Complementary therapies in medicine最新文献

Research trends and hotspots of acupuncture therapy for obesity from 2004 to 2023: A bibliometric analysis 2004 至 2023 年针灸治疗肥胖症的研究趋势和热点：文献计量分析

IF 3.3 3区医学 Q1 INTEGRATIVE & COMPLEMENTARY MEDICINE

Complementary therapies in medicine

Pub Date : 2024-09-26 DOI: 10.1016/j.ctim.2024.103092

Background

Acupuncture has been increasingly used in obese people, yet no bibliometric analysis of acupuncture studies for obesity exists. This bibliometric study analyzed research trends, cooperation, and knowledge dissemination on acupuncture for obesity over the past 20 years to inform future directions.

Objectives

To investigate the characteristics, hotspots, and frontiers of global scientific output in acupuncture research for obesity over the past two decades.

Methods

We retrieved publications on acupuncture for obesity published from 2004 to 2023 from the Web of Science Core Collection. Using Citespace, VOSviewer, and Bibliometrix, we analyzed and visualized the publications, countries, institutions, authors, journals, and keywords from various angles.

Results

A total of 357 articles were retrieved. The results showed that the number of annual publications on acupuncture for obesity has increased over time. China had the most publications (217 articles, 60.87 %), with Chengdu University of Traditional Chinese Medicine (24 articles, 6.72 %) as the most prolific institution. Ergene Neyhan, Huang Wei, and Zhou Zhongyu were the most productive authors (9 articles), and the article published by Cho SH in 2009 was the most cited article (60 citations). The most published journal was Evidence-based Complementary and Alternative Medicine, while the Journal of American Journal of Chinese Medicine was the most frequently cited. Recently, “electroacupuncture” “insulin resistance” and “systematic review” appeared frequently. The research hotspots and trends of acupuncture for obesity mainly focus on interventions, hotspot diseases, and mechanism exploration. According to keyword analysis, randomized controlled trials of catgut embedding and mechanistic studies of gut flora are the trends for future research.

Conclusion

Although China is the leading producer, multinational co-operation still needs to be strengthened. Currently, the main interventions for obesity were acupuncture and electroacupuncture, and the hot diseases were obesity combined with polycystic ovary syndrome and metabolic syndrome. In addition, randomised controlled trials of catgut embedding and mechanistic studies of gut flora may be potential directions for future research in the field of acupuncture for obesity.

背景针灸在肥胖症患者中的应用越来越广泛，但目前还没有针灸治疗肥胖症研究的文献计量分析。这项文献计量学研究分析了过去20年针灸治疗肥胖症的研究趋势、合作和知识传播情况，为未来的研究方向提供了参考。方法我们从科学网核心数据库中检索了2004年至2023年发表的有关针灸治疗肥胖症的论文。结果共检索到 357 篇文章。结果表明，随着时间的推移，针灸治疗肥胖症的年度出版物数量有所增加。中国发表的文章最多（217 篇，占 60.87%），其中成都中医药大学发表的文章最多（24 篇，占 6.72%）。Ergene Neyhan、Huang Wei 和 Zhou Zhongyu 是发表文章最多的作者（9 篇文章），Cho SH 于 2009 年发表的文章是被引用次数最多的文章（60 次引用）。发表文章最多的期刊是《循证补充与替代医学》，而《美国中医药杂志》则是被引用次数最多的期刊。最近，"电针"、"胰岛素抵抗 "和 "系统综述 "频繁出现。针灸治疗肥胖的研究热点和趋势主要集中在干预措施、热点疾病、机制探索等方面。根据关键词分析，猫肠埋线的随机对照试验和肠道菌群的机理研究是未来研究的趋势。目前，肥胖症的主要干预手段是针灸和电针，热点疾病是肥胖合并多囊卵巢综合征和代谢综合征。此外，猫肠埋线的随机对照试验和肠道菌群的机理研究可能是针灸治疗肥胖症领域未来研究的潜在方向。

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引用次数: 0

Beyond the spice: The multifaceted role of curcumin in multiple sclerosis management 香料之外：姜黄素在多发性硬化症治疗中的多方面作用

IF 3.3 3区医学 Q1 INTEGRATIVE & COMPLEMENTARY MEDICINE

Complementary therapies in medicine

Pub Date : 2024-09-25 DOI: 10.1016/j.ctim.2024.103091

引用次数: 0

Tai Chi for balance and postural control in people with peripheral neuropathy: A scoping review 太极促进周围神经病变患者的平衡和姿势控制：范围综述

IF 3.3 3区医学 Q1 INTEGRATIVE & COMPLEMENTARY MEDICINE

Complementary therapies in medicine

Pub Date : 2024-09-24 DOI: 10.1016/j.ctim.2024.103089

Background

Peripheral neuropathy can affect balance and increase fall risk. Tai Chi is known to activate neuromuscular systems and may help improve balance and postural control. We conducted a scoping review of clinical studies that evaluated the impact of Tai Chi on balance and related neurobiological outcomes among individuals with peripheral neuropathy.

