基于雷达图针灸治疗肠易激综合征系统评价/Meta分析文献质量多元评价研究
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摘要
目的:应用雷达图多元评价方法,全面评估针灸治疗肠易激综合征系统评价/Meta分析的文献质量,为广大临床、科研工作者提供直观的、有效的证据参考。方法:制定完善的检索策略,利用计算机全面检索国内外大型数据库,辅以手工检索。汇集合格文献,从见刊年份、设计方法、AMSTAR分值、PRISMA分值、相似性程度、出版偏倚评估六个方面进行多元评价。结果:共计纳入10篇合格文献,文献秩平均分为3. 67～8. 83不等,其质量秩平均得分为6. 75±1. 82。3项研究文献质量较高,占文献总数的30%;有1项文献质量有待提高。文献质量应提高的环节有确保文献检索广泛全面性;有效的运用恰当的方法合并纳入研究的结果;倡导制定文献筛查流程图;注重对文献研究特征的详细阐述等。结论:针灸治疗肠易激综合征系统评价/Meta分析文献质量有待进一步提升,特别是方法学和发表质量。雷达图将数据可视化、直观化和多元评价的优点,值得推广运用。
Objective: To comprehensively evaluate the quality of the literature on the systematic evaluation/Meta-analysis of acupuncture and moxibustion for the treatment of irritable bowel syndrome by using the multi-evaluation method of radar chart,providing intuitive and effective evidence for the clinical and scientific researchers. Methods: We developed a sound search strategy,the use of computer comprehensive retrieval of large databases at home and abroad,supplemented by manual retrieval and then gathered qualified documents. From the publication year,design method,AMSTAR score,PRISMA score,the degree of similarity and publication bias evaluation,the multiple evaluation was carried out. Results: A total of 10 eligible documents were included.The average rank of the documents was 3. 67-8. 83. The quality of the three research documents was high,accounting for 30% of the total number of documents. The quality of one of the documents needs to be improved. The quality of the literature should be improved to ensure that the extensive and comprehensive literature search. The effective use of appropriate methods to incorporate the results of the study included advocating the development of the literature screening flow chart,paying attention to the characteristics of the literature described in detail. Conclusion: Acupuncture treatment of irritable bowel syndrome system evaluation/Meta-analysis of the quality of the literature needs further improvement,especially methodology and published quality. Radar chart data visualization,visualization and the advantages of multiple evaluation are worth to promote the use.
Objective: To comprehensively evaluate the quality of the literature on the systematic evaluation/Meta-analysis of acupuncture and moxibustion for the treatment of irritable bowel syndrome by using the multi-evaluation method of radar chart,providing intuitive and effective evidence for the clinical and scientific researchers. Methods: We developed a sound search strategy,the use of computer comprehensive retrieval of large databases at home and abroad,supplemented by manual retrieval and then gathered qualified documents. From the publication year,design method,AMSTAR score,PRISMA score,the degree of similarity and publication bias evaluation,the multiple evaluation was carried out. Results: A total of 10 eligible documents were included.The average rank of the documents was 3. 67-8. 83. The quality of the three research documents was high,accounting for 30% of the total number of documents. The quality of one of the documents needs to be improved. The quality of the literature should be improved to ensure that the extensive and comprehensive literature search. The effective use of appropriate methods to incorporate the results of the study included advocating the development of the literature screening flow chart,paying attention to the characteristics of the literature described in detail. Conclusion: Acupuncture treatment of irritable bowel syndrome system evaluation/Meta-analysis of the quality of the literature needs further improvement,especially methodology and published quality. Radar chart data visualization,visualization and the advantages of multiple evaluation are worth to promote the use.
引文
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[7]李幼平.循证医学[M].北京:高等教育出版社,2003.
[8]熊俊,杜元灏.关于国内针灸系统评价/Meta分析方法学质量的思考[J].针刺研究,2011,36(1):72.
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[13]Chao GQ,Zhang S. Effectiveness of acupuncture to treat irritable bowel syndrome:A Meta-analysis[J]. World J Gastroenterol,2014,20(7):1871-1877.
[14]Manheimer E,Wieland LS,Cheng K,et al. Acupuncture for irritable bowel syndrome:systematic review and meta-analysis[J]. Am J Gastroenterol,2012,107(6):835-847.
[15]徐桂兴,黄碧清,熊俊.针灸治疗肠易激综合征的系统评价[J].中华中医药学刊,2016,34(9):2171-2174.
[16]赵琛,穆敬平,崔云华,等.针灸治疗肠易激综合征的Meta分析[J].中华中医药学刊,2010,28(5):961-963.
[17]李瑞根,王威,徐日,等.针刺治疗肠易激综合征Meta分析[J].环球中医药,2016,9(6):772-776.
[18]李瑞根.针灸治疗肠易激综合征Meta分析[D].沈阳:辽宁中医药大学,2016.
[19]裴丽霞,张新昌,孙建华,等.针灸治疗肠易激综合征Meta分析[J].中国针灸,2012,32(10):957-960.
