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Traditional Chinese acupoint massage, acupuncture, and moxibustion for people with diabetic gastroparesis: A systematic review and meta-analysis

期刊

MEDICINE
卷 101, 期 48, 页码 -

出版社

LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/MD.0000000000032058

关键词

acupoint; acupuncture; diabetic gastroparesis; massage; meta-analysis; moxibustion; Traditional Chinese Medicine

资金

  1. Science and Technology Program of the Zhejiang Provincial Chinese Medical Sciences [2020ZQ030]

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Traditional Chinese acupoint therapies have shown significant advantages over Western medicine or conventional care in the treatment of diabetic gastroparesis, including higher total effective rates, improved gastric-emptying rates, and reduced glycosylated hemoglobin levels. However, more high-quality randomized controlled trials are needed to confirm these results due to the low quality and high risk of the included studies.
Background:Traditional Chinese acupoint therapy has been used for thousands of years on gastrointestinal diseases. In this work, we evaluated the efficiency and safety of traditional Chinese acupoint therapies versus standard therapies, nursing or recovery treatments in the treatment of diabetic gastroparesis.e expect that traditional Chinese medicine acupoint therapy can be noticed by more people, so as to provide more high-quality clinical evidence. Methods:Randomized controlled trials were included in this meta-analysis. The treatment groups received traditional Chinese acupoint therapy, while the control groups received standard therapies, nursing, or recovery treatments. The relative risk and weighted mean difference with 95% confidence interval for the total effective rate, gastrin level, gastric-emptying time, fasting blood glucose level, 2-hour blood glucose level, and glycosylated hemoglobin level were evaluated using RevMan 5.3 software. Bias assessment was performed using the Cochrane risk-of-bias tool. Results:A total of 59 articles were included in the analysis. In comparison with the control groups, the acupoint therapy groups showed higher total effective rates (P < .00001), enhanced gastric-emptying rates (P < .00001), and reduced glycosylated hemoglobin levels. Conclusion:In comparison with Western medicine or conventional care, traditional Chinese acupoint therapies showed a significant advantage in the treatment of diabetic gastroparesis. However, considering the low quality and high risk of the included studies, more high-quality randomized controlled trials are needed to confirm the results.

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