain syndrome: a network meta-analysis of 33 randomized controlled trials. Pain Physician, 2017, 20(6): E883-E902.
7.	杜若桑. 試談針刺“純瀉無補”論. 針灸臨床雜志, 2014, (11): 68-70.
8.	潘玥, 李平. 腕踝針臨床優勢病種的文獻研究. 上海針灸雜志, 2012, 31(8): 618-620.
9.	張俊華, 李幼平, 張伯禮. 循證中醫藥學: 理論與實踐. 中國中藥雜志, 2018, 43(1): 1-7.
10.	張曉雨, 李敏, 陳耀龍, 等. 循證中醫藥學理論研究與應用實踐. 中國循證醫學雜志, 2018, 18(1): 86-91.
11.	吳婷婷, 劉丹璐, 黃嬌, 等. 偏倚風險評估工具在針刺Cochrane系統評價中的應用. 中國循證醫學雜志, 2014, 14(3): 361-364.
12.	費宇彤, 楊德強, 胡凌娟, 等. 當代針刺臨床優勢病種的文獻計量學研究. 中國針灸, 2007, 27(3): 229-232.
13.	陳耀龍, 姚亮, 杜亮, 等. GRADE在系統評價中應用的必要性及注意事項. 中國循證醫學雜志, 2013, 13(12): 1401-1404.
14.	陳耀龍. GRADE在系統評價中的應用. 楊克虎, 李秀霞, 拜爭剛, 主編. 循證社會科學研究方法: 系統評價與Meta 分析(第1版). 蘭州: 蘭州大學出版社, 2018: 48-64.
15.	姚俊鵬, 張林, 周思遠, 等. 針刺治療單純性肥胖系統評價的再評價. 世界科學技術-中醫藥現代化, 2020, 22(8): 2736-2745.
16.	Li X, Wang R, Shi X, et al. Reporting characteristics and quality of systematic reviews of acupuncture analgesia. Pain Pract, 2017, 17(8): 1066-1074.
17.	熊俊, 陳日新. 系統評價/Meta分析方法學質量的評價工具AMSTAR. 中國循證醫學雜志, 2011, 11(9): 1084-1089.
18.	Moher D, Liberati A, Tetzlaff J, 等. 系統綜述和薈萃分析優先報告的條目: PRISMA聲明. 中西醫結合學報, 2009, 7(9): 889-896.
19.	龐軍, 王開龍, 雷龍鳴, 等. 論針刺療效的影響因素. 亞太傳統醫藥, 2008, 4(11): 26-29.
20.	林煜芬. 針刺療效影響因素探析. 亞太傳統醫藥, 2016, 12(5): 100-102.
21.	季昭臣, 楊豐文, 胡海殷, 等. 中醫藥系統評價/Meta分析證據庫的構建. 中國循證醫學雜志, 2020, 20(1): 98-101.
22.	劉建平. 轉化醫學與循證醫學及其與中醫藥療效評價. 中國中西醫結合雜志, 2011, 31(4): 444-445.
23.	趙晨, 田貴華, 王燕平, 等. 涵蓋科學觀與人文觀的循證醫學發展—兼談循證中醫藥學科的未來前景. 中國循證醫學雜志, 2019, 19(2): 232-237.
24.	張俊華, 孫鑫, 李幼平, 等. 循證中醫藥學的現在和未來. 中國循證醫學雜志, 2019, 19(5): 515-520.
25.	關曼柯, 魏旭煦, 趙晨, 等. 循證決策模式下中醫臨床個體化療效評價研究的定位與未來發展路徑. 中國循證醫學雜志, 2020, 20(10): 1124-1129.

