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Can acupuncture therapy reduce preoperative anxiety?A systematic review and meta-analysis

查看全文 作  者:Qiu-yu [1]Tong;Ran [1,2]Liu;Kun [1,2]Zhang;Yuan G [1]ao;Guang-wei [1,2]Cui;Wei-dong [1,2]Shen 高影响力作者 机构地区:[1]Department of Acupuncture,Shuguang Hospital,Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China;[2]Institute of Acupuncture and Anesthesia,Shuguang Hospital,Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China高影响力机构 出  处:《Journal of Integrative Medicine》索引2021年第19卷第1期,共9页高影响力期刊 基  金:funded by grants from Shanghai Threeyear Action Plan for Further Development of Chinese Medicine ZY(2018–2020)-CCCX-1005;the Planned Science Program of the Shanghai University of Traditional Chinese Medicine(No.2019LK089);Science and Technology Commission of Shanghai Municipality,China(No.18401970601)。 摘  要:Background:Acupuncture therapy has shown promise for effectively relieving preoperative anxiety.Nevertheless,previous findings from randomized controlled trials(RCTs)are inconsistent and must be examined in detail.Objective:This study systematically evaluates the efficacy and safety of acupuncture therapy for preoperative anxiety as well as the quality of evidence supporting this application.Search strategy:The China National Knowledge Infrastructure Database,Wanfang Data Journal Database,Chinese Biomedical Literature Database,Chongqing VIP,Embase,Pub Med and Cochrane Library Databases were queried from their inception to 19,February 2020,using keywords such as“acupuncture therapy,”“preoperative”and“anxioty.”Manual searches expanded the search breadth and included conference abstracts and other reference lists.Inclusion criteria:RCTs were included in the current study if they contained a comparison between a group of anxiety patients that received acupuncture therapy and a control group that received sham acupuncture.Data extraction and analysis:Literature was reviewed,and various articles were selected using the Note Express 3.2.0 software.Two researchers independently screened and extracted data and evaluated the risk of bias in the included studies.The Rev Man 5.3 software was used for data aggregation and the Grades of Recommendation,Assessment,Development and Evaluation(GRADE)assessment was used to evaluate the quality of the study outcomes.Results:Twelve studies were included in the review,containing a total of 916 patients.Meta-analysis showed that,compared with the control group,patients who received acupuncture therapy had reduced State-Trait Anxiety Inventory Scale(STAI-S)score(mean difference[MD]=–9.07,95%confidence interval[CI][–13.19 to–4.96],P<0.0001)and Visual Analogue Scale(VAS)score(MD=–1.37,95%CI[–2.29 to–0.45],P=0.003).However,for the Hamilton Anxiety Scale(HAMA)score,there was no difference between the two groups(MD=–3.98,95%CI[–12.89 to 4.92],P=0.38).Further,the GRADE assessment demonstrated that the STAI-S was of moderate quality,the VAS of low quality and the HAMA of very low quality.Conclusion:Acupuncture therapy may be able to decrease anxiety in preoperative patients,but the results need to be further verified due to the small sample sizes and the low quality of evidence to date. 关 键 词:ACUPUNCTURE Preoperative anxiety META-ANALYSIS GRADE evaluation
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