Methods

We systematically searched three databases from inception to December 19, 2023 and identified 11 eligible clinical studies. We extracted trial information from each study and performed a qualitative study features analysis to summarize the clinical evidence and neurobiological mechanisms of Tai Chi in regulating balance among people with peripheral neuropathy.

Results

We found that among 508 participants with clinical peripheral neuropathy, Tai Chi significantly improved single leg stance, 6-min walk, timed up-and-go tests, and gait speed when measured pre- and post-exercise. However, the differences between Tai Chi and sham exercise control that involved active calisthenics and stretching exercises were not statistically significant. Studies that used quantitative sensory testing showed that Tai Chi was associated with significant increases in plantar vibration and tactile sensitivity. The effect of Tai Chi on postural control varied depending on plantar sensory loss status, and results on muscle strength remained mixed. Other neurobiological effects involve strengthening muscle performance and proprioception and consolidating cognitive awareness of walking strategy and practical behavioral techniques.

Conclusions

The findings indicated that Tai Chi may enhance balance, postural control, and gait speed in patients with peripheral neuropathy, possibly through sensory restoration, although further research is needed to confirm this. Whether Tai Chi improves muscle strength or other gait health parameters is inconclusive. Rigorous randomized clinical trials should be conducted to determine the effect of Tai Chi on balance in this population by measuring functional balance and quantitative sensory outcomes.

背景周围神经病变会影响平衡并增加跌倒风险。太极拳可激活神经肌肉系统，有助于改善平衡和姿势控制。我们对评估太极拳对周围神经病变患者的平衡能力和相关神经生物学结果的影响的临床研究进行了一次范围界定综述。结果我们发现，在 508 名患有临床周围神经病变的参与者中，太极拳能显著改善运动前后的单腿站立、6 分钟步行、定时上下楼测试和步速。然而，太极拳与假运动对照组（包括主动健身操和伸展运动）之间的差异在统计学上并不明显。使用定量感觉测试的研究表明，太极拳与足底振动和触觉灵敏度的显著提高有关。太极拳对姿势控制的影响因足底感觉缺失状况而异，对肌肉力量的影响结果不一。结论研究结果表明，太极拳可增强周围神经病变患者的平衡能力、姿势控制能力和步速，这可能是通过感觉恢复实现的，但还需要进一步的研究来证实。太极拳是否能改善肌肉力量或其他步态健康参数尚无定论。应进行严格的随机临床试验，通过测量功能性平衡和定量感官结果来确定太极拳对这一人群平衡能力的影响。

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引用次数: 0

Effects of chia (Salvia hispanica. L) on anthropometric measures and other cardiometabolic risk factors: A systematic review and dose-response meta-analysis 奇异果（salvia hispanica. L）对人体测量指标和其他心脏代谢风险因素的影响：系统综述和剂量反应荟萃分析。

IF 3.3 3区医学 Q1 INTEGRATIVE & COMPLEMENTARY MEDICINE

Complementary therapies in medicine

Pub Date : 2024-09-17 DOI: 10.1016/j.ctim.2024.103086

Background

Findings of available randomized controlled trials (RCTs) on the effects of chia are inconsistent. Although previous meta-analyses summarized available findings in this regard, some limitations may distort their findings. Moreover, none of these meta-analyses examined the dose-response association of chia on cardiometabolic risk factors (CMRFs). Therefore, the present study aimed to evaluate the effect of chia consumption on CMRFs.

Methods

Relevant RCTs were included by searching the ISI Web of Science, PubMed, and Scopus databases up to June 2, 2023. Mean differences (MD) and 95 % confidence intervals (CI) were pooled using random-effects model.

Results

Ten publications were included in this systematic review and the meta-analysis. The results showed a significant reduction in systolic blood pressure (SBP) (MD = -7.87 mmHg; 95 % CI: − 12.92 to − 2.82; I² = 71.3 %, P _{heterogeneity} = 0.004), diastolic blood pressure (MD = -6.33 mmHg; 95 %CI: − 7.33 to − 5.34, I² = 0 %, P _{heterogeneity} = 0.42) and high-density lipoprotein cholesterol (HDL-c) (MD = -4.09 mg/dl; 95 %CI: − 6.76 to − 1.43, I² = 12.4 %, P _{heterogeneity} = 0.33). However, the effects of chia on the other risk factors were not significant. Based on the dose-response analysis, a 10-g/d increase in chia consumption significantly reduced SBP (MD = -2.20 mmHg; 95 %CI: − 3.75 to − 0.66, I² = 78.9 %, P _{heterogeneity} < 0.001) and HDL-c (MD = -1.10 mg/dl; 95 %CI: − 1.72 to − 0.49, I² = 0 %, P _{heterogeneity} = 0.52).

