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Métodos Terapéuticos y Terapias MTCI
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1.
Zhongguo Zhong Yao Za Zhi ; 48(20): 5641-5650, 2023 Oct.
Artículo en Chino | MEDLINE | ID: mdl-38114157

RESUMEN

This study utilized evidence mapping methodology to systematically identify, describe, and evaluate the evidence from relevant research on traditional Chinese medicine(TCM) interventions in patients with pulmonary fibrosis. CNKI, Wanfang, VIP, SinoMed, PubMed, Web of Science, EMbase, and Cochrane Library were searched from database inception to March 2023 for systematic reviews/Meta-analysis/network Meta-analysis on TCM interventions in pulmonary fibrosis. The quality of included studies was assessed using the AMSTAR 2 scale, and the evidence mapping approach was employed to present comprehensive information on populations, intervention methods, the sample size in systematic reviews/Meta-analysis, and conclusion classifications. Ultimately, 44 systematic reviews/Meta-analysis/network Meta-analysis were included. Apart from syndrome differentiation and treatment, TCM injections accounted for a significant proportion of the observed interventions. The treatment methods were mainly focused on nourishing Qi and Yin, promoting blood circulation, resolving stasis, and dredging collaterals. The results from the included studies demonstrated that TCM treatment for pulmonary fibrosis could improve efficacy, increase lung function, improve PaO_(2 )levels, increase the 6-minute walk distance(6MWD), alleviate clinical symptoms, and enhance patients' quality of life. Based on the assessment using the AMSTAR 2 scale, methodological issues were identified, including the lack of protocol registration, failure to provide a list of excluded literature, and incomplete explanations regarding the impact of heterogeneity and bias on the results. The evidence mapping revealed that 42 conclusions were beneficial, while two conclusions were potentially beneficial. Overall, the quality of evidence was relatively low, primarily due to methodological imprecision and publication bias. Although TCM showed certain efficacy in the treatment of pulmonary fibrosis, the quality of reported literature, methodological quality, and overall evidence quality need improvement. It is recommended to conduct high-quality and standardized studies in the future to provide better evidence-based guidance.


Asunto(s)
Medicina Tradicional China , Fibrosis Pulmonar , Humanos , Fibrosis Pulmonar/tratamiento farmacológico , Calidad de Vida , Revisiones Sistemáticas como Asunto , Metaanálisis en Red
2.
BMJ Open ; 12(9): e059476, 2022 09 14.
Artículo en Inglés | MEDLINE | ID: mdl-36104132

RESUMEN

INTRODUCTION: Diabetic peripheral neuropathy (DPN) is one of the most common complications of diabetes that strongly impact the patients' quality of life and working ability. Evidence indicated that low level light therapy (LLLT)/photobiomodulation might be effective for neuropathy. However, the effect of LLLT for DPN is not clear. The objective of this systematic review and meta-analysis is to determine the effects and safety of LLLT/photobiomodulation for DPN, in comparison with other methods such as sham light, no treatment, other active treatment and LLLT as an additional treatment compared with another treatment alone. METHODS AND ANALYSIS: We will search eight databases from their inception to the date before the review submission. Randomised controlled trials (RCTs) will be included. Two reviewers will independently extract data using a structured data extraction method and assess the risk of bias in the included studies. Data will be synthesised using standardised mean difference or risk ratio with 95% CIs for continuous and dichotomous data, respectively. The primary outcome will be change in pain and secondary outcomes will include global symptom improvement, functional impairment and disability, impairment of sensation, quality of life, nerve conduction, and adverse events. Sensitivity and subgroup analysis will be employed to explore the influence of possible clinical and methodological characteristics. Publication bias will be assessed using funnel plot. We will conduct meta-analysis with RevMan V.5.4 and evaluate quality of the evidence using GRADE approach. ETHICS AND DISSEMINATION: This study does not require ethics approval. Our findings will be disseminated in the peer-reviewed publications. PROSPERO REGISTRATION NUMBER: CRD42021276056.


Asunto(s)
Terapia por Acupuntura , Diabetes Mellitus , Neuropatías Diabéticas , Terapia por Luz de Baja Intensidad , Humanos , Terapia por Acupuntura/métodos , Sesgo , Neuropatías Diabéticas/radioterapia , Metaanálisis como Asunto , Revisiones Sistemáticas como Asunto
3.
Chin Med Cult ; 4(1): 25-30, 2021 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-37641633

RESUMEN

Since the outbreak of coronavirus disease-2019 (COVID-19), traditional Chinese medicine (TCM) has fully displayed its strength and specialty and has played an important role in the prevention and treatment of the pandemic. Faced with the unexpected development of the pandemic, the Chinese government has responded quickly and attached great importance to the effect of TCM. Comprehensive therapy integrating Chinese and Western medicine has achieved remarkable success. To summarize and introduce the prevention and treatment of COVID-19 with TCM, this article covers the perspectives of policy guideline issue, clinical diagnosis participation, and scientific research progress.

4.
Artículo en Inglés | MEDLINE | ID: mdl-23365599

RESUMEN

This study evaluates 23 (9 Chinese and 14 non-Chinese) randomized controlled trials for efficacy and side effects of Chinese herbal medicine on menopausal symptoms. Menopause was diagnosed according to western medicine criteria in all studies while seven Chinese studies and one non-Chinese study further stratified the participants using traditional Chinese medical diagnosis "Zheng differentiation." Efficacy was reported by all 9 Chinese and 9/14 non-Chinese papers. Side effects and adverse events were generally mild and infrequent. Only ten severe adverse events were reported, two with possible association with the therapy. CHM did not increase the endometrial thickness, a common side effect of hormone therapy. None of the studies investigated long-term side effects. Critical analysis revealed that (1) high-quality studies on efficacy of Chinese herbal medicine for menopausal syndrome are rare and have the drawback of lacking traditional Chinese medicine diagnosis (Zheng-differentiation). (2) Chinese herbal medicine may be effective for at least some menopausal symptoms while side effects are likely less than hormone therapy. (3) All these findings need to be confirmed in further well-designed comprehensive studies meeting the standard of evidence-based medicine and including Zheng-differentiation of traditional Chinese medicine.

5.
Zhongguo Zhen Jiu ; 29(2): 157-60, 2009 Feb.
Artículo en Chino | MEDLINE | ID: mdl-19391543

RESUMEN

To summarize and analyze literature about acupuncture and moxibustion embodied in Medline Database from 2000 to 2007, the articles in Medline PubMed Database were retrieved by different retrieval tactics on line, in combination with artificial statistical analysis on the literature data. Results indicate that among a total of 4 041 articles about acupuncture and moxibustion retrieved from Medline in the 8 years, 628 were published in Chinese and 3071 in English. These articles were involved in 836 journals, including 31 Chinese Journals. Eight hundred and forty-one articles were from China mainland, Beijing (176), Shanghai (136) and Tianjin (43) were the top 3 provinces and cities of literature numbers. It is showed that most acupuncture and moxibustion articles embodied in Medline are published in many foreign publications in English as main, but this situation has greatly changed after Zhongguo Zhenjiu and other journals were cited by Medline since 2006.


Asunto(s)
Terapia por Acupuntura/estadística & datos numéricos , MEDLINE/estadística & datos numéricos , Moxibustión/estadística & datos numéricos , Animales , Humanos , Ensayos Clínicos Controlados Aleatorios como Asunto/estadística & datos numéricos
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