1. World Health Organization. WHO traditional medicine strategy: 2014-2023, 2013. Available at: https://www.who.int/medicines/publications/traditional/trm_strategy14_23/en/.
2. Liu Z, Liu Y, Xu H, et al. Effect of electroacupuncture on urinary leakage among women with stress urinary incontinence: a randomized clinical trial. JAMA, 2017, 317(24): 2493-2501.
3. Hershman DL, Unger JM, Greenlee H, et al. Effect of acupuncture vs sham acupuncture or waitlist control on joint pain related to aromatase inhibitors among women with early-stage breast cancer: a randomized clinical trial. JAMA, 2018, 320(2): 167-176.
4. 霍蕊莉, 馬勝興. 試解現代針刺療法臨床研究之困惑. 中國中西醫結合雜志, 2016, 36(3): 261-265.
5. 高麗麗, 陳波, 郭義. 西方針灸與中國針灸比較分析. 遼寧中醫雜志, 2015, 42(12): 2407-2409.
6. Li X, Wang R, Xing X, et al. Acupuncture for myofascial pain syndrome: a network meta-analysis of 33 randomized controlled trials. Pain Physician, 2017, 20(6): E883-E902.
7. 杜若桑. 試談針刺“純瀉無補”論. 針灸臨床雜志, 2014, (11): 68-70.
8. 潘玥, 李平. 腕踝針臨床優勢病種的文獻研究. 上海針灸雜志, 2012, 31(8): 618-620.
9. 張俊華, 李幼平, 張伯禮. 循證中醫藥學: 理論與實踐. 中國中藥雜志, 2018, 43(1): 1-7.
10. 張曉雨, 李敏, 陳耀龍, 等. 循證中醫藥學理論研究與應用實踐. 中國循證醫學雜志, 2018, 18(1): 86-91.
11. 吳婷婷, 劉丹璐, 黃嬌, 等. 偏倚風險評估工具在針刺Cochrane系統評價中的應用. 中國循證醫學雜志, 2014, 14(3): 361-364.
12. 費宇彤, 楊德強, 胡凌娟, 等. 當代針刺臨床優勢病種的文獻計量學研究. 中國針灸, 2007, 27(3): 229-232.
13. 陳耀龍, 姚亮, 杜亮, 等. GRADE在系統評價中應用的必要性及注意事項. 中國循證醫學雜志, 2013, 13(12): 1401-1404.
14. 陳耀龍. GRADE在系統評價中的應用. 楊克虎, 李秀霞, 拜爭剛, 主編. 循證社會科學研究方法: 系統評價與Meta 分析(第1版). 蘭州: 蘭州大學出版社, 2018: 48-64.
15. 姚俊鵬, 張林, 周思遠, 等. 針刺治療單純性肥胖系統評價的再評價. 世界科學技術-中醫藥現代化, 2020, 22(8): 2736-2745.
16. Li X, Wang R, Shi X, et al. Reporting characteristics and quality of systematic reviews of acupuncture analgesia. Pain Pract, 2017, 17(8): 1066-1074.
17. 熊俊, 陳日新. 系統評價/Meta分析方法學質量的評價工具AMSTAR. 中國循證醫學雜志, 2011, 11(9): 1084-1089.
18. Moher D, Liberati A, Tetzlaff J, 等. 系統綜述和薈萃分析優先報告的條目: PRISMA聲明. 中西醫結合學報, 2009, 7(9): 889-896.
19. 龐軍, 王開龍, 雷龍鳴, 等. 論針刺療效的影響因素. 亞太傳統醫藥, 2008, 4(11): 26-29.
20. 林煜芬. 針刺療效影響因素探析. 亞太傳統醫藥, 2016, 12(5): 100-102.
21. 季昭臣, 楊豐文, 胡海殷, 等. 中醫藥系統評價/Meta分析證據庫的構建. 中國循證醫學雜志, 2020, 20(1): 98-101.
22. 劉建平. 轉化醫學與循證醫學及其與中醫藥療效評價. 中國中西醫結合雜志, 2011, 31(4): 444-445.
23. 趙晨, 田貴華, 王燕平, 等. 涵蓋科學觀與人文觀的循證醫學發展—兼談循證中醫藥學科的未來前景. 中國循證醫學雜志, 2019, 19(2): 232-237.
24. 張俊華, 孫鑫, 李幼平, 等. 循證中醫藥學的現在和未來. 中國循證醫學雜志, 2019, 19(5): 515-520.
25. 關曼柯, 魏旭煦, 趙晨, 等. 循證決策模式下中醫臨床個體化療效評價研究的定位與未來發展路徑. 中國循證醫學雜志, 2020, 20(10): 1124-1129.

Chinese Journal of Evidence-Based Medicine

Dominant diseases of acupuncture in clinical efficacy: an overview of systematic reviews

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