Conclusion

Chia consumption might have a beneficial effect on lowering blood pressure. Chia consumption can also lead to a slight reduction in HDL-c levels. As the quality of the included studies was mostly low, the findings should be interpreted with caution. Well-designed trials with larger sample sizes and longer duration of follow-up are needed to provide additional insight into the dose-dependent effects of chia consumption.

背景：现有的随机对照试验（RCT）对奇异果功效的研究结果并不一致。尽管以前的荟萃分析总结了这方面的现有研究结果，但一些局限性可能会扭曲研究结果。此外，这些荟萃分析都没有研究奇异果对心脏代谢风险因素（CMRFs）的剂量反应关系。因此，本研究旨在评估食用奇异果对 CMRFs 的影响：方法：通过检索 ISI Web of Science、PubMed 和 Scopus 数据库，纳入截至 2023 年 6 月 2 日的相关 RCT。采用随机效应模型对平均差（MD）和95%置信区间（CI）进行汇总：本系统综述和荟萃分析共纳入了 10 篇文献。结果显示，收缩压（SBP）（MD=-7.87mmHg；95% CI：-12.92 至-2.82；I2 =71.3%，P 异质性 =0.004）、舒张压（MD=-6.33mmHg；95%CI：-7.33至-5.34，I2=0%，P异质性=0.42）和高密度脂蛋白胆固醇（HDL-c）（MD=-4.09mg/dl；95%CI：-6.76至-1.43，I2=12.4%，P异质性=0.33）。然而，奇异果对其他风险因素的影响并不显著。根据剂量-反应分析，每增加10克/天的奇异果摄入量可显著降低SBP（MD=-2.20毫米汞柱；95%CI：-3.75至-0.66，I2=78.9%，P异质性2=0%，P异质性=0.52）：结论：食用奇异果可能对降低血压有益。结论：食用奇异果可能对降低血压有益，也会导致高密度脂蛋白-c水平略有下降。由于纳入研究的质量大多较低，因此应谨慎解释研究结果。要进一步了解食用奇异果的剂量依赖效应，还需要进行设计合理、样本量更大、随访时间更长的试验。

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引用次数: 0

Efficacy and safety of acupuncture for the treatment of insomnia in breast cancer patients: A systematic review and meta-analysis 针灸治疗乳腺癌患者失眠症的有效性和安全性：系统回顾和荟萃分析。

IF 3.3 3区医学 Q1 INTEGRATIVE & COMPLEMENTARY MEDICINE

Complementary therapies in medicine

Pub Date : 2024-09-17 DOI: 10.1016/j.ctim.2024.103087

Background

Breast cancer-related insomnia is one of the most common symptoms in patients with breast cancer, and acupuncture has been increasingly used in the treatment. However, there has been no meta-analysis that specifically explores the efficacy and safety of acupuncture in treating insomnia related to breast cancer.

Objective

The aim of this review was to systematically analyze the existing literature through a meta-analysis to evaluate the effectiveness and safety of acupuncture for breast cancer-related insomnia.

Methods

Six medical databases were comprehensively searched for previous randomized controlled trials (RCTs) up to April 2024. The Pittsburgh Sleep Quality Index (PSQI) score was the primary outcome. The secondary outcomes include the Insomnia Severity Index (ISI), Sleep Onset Latency (SOL), Wake After Sleep Onset (WASO), Total Sleep Time (TST), and Sleep Efficiency (SE), and the later four outcomes were measured by Actiwatch and sleep diary, respectively.

Results

A total of seven articles with 434 participants were included. The meta-analysis revealed that acupuncture produced a significant improvement in the total PSQI score (MD 95 %CI = -2.16[-2.88, − 1.45], P < 0.001), but had no statistical significance on ISI scores compared with controls (MD 95 %CI = -1.53[-3.97, 0.91], P = 0.22). From the Actiwatch, there was no substantial disparity observed in the enhancement of Sleep Onset Latency (SOL) (MD 95 %CI = -6.40[-13.19, 0.39], P = 0.06), Wake After Sleep Onset (WASO) (MD 95 %CI = -1.45[-7.09, 4.20], P = 0.62), or Total Sleep Time (TST) (MD 95 %CI = 3.54 [-4.71, 11.79], P = 0.40) between the experimental group and the control group. However, a significant distinction was observed in Sleep Efficiency (SE) improvement (MD 95 %CI = 2.43 [0.14, 4.72], P = 0.04). From the sleep diary, there was a significant difference in the amelioration of SOL (MD 95 %CI = -9.15[-16.48, − 1.81], P = 0.01), TST (MD 95 %CI = 29.92 [16.74, 43.10], P < 0.001), and SE (MD 95 %CI = 4.57 [1.92, 7.23], P = 0.0007) between the experimental group and the control group. However, no significant divergence was observed in the improvement of WASO (MD 95 %CI = 4.53[-4.81, 13.87], P = 0.34). All reported acupuncture-related adverse events were mild in severity.

