针灸治疗肩周炎临床研究证据图

Clinical study on acupuncture and moxibustion for frozen shoulder:an evidence map

梳理和总结针灸治疗肩周炎的临床研究证据。计算机检索PubMed、EMbase、Cochrane系统评价数据库(CDSR)、Cochrane对照试验注册数据库(CENTRAL)、中国期刊全文数据库(CNKI)、万方数据知识服务平台(Wanfang)、维普资讯中文期刊服务平台(VIP)和中国生物医学文献数据库(Sino Med)中针灸治疗肩周炎文献,检索时限为建库至2021年5月31日。采用AMSTAR-2评价纳入系统评价的方法学质量,并以证据图的形式总结针灸治疗肩周炎临床研究证据现况。共纳入原始研究文献266篇,系统评价文献6篇。目前小样本随机对照试验居多,干预措施以温针灸、毫针、针刀和电针等单一针灸疗法为主,临床有效率、肩关节疼痛评分、肩关节功能评分和生活质量评分是现有临床研究关注较多的结局指标。大多数研究结果显示了针灸作为肩周炎辅助治疗措施的优势,在疾病复发率以及安全性方面的临床证据较少。此外,针灸治疗肩周炎相关研究的证据质量也有待提高。

The clinical evidences on acupuncture and moxibustion for the treatment of frozen shoulder were sorted and summarized systematically.The relevant articles of frozen shoulder treated with acupuncture and moxibustion were searched from PubMed,EMbase,Cochrane database of systematic review(CDSR),Cochrane database of controlled trials register(CENTRAL),China national knowledge infrastructure(CNKI),Wanfang,VIP,and Chinese biomedical literature databases(SinoMed),from database inception to May 31,2021.Using AMSTAR-2,the methodological quality of the included systematic reviews was evaluated.With evidence map,the current status of clinical evidence was summarized on acupuncture and moxibustion in treatment of frozen shoulder.A total of 266 original studies and 6 systematic reviews were included finally.At present,many randomized controlled trials are designed with small sample size and the simple acupuncture and moxibustion therapy is dominant as the intervention,e.g.warm acupuncture,acupuncture with filiform needle,acupotomy and electroacupuncture.The outcomes considered in the current trials focus on clinical effective rate,the score of shoulder pain,the score of shoulder function and the score of quality of life.Most of the studies have shown that acupuncture and moxibustion is advantageous as an adjunctive therapy for frozen shoulder,but its clinical evidence is few in terms of the recurrence rate and safety.Moreover,it needs to improve the evidence quality of the relevant studies on acupuncture and moxibustion for frozen shoulder.