Electroacupuncture for Tinnitus: A Systematic Review.
Electroacupuncture for Tinnitus: A Systematic Review.
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电针治疗耳鸣：系统评价
DOI：
10.1371/journal.pone.0150600
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发表时间：
2016
期刊：
影响因子：
3.7
通讯作者：
Zhang Q
中科院分区：
文献类型：
--
作者：
He M;Li X;Liu Y;Zhong J;Jiang L;Liu Y;Chen Q;Xie Y;Zhang Q
背景电针治疗主观性耳鸣的疗效尚未明确。目的评价电针治疗主观性耳鸣的疗效。方法应用计算机检索PubMed、EMBASE、科克伦图书馆、中国知网、万方中文数字期刊与会议数据库、维普、ChiCTR等3个英文数据库和4个中文数据库，最近一次检索日期为2014年6月1日。纳入随机对照试验（RCT）或准RCT。所有记录的标题、摘要和关键词由两名作者独立审查。数据由三位作者收集和提取。根据科克伦手册第5.1.0版评估试验中的偏倚风险。(http：www.handbook.cochrane.org）。检索到89项研究。在剔除84篇文章后，识别出5项研究（322名受试者）。对这些研究的方法质量进行的评估查明了所有五项研究的弱点。所有研究均被判定为具有高风险的选择和性能偏倚。在四项研究中，损耗偏倚较高。所有研究的不完全偏倚均较低。所有研究的报告偏倚均不明确。由于纳入的试验数量有限，干预措施和结局类型多样，我们无法进行汇总分析。结论由于前期研究的方法学质量差，样本量小，目前还没有发现电针治疗耳鸣的有效证据，需要更多高质量的大样本试验来研究电针治疗耳鸣的疗效。
Background Treatment effects of electroacupuncture for patients with subjective tinnitus has yet to be clarified. Objectives To assess the effect of electroacupuncutre for alleviating the symptoms of subjective tinnitus. Methods Extensive literature searches were carried out in three English and four Chinese databases (PubMed, EMBASE, Cochrane Library, CNKI, Wanfang Chinese Digital Periodical and Conference Database, VIP, and ChiCTR).The date of the most recent search was 1 June 2014. Randomized controlled trials (RCTs) or quasi-RCTs were included. The titles, abstracts, and keywords of all records were reviewed by two authors independently. The data were collected and extracted by three authors. The risk of bias in the trials was assessed in accordance with the Cochrane Handbook, version 5.1.0. (http://www.handbook.cochrane.org). Eighty-nine studies were retrieved. After discarding 84 articles, five studies with 322 participants were identified. Assessment of the methodological quality of the studies identified weaknesses in all five studies. All studies were judged as having a high risk of selection and performance bias. The attrition bias was high in four studies. Incompleteness bias was low in all studies. Reporting bias was unclear in all studies. Because of the limited number of trials included and the various types of interventions and outcomes, we were unable to conduct pooled analyses. Conclusions Due to the poor methodological quality of the primary studies and the small sample sizes, no convincing evidence that electroacupuncture is beneficial for treating tinnitus could be found. There is an urgent need for more high-quality trials with large sample sizes for the investigation of electroacupuncture treatment for tinnitus.