[20]邓多喜,郭奎奎,谭洁,等.针刺治疗腹泻型肠易激综合征临床研究的Meta分析[J].中国针灸,2017,37(8):907-912.
[21]朱校军.针灸治疗肠易激综合征临床随机对照试验的系统评价[D].广州:广州中医药大学,2010.
[22]孙年怡.针灸治疗肠易激综合征的系统评价[D].成都:成都中医药大学,2011.
[23]骆菁怡. LB80380治疗慢性乙型肝炎的有效性、时效性及安全性的系统评价/中国期刊发表的肝炎类系统评价方法学质量评价的研究[D].兰州:兰州大学,2014.
[24]尹森林,刘雪梅,何林,等.对系统评价/Meta分析报告规范的系统评价[J].中国循证医学杂志,2011,11(8):971-977.
[25]李运方,陈日锦,黄越.针灸用于临床的循证医学研究[J].医学信息(中旬刊),2011,24(2):764-765.
[26]熊俊,杜元灏.关于国内针灸系统评价/Meta分析方法学质量的思考[J].针刺研究,2011,36(1):72-75.
[2]寇会玲,宗立永,孙元熙.肠易激综合征流行病学与发病机制研究新进展[J].医学理论与实践,2015,28(18):2448-2449,2452.
[3]中华医学会消化病学分会胃肠动力学组.肠易激综合征诊断和治疗的共识意见(2007,长沙)[J].中华消化杂志,2008,28(1):38.
[4]初晨,王巧民.肠易激综合征治疗进展[J].安徽医学,2013,34(7):1053-1055.
[5]李丹丹,宋亚芳,孙建华.针灸治疗肠易激综合征作用机制研究进展[J].江苏中医药,2017,49(8):79-83.
[6]杜元灏.现代针灸病谱[M].北京:人民卫生出版社,2009:36.
[7]李幼平.循证医学[M].北京:高等教育出版社,2003.
[8]熊俊,杜元灏.关于国内针灸系统评价/Meta分析方法学质量的思考[J].针刺研究,2011,36(1):72.
[9]熊俊,陈日新.系统评价/Meta分析方法学质量的评价工具AMSTAR[J].中国循证医学杂志,2011,11(9):1084.
[10]Moher D,Liberati A,Tetzlaff J,et al. Preferred reporting items for systematic reviews and Meta-analyses:the PRISMA statement[J].PLo S Med,2009,6(6):97.
[11]Panesar SS,Rao C,Vecht JA,et al. Development of the Veritas plot and its application in cardiac surgery:an evidence-synthesis graphic tool for the clinician to assess multiple Meta-analyses reporting on a common outcome[J]. Can J Surg,2009,52(5):137.
[12]孙振球.医学统计学[M].北京:人民卫生出版社,2011.
[13]Chao GQ,Zhang S. Effectiveness of acupuncture to treat irritable bowel syndrome:A Meta-analysis[J]. World J Gastroenterol,2014,20(7):1871-1877.
[14]Manheimer E,Wieland LS,Cheng K,et al. Acupuncture for irritable bowel syndrome:systematic review and meta-analysis[J]. Am J Gastroenterol,2012,107(6):835-847.
[15]徐桂兴,黄碧清,熊俊.针灸治疗肠易激综合征的系统评价[J].中华中医药学刊,2016,34(9):2171-2174.
[16]赵琛,穆敬平,崔云华,等.针灸治疗肠易激综合征的Meta分析[J].中华中医药学刊,2010,28(5):961-963.
[17]李瑞根,王威,徐日,等.针刺治疗肠易激综合征Meta分析[J].环球中医药,2016,9(6):772-776.
[18]李瑞根.针灸治疗肠易激综合征Meta分析[D].沈阳:辽宁中医药大学,2016.
[19]裴丽霞,张新昌,孙建华,等.针灸治疗肠易激综合征Meta分析[J].中国针灸,2012,32(10):957-960.
[20]邓多喜,郭奎奎,谭洁,等.针刺治疗腹泻型肠易激综合征临床研究的Meta分析[J].中国针灸,2017,37(8):907-912.
[21]朱校军.针灸治疗肠易激综合征临床随机对照试验的系统评价[D].广州:广州中医药大学,2010.
[22]孙年怡.针灸治疗肠易激综合征的系统评价[D].成都:成都中医药大学,2011.
[23]骆菁怡. LB80380治疗慢性乙型肝炎的有效性、时效性及安全性的系统评价/中国期刊发表的肝炎类系统评价方法学质量评价的研究[D].兰州:兰州大学,2014.
[24]尹森林,刘雪梅,何林,等.对系统评价/Meta分析报告规范的系统评价[J].中国循证医学杂志,2011,11(8):971-977.
[25]李运方,陈日锦,黄越.针灸用于临床的循证医学研究[J].医学信息(中旬刊),2011,24(2):764-765.
[26]熊俊,杜元灏.关于国内针灸系统评价/Meta分析方法学质量的思考[J].针刺研究,2011,36(1):72-75.
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