World Federation of Acupuncture-Moxibustion Societies(WFAS)Clinical Practice Guidelines on Acupuncture and Moxibustion:Female Urinary Incontinence recommendation summaries  

世界针灸学会联合会《针灸临床实践指南:女性尿失禁》推荐意见概述

作　　者：Shi-hao DU Shuo DU Sheng CHEN Shan-ze WANG Guan-qun WANG Xiao-long XIE Bi-hui PENG Wei GUO Ji-ping ZHAO Chao YANG 杜世豪;杜朔;陈晟;王舢泽;王冠群;谢小龙;彭碧辉;郭玮;赵吉平;杨超(北京中医药大学东直门医院针灸科,北京100700;中国中医科学院针灸研究所,北京100700;广州中医药大学第二附属医院针灸科,广州510120;上海交通大学医学院附属第九人民医院中医科,上海200011)

机构地区：[1]Department of Acupuncture and Moxibustion,Dongzhimen Hospital,Beijing University of Chinese Medicine,Bejing 100700,China [2]Institute of Acupuncture and Moxibustion,China Academy of Chinese Medical Sciences,Bejing 100700,China [3]Department of Acupuncture and Moxibustion,Guangdong Provincial Hospital of Chinese Medicine,Guangzhou 510120,China [4]Department of Traditional Chinese Medicine of Shanghai Ninth People's Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200011,China

出　　处：《World Journal of Acupuncture-Moxibustion》2024年第3期189-196,共8页世界针灸杂志（英文版）

基　　金：Supported by the National Key R&D Program of China:2019YFC1712200;2019YFC1712203。

摘　　要：Urinary incontinence(UI)is common in women and affects the quality of life in female patients severely.But the clinical consideration and treatment are insufficient.Acupuncture and-moxibustion has been proposed as a potentially effective intervention for female UI.Hence,the World Federation of Acupuncturemoxibustion Societies(WFAS)have initiated a project to develop the clinical practice guideline(CPG)on acupuncture and moxibustion for female UI towards global acupuncture practitioners.The CPG was developed according to the Grades of Recommendation,Assessment,Development,and Evaluation(GRADE)methodology,referring to the principles of the World Health Organization Handbook for Guideline Development.During the development of the CPG,the guideline development group(GDG)played an important role,which is composed of multi-national and multi-disciplinary experts.The clinical questions,recommendations and therapeutic protocols were all formulated by GDG using the modified Delphi method and basing on the results of the latest systematic review.This article focuses on the recommendations in the CPG.The CPG contains ten recommendations for ten clinical questions,including nine conditional recommendations for the intervention,one conditional recommendations for either the intervention or the comparison.The CPG also provides one conventional filiform needle therapy protocol,two deep puncturing stimulation on lumbosacral acupoints therapy protocols,and four moxibustion therapy protocols,extracted from the included clinical evidence of this CPG.尿失禁(UI)在女性中很常见,严重影响患者的生活治疗,但缺乏足够的临床关注度和治疗方法。针灸疗法已被认为是极具潜力的女性尿失禁治疗方法。因此,世界针灸学会联合会(WFAS)启动了女性尿失禁针灸临床实践指南的编研工作。这部指南的编研遵循世界卫生组织(WHO)指南制定手册的规范,采用了GRADE方法,依据最新的系统评价结果,充分借助指南制定小组(GDG)不同国家、不同专业的代表性。本文重点介绍指南的推荐意见。本指南的推荐意见是根据最新的系统评价,通过改良德尔菲共识法和GRADE网格法制定的。针对10项临床问题提出了10条推荐意见,包括9条条件性推荐干预措施、1条条件性推荐干预措施或对照措施。此外,本指南还为目标用户提供了1项常规毫针治疗方案、2项毫针深刺腰骶部腧穴治疗(DPSLAT)方案、4项艾灸治疗方案。

关 键 词：Acupuncture MOXIBUSTION Clinical practice guideline Clinical question Female urinary incontinence Important outcome 

分 类 号：R246.3[医药卫生—针灸推拿学]