Conclusions

Acupuncture can partially alleviate insomnia symptoms in breast cancer patients. Moreover, acupuncture is safe and may serve as a dependable alternative therapy in clinical settings. Owing to the limited number of studies included, potential biases of heterogeneous interventions, and methodological weaknesses of long-term follow-up, more high-quality RCTs with large sample sizes should be conducted to evaluate acupuncture treatment.

背景：乳腺癌相关失眠是乳腺癌患者最常见的症状之一，针灸已越来越多地被用于治疗。然而，目前还没有专门探讨针灸治疗乳腺癌相关失眠症的有效性和安全性的荟萃分析：本综述旨在通过荟萃分析对现有文献进行系统分析，以评估针灸治疗乳腺癌相关失眠症的有效性和安全性：方法：在六个医学数据库中全面检索了截至 2024 年 4 月的既往随机对照试验（RCT）。主要结果为匹兹堡睡眠质量指数（PSQI）得分。次要结果包括失眠严重程度指数（ISI）、睡眠起始延迟（SOL）、睡眠起始后唤醒（WASO）、总睡眠时间（TST）和睡眠效率（SE），后四项结果分别通过Actiwatch和睡眠日记进行测量：结果：共纳入了 7 篇文章，434 名参与者。荟萃分析显示，针灸可显著改善 PSQI 总分（MD 95%CI=-2.16[-2.88, -1.45], PC结论：针灸可部分缓解失眠：针灸可部分缓解乳腺癌患者的失眠症状。此外，针灸是安全的，在临床上可作为一种可靠的替代疗法。由于纳入的研究数量有限、异质性干预的潜在偏倚以及长期随访的方法学缺陷，应开展更多高质量、大样本量的研究来评估针灸治疗。

{"title":"Efficacy and safety of acupuncture for the treatment of insomnia in breast cancer patients: A systematic review and meta-analysis","authors":"","doi":"10.1016/j.ctim.2024.103087","DOIUrl":"10.1016/j.ctim.2024.103087","url":null,"abstract":"<div><h3>Background</h3><div>Breast cancer-related insomnia is one of the most common symptoms in patients with breast cancer, and acupuncture has been increasingly used in the treatment. However, there has been no meta-analysis that specifically explores the efficacy and safety of acupuncture in treating insomnia related to breast cancer.</div></div><div><h3>Objective</h3><div>The aim of this review was to systematically analyze the existing literature through a meta-analysis to evaluate the effectiveness and safety of acupuncture for breast cancer-related insomnia.</div></div><div><h3>Methods</h3><div>Six medical databases were comprehensively searched for previous randomized controlled trials (RCTs) up to April 2024. The Pittsburgh Sleep Quality Index (PSQI) score was the primary outcome. The secondary outcomes include the Insomnia Severity Index (ISI), Sleep Onset Latency (SOL), Wake After Sleep Onset (WASO), Total Sleep Time (TST), and Sleep Efficiency (SE), and the later four outcomes were measured by Actiwatch and sleep diary, respectively.</div></div><div><h3>Results</h3><div>A total of seven articles with 434 participants were included. The meta-analysis revealed that acupuncture produced a significant improvement in the total PSQI score (MD 95 %CI = -2.16[-2.88, − 1.45], P < 0.001), but had no statistical significance on ISI scores compared with controls (MD 95 %CI = -1.53[-3.97, 0.91], P = 0.22). From the Actiwatch, there was no substantial disparity observed in the enhancement of Sleep Onset Latency (SOL) (MD 95 %CI = -6.40[-13.19, 0.39], P = 0.06), Wake After Sleep Onset (WASO) (MD 95 %CI = -1.45[-7.09, 4.20], P = 0.62), or Total Sleep Time (TST) (MD 95 %CI = 3.54 [-4.71, 11.79], P = 0.40) between the experimental group and the control group. However, a significant distinction was observed in Sleep Efficiency (SE) improvement (MD 95 %CI = 2.43 [0.14, 4.72], P = 0.04). From the sleep diary, there was a significant difference in the amelioration of SOL (MD 95 %CI = -9.15[-16.48, − 1.81], P = 0.01), TST (MD 95 %CI = 29.92 [16.74, 43.10], P < 0.001), and SE (MD 95 %CI = 4.57 [1.92, 7.23], P = 0.0007) between the experimental group and the control group. However, no significant divergence was observed in the improvement of WASO (MD 95 %CI = 4.53[-4.81, 13.87], P = 0.34). All reported acupuncture-related adverse events were mild in severity.</div></div><div><h3>Conclusions</h3><div>Acupuncture can partially alleviate insomnia symptoms in breast cancer patients. Moreover, acupuncture is safe and may serve as a dependable alternative therapy in clinical settings. Owing to the limited number of studies included, potential biases of heterogeneous interventions, and methodological weaknesses of long-term follow-up, more high-quality RCTs with large sample sizes should be conducted to evaluate acupuncture treatment.</div></div>","PeriodicalId":10545,"journal":{"name":"Complementary therapies in medicine","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2024-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S096522992400075X/pdfft?md5=b0b677c40ccd8f6f7c4afc1c7dad6edf&pid=1-s2.0-S096522992400075X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142281535","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Dry needling techniques as a treatment for improving disability and pain in patients with different types of headache: A systematic review and meta-analysis 干针技术可改善不同类型头痛患者的残疾和疼痛：系统回顾与元分析》。

