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首页> 外文期刊>Journal of King Saud University >Acupuncture in the treatment of stable chronic obstructive pulmonary disease: A systematic review of randomised controlled trials
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Acupuncture in the treatment of stable chronic obstructive pulmonary disease: A systematic review of randomised controlled trials

机译：针灸治疗稳态慢性阻塞性肺病：随机对照试验的系统综述

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ObjectiveTo systematically evaluate the clinical efficacy and safety of acupuncture in the treatment of chronic obstructive pulmonary disease (COPD).MethodsRandomised controlled trials (RCTs) of acupuncture and/or transcutaneous electrical nerve stimulation over acupoints (acu-TENS) in the treatment of the stable COPD were searched in PubMed, Embase, The Cochrane Library, WanFang Data, VIP, CNKI and CBM databases from the respective inception to January 2019. Literature screening and data extraction were independently performed by two researchers and methodological quality was assessed using the Cochrane Collaboration Risk of Bias Tool. Outcome measures included treatment efficiency, quality of life, lung function, activity tolerance and adverse events were evaluated.ResultsEleven RCTs involving 709 patients were included. The results showed that the treatments of COPD, acupuncture and/or acu-TENS could improve the treatment efficiency compared with the control group [RR?=?1.11, 95%CI (1.02 to 1.21),P?=?0.02], improve the quality of life [MD?=??3.66, 95%CI (?5.56 to ?1.76),P?=?0.0002], increased percentage of forced expiratory volume in 1?s (FEV1%) [MD?=?8.75, 95%CI (0.98 to 16.51),P?=?0.03], increased predicted forced vital capacity (FVC%) value [MD?=?7.93, 95%CI (1.83 to 14.03),P?=?0.01], increased FVC(L) [MD?=?0.16, 95%CI (0.01 to 0.30),P?=?0.04] and decreased Borg score [MD?=?-3.00, 95%CI (-3.99 to ?2.01),P?=?0.00001]. Only 3 cases reported mild contusion and pain.ConclusionsOur systematic review shows that the combination of acupuncture with medications and/or rehabilitation exercise may increase efficacy in stable COPD treatment by alleviating the clinical symptoms and improving the quality of life.
机译：atfectiveiveTo系统地评估针灸治疗慢性阻塞性肺病（COPD）的临床疗效和安全性。在治疗稳定的穴位（ACU-TENS）上的针灸和/或经皮电子神经刺激的临床疗效和安全性在2019年1月的各自成立中搜索了PubMed，Embase，Cochrane图书馆，WANFANG数据，VIP，CNKI和CNKI和CBM数据库中搜索了COPD。文献筛查和数据提取由两位研究人员独立进行，使用Cochrane协作风险评估方法质量。偏见工具。结果措施包括治疗效率，寿命质量，肺功能，活性耐受性和不良事件。包括涉及709名患者的RCT。结果表明，与对照组相比，COPD，针灸和/或ACU-TENS的治疗可以提高治疗效率[RR吗？=？1.11,95％CI（1.02至1.21），P？= 0.02]，改善生活质量[MD吗？3.66,95％CI（？5.56至？1.76），P？= 0.0002]，迫使呼气量增加1？S（FEV1％）[MD吗？=？8.75 ，95％CI（0.98至16.51），p？= 0.03]，预测强制生命能力（FVC％）值[MD吗？=α.7.93,95％CI（1.83至14.03），P？= 0.01]，增加FVC（​​L）[MD吗？= 0.16,95％CI（0.01至0.30），p？= 0.04]并减少博格分数[MD吗？=？ - 3.00,95％CI（-3.99至2.01）， p？= 0.00001]。只有3例报告称为轻微的挫伤和疼痛.Conclusionsour系统评论表明，通过减轻临床症状并提高生活质量，针灸组合药物和/或康复运动的组合可能会增加稳定COPD治疗的疗效。

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