艾灸治疗癌因性疲乏的系统评价/Meta分析再评价  

Systematic Review/Meta-analysis Revaluation of Moxibustion for Cancer-related Fatigue

作　　者：王历刚 杨柳[1] 王珑[2] 梁小琴[2] 薛辉 陈柳茵 邱吓花 黄碧春 圣夏 WANG Li-gang;YANG Liu;WANG Long;LIANG Xiao-qin;XUE Hui;CHEN Liu-yin;QIU Xia-hua;HUANG Bi-chun;SHENG Xia(School of Nursing,Fujian University of Traditional Chinese Medicine,Fuzhou 350122,Fujian,China;Department of Gastrointestinal Surgery,Fujian Provincial Hospital,Fuzhou 350001,Fujian,China)

机构地区：[1]福建中医药大学护理学院,福建福州350122 [2]福建省立医院胃肠外科,福建福州350001

出　　处：《医学信息》2023年第8期68-73,共6页Journal of Medical Information

基　　金：国家级大学生创新创业训练计划项目(编号:202010393006)。

摘　　要：目的对艾灸治疗癌因性疲乏的系统评价/Meta分析的方法学质量和证据质量进行再评价。方法计算机检索PubMed、Cochrane Library、Web of Science、中国知识资源总库(CNKI)、中文科技期刊数据库(VIP)、中国学术期刊数据库(万方)建库至2022年4月30日艾灸治疗癌因性疲乏的系统评价/Meta分析。由2位研究人员独立进行文献筛选和资料提取,分别运用AMSTAR量表和GRADE系统对纳入系统评价进行方法学质量评价和质量等级评价。结果共纳入6篇系统评价/Meta分析,AMSTAR量表评分在5~9分之间;共纳入29个结局指标,证据质量评价结果显示1个结局指标为中等质量,其余结局指标为低级或极低级证据质量;降级的主要原因是局限性、不一致性和发表偏倚。结论当前证据显示艾灸治疗癌因性疲乏具有一定的疗效,为临床治疗癌因性疲乏提供了一定参考意义,但相关系统评价证据的方法学质量和结局指标的可靠程度均较低,还需要获得更高质量的证据指导临床实践,使艾灸疗法得以更好推广。Objective To re-evaluate the methodological quality and evidence quality of systematic review/meta-analysis of moxibustion for cancer-related fatigue.Methods A systematic review/Meta-analysis of moxibustion in the treatment of cancer-related fatigue from PubMed,Cochrane Library,Web of Science,China National Knowledge Infrastructure(CNKI),Chinese Science and Technology Journal Database(VIP),and Chinese Academic Journal Database(Wanfang)to April 30,2022 was conducted.Two researchers independently screened the literature and extracted the data.AMSTAR scale and GRADE system were used to evaluate the methodological quality and quality grade of the included systematic reviews.Results A total of 6 systematic reviews/Meta-analyses were included,and the AMSTAR scale score was between 5 and 9 scores.A total of 29 outcome indicators were included.The results of evidence quality evaluation showed that one outcome indicator was of medium quality,and the remaining outcome indicators were of low or very low evidence quality.The main reasons for the downgrade were limitations,inconsistency and publication bias.Conclusion Current evidence shows that moxibustion has a certain effect on cancer-related fatigue,which provides a certain reference for clinical treatment of cancer-related fatigue.However,the methodological quality of relevant systematic evaluation evidence and the reliability of outcome indicators are low.It is necessary to obtain higher quality evidence to guide clinical practice,so that moxibustion therapy can be better promoted.

关 键 词：艾灸 癌因性疲乏 系统评价再评价 方法学质量 GRADE 

分 类 号：R246.5[医药卫生—针灸推拿学]