Título:
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Acupuncture techniques for COPD: a systematic review
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Autor/a:
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Fernández-Jané, Carles; Vilaró, Jordi; Fei, Yutong; Wang, Congcong; Liu, Jianping; Huang, Na; Xia, Ruyu; Tian, Xia; Hu, Ruixue; Wen, Lingzi; Yu, Mingkun; Gómara Toldrà, Natàlia; Solà-Madurell, Mireia; Sitjà i Rabert, Mercè
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Otros autores:
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Universitat Ramon Llull. Facultat de Ciències de la Salut Blanquerna |
Abstract:
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Background
This is the second part of a large spectrum systematic review which aims to identify and assess the evidence for the efficacy of non-pharmacological acupuncture techniques in the treatment of chronic obstructive pulmonary disease (COPD). The results of all techniques except for filiform needle are described in this publication.
Methods
Eleven different databases were screened for randomised controlled trials up to June 2019. Authors in pairs extracted the data and assessed the risk of bias independently. RevMan 5.3 software was used for the meta-analysis.
Results
Thirty-three trials met the inclusion criteria, which involved the follow techniques: AcuTENS (7 trials), moxibustion (11 trials), acupressure (7 trials), ear acupuncture (6 trials), acupressure and ear acupuncture combined (1 trial) and cupping (1 trial). Due to the great heterogeneity, only 7 meta-analysis could be performed (AcuTENS vs sham on quality of life and exercise capacity, acupressure vs no acupressure on quality of life and anxiety and ear acupuncture vs sham on FEV1 and FEV1/FVC) with only acupressure showing statistical differences for quality of life (SMD: -0.63 95%CI: − 0.88, − 0.39 I2 = 0%) and anxiety (HAM-A scale MD:-4.83 95%CI: − 5.71, − 3.94 I2 = 0%).
Conclusions
Overall, strong evidence in favour of any technique was not found. Acupressure could be beneficial for dyspnoea, quality of life and anxiety, but this is based on low quality trials.
Further large well-designed randomised control trials are needed to elucidate the possible role of acupuncture techniques in the treatment of COPD. |
Fecha de creación:
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05-2020 |
Materias (CDU):
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615 - Farmacologia. Terapèutica. Toxicologia. Radiologia 616.2 - Patologia de l'aparell respiratori |
Materia(s):
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Pulmons--Malalties obstructives--Tractament Acupuntura Medicina xinesa |
Derechos:
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L'accés als continguts d'aquest document queda condicionat a l'acceptació de les condicions d'ús establertes per la següent llicència Creative Commons:http://creativecommons.org/licenses/by/4.0/
© L'autor/a |
Páginas:
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18 p. |
Tipo de documento:
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Artículo Artículo - Versión publicada |
DOI:
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https://dx.doi.org/10.1186/s12906-020-02899-3
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Editor:
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BioMed Central
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Publish at:
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BMC Complementary Medicine and Therapies, 2020, vol. 20, núm. article 138
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Compartir:
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