IF 3.3 3区医学 Q1 INTEGRATIVE & COMPLEMENTARY MEDICINE

Complementary therapies in medicine

Pub Date : 2024-09-15 DOI: 10.1016/j.ctim.2024.103085

Background

Headaches, a widespread neuromuscular ailment, pose a significant burden on individuals and society, necessitating both pharmacological and non-pharmacological interventions. Dry needling (DN) has surfaced as a notable non-pharmacological alternative for addressing headaches. We aim to compare DN intervention with the control group in the management of different types of headaches.

Methods

A comprehensive meta-analysis was conducted, encompassing a systematic exploration of five electronic databases up to May 2023, with studies assessed for validity using the Cochrane risk of bias tool. Eligible studies included those with a control group, which could consist of sham interventions, physiotherapy, or pharmacological treatments. Outcomes related to disability, headache intensity, and frequency were extracted and analyzed.

Results

Out of 4304 studies screened, 13 randomized controlled trials (RCTs) were included in this systematic review, of them 10 RCTs were included in the meta-analysis. A significant decline in the disability score and headache intensity was evident in the DN group compared to the control group, one and three-month follow-ups. Specifically, substantial reductions in headache frequency were prominent after one and three months post-intervention.

Conclusion

Dry needling manifests as a potent intervention, diminishing headache intensity and frequency, albeit with lower impact on disability scores. The observed benefits were especially pronounced after one and three months, though the heterogeneous nature of some data analyses mandates further detailed studies to gain a clearer understanding of DN's efficacy on the assessed outcomes.

背景：头痛是一种广泛存在的神经肌肉疾病，给个人和社会带来了沉重负担，需要药物和非药物干预。干针疗法（DN）已成为治疗头痛的一种显著的非药物疗法。我们旨在比较干针疗法与对照组对不同类型头痛的治疗效果：我们进行了一项全面的荟萃分析，对截至 2023 年 5 月的五个电子数据库进行了系统性探索，并使用 Cochrane 偏倚风险工具对研究的有效性进行了评估。符合条件的研究包括有对照组的研究，对照组可以是假干预、物理治疗或药物治疗。研究人员提取并分析了与残疾、头痛强度和频率相关的结果：在筛选出的 4304 项研究中，有 13 项随机对照试验（RCT）被纳入本系统综述，其中有 10 项 RCT 被纳入荟萃分析。与对照组相比，DN组的残疾评分和头痛强度在一个月和三个月的随访中明显下降。特别是在干预后的一个月和三个月，头痛频率明显降低：结论：干针疗法是一种有效的干预方法，可减轻头痛的强度和频率，但对残疾评分的影响较小。观察到的益处在一个月和三个月后尤为明显，但由于某些数据分析的不一致性，需要进一步开展详细研究，以便更清楚地了解干针疗法对评估结果的疗效。

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引用次数: 0

A trend of Tai Chi in osteoporosis research: A bibliometric analysis 骨质疏松症研究中的太极趋势：文献计量分析

IF 3.3 3区医学 Q1 INTEGRATIVE & COMPLEMENTARY MEDICINE

Complementary therapies in medicine

Pub Date : 2024-09-14 DOI: 10.1016/j.ctim.2024.103083

Background

Tai chi has been used to treat different forms of osteoporosis and increase bone density without the use of pharmaceuticals.

Objective

The purpose of this study was to use bibliometric analysis to methodically examine trends and hotspots of tai chi treatment for osteoporosis in order to generate references for further investigation.

Methods

The articles on Tai Chi to treat osteoporosis was obtained from China National Knowledge Infrastructure (CNKI), Wan Fang, Web of Science (WOS) and PubMed between inception and November 8,2023. The annual publication volume, authors, institutions, and keywords, along with co-citation, clustering, and burst analysis, were analyzed using CiteSpace.

Results

Totally, 328 publications were included. The number of annual publications has been rising rapidly in recent years. Beijing University of Chinese Medicine and Shanghai University of Sport are two of the best universities for Tai Chi treatment in osteoporosis. This area of research is dominated by Zhou, Y; Yu, DH; Pence, BC and Qin,L. Core authors and core institutions having a relatively low level of collaboration indicates that there may be limited interaction and cooperation between these key players in the field. China had the highest volume of publications, followed by the United States. Furthermore, the majority of the study subjects and influence mechanism are the focus of current research in this field.

Conclusion

Tai Chi in osteoporosis research field is in a stage of stable development. Universities and higher education institutions are the leading institutions in this field. China and the United States emerging as high productivity nations. The study of Tai Chi in osteoporosis not only focuses on the applicable population, effects and intervention methods, but also gradually shifts to the mechanism study such as “secretion of beneficial factors”, “physical exercise load” and “oxidative stress status”.

