Efficacy and safety of acupuncture for hypertension: An overview of systematic reviews

IF 3 3区医学 Q2 INTEGRATIVE & COMPLEMENTARY MEDICINE Complementary Therapies in Clinical Practice Pub Date : 2019-02-01 DOI:10.1016/j.ctcp.2018.12.003

Huimin Zhao , Dan Li , Yuling Li , Ying Yang , Yueting Liu , Jie Li , Jing Mao

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引用次数: 17

Abstract

Background and purpose

Acupuncture is widely used in the treatment of hypertension, yet its efficacy and safety for hypertension remain controversial. This overview aimed to summarize the evidence on acupuncture for hypertension.

Methods

Eight databases were searched. The Assessment of Multiple Systematic Reviews (AMSTAR) tool and the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach were performed.

Results

Fifteen systematic reviews (SRs) were identified. Methodological quality and quality of evidence were unsatisfactory. Acupuncture combined with Western medicine (WM) was superior to WM in systolic blood pressure (SBP) and diastolic blood pressure (DBP), efficacy rate, and traditional Chinese medicine (TCM) syndrome. Acupuncture was more effective in treating SBP and DBP than sham acupuncture plus WM. Evidence regarding the benefit of acupuncture alone for SBP and DBP, efficacy rate and TCM syndrome was inconsistent. No serious adverse effects were identified.

Conclusion

High-quality SRs and randomized controlled trials (RCTs) are required.

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针灸治疗高血压的疗效和安全性:系统综述

背景与目的针刺在高血压治疗中应用广泛，但其治疗高血压的有效性和安全性仍存在争议。本综述旨在总结针灸治疗高血压的证据。方法检索8个数据库。采用多系统评价评估(AMSTAR)工具和建议分级评估、发展和评价(GRADE)方法。结果共筛选到15篇系统评价(SRs)。方法质量和证据质量不令人满意。针刺结合西医治疗在收缩压(SBP)、舒张压(DBP)、有效率、中医证候等方面均优于西医治疗。针刺治疗收缩压和舒张压的效果优于假针刺加中药。关于单独针灸对收缩压和舒张压的益处、疗效和中医证候的证据不一致。未发现严重的不良反应。结论需要高质量的SRs和随机对照试验(rct)。

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来源期刊

Complementary Therapies in Clinical Practice INTEGRATIVE & COMPLEMENTARY MEDICINE-

CiteScore

6.30

自引率

6.70%

发文量

157

审稿时长

40 days

期刊介绍： Complementary Therapies in Clinical Practice is an internationally refereed journal published to meet the broad ranging needs of the healthcare profession in the effective and professional integration of complementary therapies within clinical practice. Complementary Therapies in Clinical Practice aims to provide rigorous peer reviewed papers addressing research, implementation of complementary therapies (CTs) in the clinical setting, legal and ethical concerns, evaluative accounts of therapy in practice, philosophical analysis of emergent social trends in CTs, excellence in clinical judgement, best practice, problem management, therapy information, policy development and management of change in order to promote safe and efficacious clinical practice. Complementary Therapies in Clinical Practice welcomes and considers accounts of reflective practice.