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, 马胜兴. 试解现代针刺疗法临床研究之困惑. 中国中西医结合杂志, 2016, 36(3): 261-265.
5.	高丽丽, 陈波, 郭义. 西方针灸与中国针灸比较分析. 辽宁中医杂志, 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. 试谈针刺“纯泻无补”论. 针灸临床杂志, 2014, (11): 68-70.
8.	潘玥, 李平. 腕踝针临床优势病种的文献研究. 上海针灸杂志, 2012, 31(8): 618-620.
9.	张俊华, 李幼平, 张伯礼. 循证中医药学: 理论与实践. 中国中药杂志, 2018, 43(1): 1-7.
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11.	吴婷婷, 刘丹璐, 黄娇, 等. 偏倚风险评估工具在针刺Cochrane系统评价中的应用. 中国循证医学杂志, 2014, 14(3): 361-364.
12.	费宇彤, 杨德强, 胡凌娟, 等. 当代针刺临床优势病种的文献计量学研究. 中国针灸, 2007, 27(3): 229-232.
13.	陈耀龙, 姚亮, 杜亮, 等. GRADE在系统评价中应用的必要性及注意事项. 中国循证医学杂志, 2013, 13(12): 1401-1404.
14.	陈耀龙. GRADE在系统评价中的应用. 杨克虎, 李秀霞, 拜争刚, 主编. 循证社会科学研究方法: 系统评价与Meta 分析(第1版). 兰州: 兰州大学出版社, 2018: 48-64.
15.	姚俊鹏, 张林, 周思远, 等. 针刺治疗单纯性肥胖系统评价的再评价. 世界科学技术-中医药现代化, 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, 陈日新. 系统评价/Meta分析方法学质量的评价工具AMSTAR. 中国循证医学杂志, 2011, 11(9): 1084-1089.
18.	Moher D, Liberati A, Tetzlaff J, 等. 系统综述和荟萃分析优先报告的条目: PRISMA声明. 中西医结合学报, 2009, 7(9): 889-896.
19.	庞军, 王开龙, 雷龙鸣, 等. 论针刺疗效的影响因素. 亚太传统医药, 2008, 4(11): 26-29.
20.	林煜芬. 针刺疗效影响因素探析. 亚太传统医药, 2016, 12(5): 100-102.
21.	季昭臣, 杨丰文, 胡海殷, 等. 中医药系统评价/Meta分析证据库的构建. 中国循证医学杂志, 2020, 20(1): 98-101.
22.	刘建平. 转化医学与循证医学及其与中医药疗效评价. 中国中西医结合杂志, 2011, 31(4): 444-445.
23.	赵晨, 田贵华, 王燕平, 等. 涵盖科学观与人文观的循证医学发展—兼谈循证中医药学科的未来前景. 中国循证医学杂志, 2019, 19(2): 232-237.
24.	张俊华, 孙鑫, 李幼平, 等. 循证中医药学的现在和未来. 中国循证医学杂志, 2019, 19(5): 515-520.
25.	关曼柯, 魏旭煦, 赵晨, 等. 循证决策模式下中医临床个体化疗效评价研究的定位与未来发展路径. 中国循证医学杂志, 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, 马胜兴. 试解现代针刺疗法临床研究之困惑. 中国中西医结合杂志, 2016, 36(3): 261-265.
5. 高丽丽, 陈波, 郭义. 西方针灸与中国针灸比较分析. 辽宁中医杂志, 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. 试谈针刺“纯泻无补”论. 针灸临床杂志, 2014, (11): 68-70.
8. 潘玥, 李平. 腕踝针临床优势病种的文献研究. 上海针灸杂志, 2012, 31(8): 618-620.
9. 张俊华, 李幼平, 张伯礼. 循证中医药学: 理论与实践. 中国中药杂志, 2018, 43(1): 1-7.
10. 张晓雨, 李敏, 陈耀龙, 等. 循证中医药学理论研究与应用实践. 中国循证医学杂志, 2018, 18(1): 86-91.
11. 吴婷婷, 刘丹璐, 黄娇, 等. 偏倚风险评估工具在针刺Cochrane系统评价中的应用. 中国循证医学杂志, 2014, 14(3): 361-364.
12. 费宇彤, 杨德强, 胡凌娟, 等. 当代针刺临床优势病种的文献计量学研究. 中国针灸, 2007, 27(3): 229-232.
13. 陈耀龙, 姚亮, 杜亮, 等. GRADE在系统评价中应用的必要性及注意事项. 中国循证医学杂志, 2013, 13(12): 1401-1404.
14. 陈耀龙. GRADE在系统评价中的应用. 杨克虎, 李秀霞, 拜争刚, 主编. 循证社会科学研究方法: 系统评价与Meta 分析(第1版). 兰州: 兰州大学出版社, 2018: 48-64.
15. 姚俊鹏, 张林, 周思远, 等. 针刺治疗单纯性肥胖系统评价的再评价. 世界科学技术-中医药现代化, 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, 陈日新. 系统评价/Meta分析方法学质量的评价工具AMSTAR. 中国循证医学杂志, 2011, 11(9): 1084-1089.
18. Moher D, Liberati A, Tetzlaff J, 等. 系统综述和荟萃分析优先报告的条目: PRISMA声明. 中西医结合学报, 2009, 7(9): 889-896.
19. 庞军, 王开龙, 雷龙鸣, 等. 论针刺疗效的影响因素. 亚太传统医药, 2008, 4(11): 26-29.
20. 林煜芬. 针刺疗效影响因素探析. 亚太传统医药, 2016, 12(5): 100-102.
21. 季昭臣, 杨丰文, 胡海殷, 等. 中医药系统评价/Meta分析证据库的构建. 中国循证医学杂志, 2020, 20(1): 98-101.
22. 刘建平. 转化医学与循证医学及其与中医药疗效评价. 中国中西医结合杂志, 2011, 31(4): 444-445.
23. 赵晨, 田贵华, 王燕平, 等. 涵盖科学观与人文观的循证医学发展—兼谈循证中医药学科的未来前景. 中国循证医学杂志, 2019, 19(2): 232-237.
24. 张俊华, 孙鑫, 李幼平, 等. 循证中医药学的现在和未来. 中国循证医学杂志, 2019, 19(5): 515-520.
25. 关曼柯, 魏旭煦, 赵晨, 等. 循证决策模式下中医临床个体化疗效评价研究的定位与未来发展路径. 中国循证医学杂志, 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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