背景太极拳已被用于治疗不同形式的骨质疏松症，并在不使用药物的情况下增加骨密度。方法从中国国家知识基础设施（CNKI）、万方数据库、科学网（WOS）和PubMed上获取从开始到2023年11月8日期间有关太极拳治疗骨质疏松症的文章。利用 CiteSpace 对年发文量、作者、机构、关键词以及共引、聚类和突变分析进行了分析。近年来，年度论文数量迅速上升。北京中医药大学和上海体育大学是太极拳治疗骨质疏松症方面最好的两所大学。该领域的研究主要由 Zhou, Y; Yu, DH; Pence, BC 和 Qin,L. 负责。核心作者和核心机构的合作水平相对较低，表明这些领域的主要参与者之间的互动与合作可能有限。中国的论文发表量最高，其次是美国。结论太极拳在骨质疏松症研究领域正处于稳定发展阶段。大学和高等院校是该领域的主导机构。中国和美国正在成为高生产力国家。太极拳在骨质疏松症中的研究不仅关注适用人群、效果和干预方法，而且逐渐转向 "有益因子分泌"、"运动负荷 "和 "氧化应激状态 "等机理研究。

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引用次数: 0

Effect of mindfulness-based meditation on blood pressure among adults with elevated blood pressure and hypertension: A systematic review of randomized controlled trials 正念冥想对血压升高和高血压成人血压的影响：随机对照试验的系统回顾

IF 3.3 3区医学 Q1 INTEGRATIVE & COMPLEMENTARY MEDICINE

Complementary therapies in medicine

Pub Date : 2024-09-12 DOI: 10.1016/j.ctim.2024.103084

Background

Hypertension is a leading contributor to cardiovascular disorders globally. There has been a recent upsurge in non-pharmacological management involving mindfulness-based meditation (MBM) in lowering blood pressure (BP) among the hypertensive population; however, the level of supportive evidence among patients primarily diagnosed with hypertension remain limited. Therefore, this systematic review aimed to synthesize the evidence of randomized controlled trials (RCTs) on the effect of MBM on BP explicitly in adults primarily diagnosed with elevated blood pressure or hypertension.

Methods

A database search of RCTs was conducted in PubMed, Scopus, Cochrane Central Register of Controlled Trials, and Web of Science until December 2023. The effect size score was calculated for variables of interest followed by qualitative analysis.

Results

Nine studies with 543 participants (mean age 54.9±9.0) met the pre-specified eligibility criteria. Eight trials reported MBM convincing in lowering the systolic BP (p=0.001–0.020) and 6 in reducing the diastolic BP (p=0.001–0.01) among this target population. There was a disparity of gender in 7 studies and 4 trials did not report the ethnicity of participants. The methodological quality of the trials was gratifying, however, most studies presented with absence of allocation concealment and blinding of outcome assessors, fragmentary reporting of data, and high attrition rate that potentially affected the validity of trials.

Conclusion

MBM interventions may serve as an early preventive and supportive measure for adults with elevated BP or hypertension. However, more robust and rigorous trials with a larger, homogeneous sample and long-term follow-up are necessary to quantify the magnitude of this intervention. Moreover, the methodological issues may affect the overall quality and reliability of MBM interventions; hence, future studies must also address the risk of bias due to inadequate blinding and high attrition through treatment concealment and personalized engagement measures.

背景高血压是全球心血管疾病的主要诱因。最近，在高血压人群中出现了涉及正念冥想（MBM）以降低血压（BP）的非药物疗法；然而，在主要确诊为高血压的患者中，支持性证据的水平仍然有限。因此，本系统综述旨在综合随机对照试验（RCT）的证据，以明确 MBM 对主要确诊为血压升高或高血压的成人血压的影响。结果9项研究的543名参与者（平均年龄为54.9±9.0岁）符合预先规定的资格标准。8项试验报告，MBM在降低目标人群收缩压方面具有说服力（p=0.001-0.020），6项在降低舒张压方面具有说服力（p=0.001-0.01）。7项研究存在性别差异，4项试验未报告参与者的种族。这些试验的方法学质量令人满意，但大多数研究缺乏分配隐藏和结果评估者盲法，数据报告零散，自然减员率高，这些都可能影响试验的有效性。然而，要量化这种干预措施的效果，还需要进行更多具有同质样本和长期随访的稳健而严格的试验。此外，方法学问题可能会影响MBM干预措施的整体质量和可靠性；因此，未来的研究还必须通过治疗隐藏和个性化参与措施来解决盲法不足和高流失率导致的偏倚风险。

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引用次数: 0

Acupuncture for patients after percutaneous coronary intervention: A scoping review 针灸治疗经皮冠状动脉介入术后患者：范围界定综述

IF 3.3 3区医学 Q1 INTEGRATIVE & COMPLEMENTARY MEDICINE

Complementary therapies in medicine

Pub Date : 2024-09-07 DOI: 10.1016/j.ctim.2024.103081

<div><h3>Objective</h3><p>To summarize the current available evidence and to outline recommendations for the future research of acupuncture for patients after percutaneous coronary intervention (PCI).</p></div><div><h3>Design</h3><p>Seven electronic databases were searched: China National Knowledge Infrastructure (CNKI), Wan Fang Database, Chongqing VIP Chinese Science and Technology Periodical Database (VIP), Chinese Biomedical Literature Database (CBM), Cochrane Library, PubMed, and EMBASE. All studies on acupuncture for patients after PCI were included. The search period was from the database establishment to June 13th, 2024.</p></div><div><h3>Setting</h3><p>Using full-text and Medical Subject Headings (MeSH) searches, two personnel independently screened and checked articles strictly according to the inclusion and exclusion criteria, and they reached an agreement through discussion on articles with different opinions.</p></div><div><h3>Interventions</h3><p>Post-PCI acupuncture.</p></div><div><h3>Main outcome measures</h3><p>Creating descriptive charts to visually express the research features.</p></div><div><h3>Results</h3><p>38 eligible studies were included. Their main topic was the use of acupuncture in patients after PCI. The primary focus of these studies was the application of acupuncture in patients post-PCI. The majority of the included articles originated from China, with the majority published in the year 2023. The types of studies encompassed randomized controlled trials (RCTs) (25, 65.8 %), protocols (6, 15.8 %), review articles (6, 15.8 %), and case report (1, 2.6 %). The acupuncture methods utilized varied, with filiform needle therapy being the most common (14, 36.8 %), followed by auricular plaster therapy (7, 18.4 %), thumbtack needle therapy (7, 18.4 %), and eye acupuncture (1, 2.6 %). The acupoints most frequently used were Shenmen (TF4) in the auricular region and Neiguan (PC6). The needle retention time was predominantly 30 min, as reported in nine studies involving filiform needles. In the control groups of the included studies, secondary prevention measures were most commonly employed, appearing in thirteen studies. The Pittsburgh Sleep Quality Index (PSQI) was the most frequently measured outcome, featured in nine studies. Psychological issues were identified as the most prevalent condition following PCI, mentioned in seventeen studies.</p></div><div><h3>Conclusion</h3><p>The main focus of this scoping review was on psychological issues, cardiovascular problems, and exercise capacity or quality of life of patients after PCI. The majority of research has concentrated on psychological and cardiovascular issues. However, the outcomes related to varieties of acupuncture therapy methods, acupoints selection, retention time, treatment frequency, and other aspects of acupuncture practice were interconnected and complex within the clinical application of acupuncture. These interconnected elements collectively impacted the trea

目的总结目前可用的证据，并概述针灸治疗经皮冠状动脉介入治疗（PCI）后患者的未来研究建议：设计检索了七个电子数据库：中国国家知识基础设施（CNKI）、万方数据库、重庆VIP中文科技期刊数据库（VIP）、中国生物医学文献数据库（CBM）、Cochrane图书馆、PubMed和EMBASE。所有关于针灸治疗 PCI 后患者的研究均被纳入。检索时间为数据库建立后至2024年6月13日。设置采用全文检索和医学主题词表（MeSH）检索，由两名人员严格按照纳入和排除标准对文章进行独立筛选和核对，并通过讨论对有不同意见的文章达成一致。这些研究的主题是PCI术后患者的针灸治疗。这些研究的主要重点是PCI术后患者的针灸应用。纳入的文章大部分来自中国，且大部分发表于 2023 年。研究类型包括随机对照试验（RCT）（25 篇，占 65.8%）、方案（6 篇，占 15.8%）、综述（6 篇，占 15.8%）和病例报告（1 篇，占 2.6%）。使用的针灸方法各不相同，最常见的是丝状针疗法（14 例，占 36.8%），其次是耳穴贴膏疗法（7 例，占 18.4%）、拇指针疗法（7 例，占 18.4%）和眼针疗法（1 例，占 2.6%）。最常用的穴位是耳区的神门（TF4）和内关（PC6）。九项涉及丝状针的研究报告称，留针时间主要为 30 分钟。在纳入研究的对照组中，最常采用的是二级预防措施，出现在 13 项研究中。匹兹堡睡眠质量指数（PSQI）是最常用的测量结果，在九项研究中均有体现。心理问题被认为是PCI术后最常见的问题，有17项研究提到了这一问题。结论：本范围综述的重点是PCI术后患者的心理问题、心血管问题、运动能力或生活质量。大多数研究都集中在心理和心血管问题上。然而，在针灸的临床应用中，与针灸治疗方法的多样性、穴位选择、保留时间、治疗频率和针灸实践的其他方面有关的结果是相互关联和复杂的。这些相互关联的因素共同影响着PCI术后的针灸治疗，因此要得出明确的结论具有挑战性。针灸实践的异质性凸显了未来研究的必要性。建议今后的研究采用更严格的设计、标准化的方法、更大的样本量和更高的质量，以加深我们对针灸在PCI术后护理中作用的理解。这对于阐明针灸在解决心理和心血管问题方面的潜力尤为重要，而这些问题正是PCI术后患者关注的关键领域。注册本范围综述已在开放科学框架注册中心（https://doi.org/10.17605/OSF.IO/3HZFW）注册。我们按照范围界定综述的 PRISMA 扩展 (PRISMA-ScR) (https://www.prisma-statement.org/scoping) 起草了本文（附录 1）。

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引用次数: 0

Acupuncture for migraine: A systematic review and meta-regression of randomized controlled trials 针灸治疗偏头痛：随机对照试验的系统回顾和元回归。

IF 3.3 3区医学 Q1 INTEGRATIVE & COMPLEMENTARY MEDICINE

Complementary therapies in medicine

Pub Date : 2024-09-05 DOI: 10.1016/j.ctim.2024.103076

Objectives

This meta-analysis aimed to explore the relationship between the dose of acupuncture sessions, acupuncture frequency, and acupuncture duration and its effects on migraine.

Methods

Eight databases were searched for randomized controlled trials (RCTs) evaluating the efficacy of penetrating manual acupuncture for migraine published in English and Chinese from inception to June 20, 2024. The robust-error meta-regression (REMR) approach and non-linear meta-regression with restricted cubic spline (RCS) were used to investigate the dose-response association between acupuncture sessions, acupuncture frequency, and acupuncture duration and the frequency of migraine attacks. The potential nonlinear relationships was tested by restricting the regression coefficient to zero and a P value＜0.1. The statistical analysis was conducted using Stata 17.0. The risk of bias was independently assessed by two reviewers using the Cochrane tool. The reporting quality for acupuncture procedures was evaluated by STRICTA criteria.

Results

Thirty-two RCTs involving 1562 participants were included, and the results showed a J-shaped dose-response association between acupuncture sessions, acupuncture frequency, and acupuncture duration and migraine attack frequency. After 16 acupuncture sessions, the change in the frequency of migraine attacks was 3.95 (95 %CI: 3.13 to 4.77). Three sessions of acupuncture a week resulted in a significant decrease in the frequency of migraine attacks, reaching 4.04 (95 % CI: 2.49 to 5.58). After two months of acupuncture, the frequency of migraine attacks decreased significantly, showing a difference of 4.05 (95 % CI: 3.61 to 4.49). Subsequently, the improvement trend gradually flattened, yielding diminishing benefits to patients. The risk of bias showed that seven studies were rated as “low risk”, two were rated as “high risk”, and the others were rated as “unclear risk”. The reporting quality of RCTs of acupuncture for migraine remain suboptimal.

Conclusions

A non-linear dose-response relationship was found between acupuncture sessions, acupuncture frequency, and acupuncture duration and migraine attack frequency. The results of our study recommend 16 sessions of acupuncture with a frequency of 3 sessions/week and a treatment duration of 1.5 to 2 months.

Registration number

This meta-analysis has been registered on PROSPERO (CRD42023400493).

目的本荟萃分析旨在探讨针灸疗程剂量、针灸频率和针灸持续时间与偏头痛疗效之间的关系：方法：在8个数据库中检索了从开始到2024年6月20日期间用中英文发表的评估针刺治疗偏头痛疗效的随机对照试验（RCT）。采用稳健-误差元回归（REMR）方法和限制性立方样条非线性元回归（RCS）研究针灸疗程、针灸频率和针灸持续时间与偏头痛发作频率之间的剂量-反应关系。通过限制回归系数为零和P值＜0.1来检验潜在的非线性关系。统计分析使用Stata 17.0进行。偏倚风险由两名审稿人使用 Cochrane 工具进行独立评估。针灸程序的报告质量按照 STRICTA 标准进行评估：结果显示，针灸疗程、针灸频率和针灸持续时间与偏头痛发作频率之间呈 "J "形剂量-反应关系。针灸16次后，偏头痛发作频率的变化为3.95（95%CI：3.13至4.77）。每周针灸三次可显著降低偏头痛发作频率，达到 4.04（95% CI：2.49 至 5.58）。针灸两个月后，偏头痛发作频率明显下降，差异为 4.05（95% CI：3.61 至 4.49）。随后，改善趋势逐渐趋于平缓，患者获益逐渐减少。偏倚风险显示，7 项研究被评为 "低风险"，2 项研究被评为 "高风险"，其他研究被评为 "风险不明确"。针灸治疗偏头痛的研究性临床试验的报告质量仍然不够理想：结论：针灸疗程、针灸频率和针灸持续时间与偏头痛发作频率之间存在非线性剂量-反应关系。我们的研究结果建议针灸疗程为 16 次，频率为 3 次/周，疗程为 1.5 至 2 个月：本荟萃分析已在 PROSPERO 上注册（CRD42023400493）。

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引用次数: 0