Efficacy Comparison of Different Acupuncture Treatments for Functional Dyspepsia: A Systematic Review with Network Meta‐Analysis

Zhang, Jinhuan; Liu, Yongfeng; Huang, Xingxian; Chen, Yirong; Hu, Lina; Lan, Kai; Yu, Haibo

doi:10.1155/2020/3872919

Cited by 14 publications

(22 citation statements)

References 49 publications

(58 reference statements)

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“…Specifically, MA is defined as manual manipulation of needles after insertion at certain acupuncture points ( 16 ). EA is characterized by application of small current passing through acupuncture needles to produce the combined effect of electrical and needling stimulation ( 68 ). LA is a kind of non-penetrating acupuncture that uses low-power laser to stimulate acupoints ( 16 ).…”

Section: Discussionmentioning

confidence: 99%

Magnetic Resonance Imaging Studies on Acupuncture Therapy in Depression: A Systematic Review

Zhang

Nie

et al. 2021

Front. Psychiatry

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Accumulating studies had been performed using magnetic resonance imaging (MRI) to understand the neural mechanism of acupuncture therapy for depression. However, inconsistencies remain due to differences in research designs and MRI analytical methods. Therefore, we aim to summarize the current MRI research and provide useful information for further research by identifying papers published in English and Chinese about MRI studies on acupuncture for depression up to November 2020. A total of 22 studies met the inclusion criteria, including 810 depression patients and 416 health controls (HCs). The applied designs of these studies are mainly random control trial and pre–post designs. The MRI analytical methods are mainly (fractional) amplitude of low-frequency fluctuation (fALFF/ALFF) and functional connectivity (FC), whereas a small subset of studies used voxel-based morphometry (VBM) and diffusion tensor imaging (DTI). The most consistent functional MRI (fMRI) results showed increased N-acetylaspartate/creatine (NAA/Cr) ratios, increased ALFF in the right precuneus, decreased ALFF in the inferior frontal gyrus (IFG), and increased FC of the anterior cingulate cortex (ACC). In contrast, no significant neurological changes were identified in any of the DTI or VBM studies. However, clear, reliable conclusions cannot be drawn due to the use of different designs, analytical methods, seed points selected, types of depression, acupuncture points, and so on. Improved report specifications, well-designed studies, consistent analytical methods, and larger sample sizes will enable the field to better elucidate the underlying mechanisms of acupuncture in depressed patients.

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Section: Discussionmentioning

confidence: 99%

Magnetic Resonance Imaging Studies on Acupuncture Therapy in Depression: A Systematic Review

Zhang

Nie

et al. 2021

Front. Psychiatry

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“…Therefore, we performed this NMA to help clinicians and researchers decide which acupuncture modality to use for PD. Although several NMA studies on acupuncture for various diseases have been reported [56][57][58], this is the first NMA study of acupuncture on PD. In our study, BEEV seems to be the best therapeutic option for motor symptoms and activities of daily living in patients with PD.…”

Section: Implications For Clinical Practice and Suggestions For Further Researchmentioning

confidence: 94%

Effect of Acupuncture on Movement Function in Patients with Parkinson’s Disease: Network Meta-Analysis of Randomized Controlled Trials

et al. 2021

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We aimed to compare the effectiveness of some different acupuncture modalities on motor function using the unified Parkinson disease rating scale (UPDRS)-III scores of idiopathic Parkinson’s disease (PD) via pairwise and network meta-analyses (NMA) of randomized controlled trials (RCTs). The Cochrane risk of bias assessment tool was used to assess the methodological quality of the included RCTs. A frequentist approach-based random effect model NMA was performed. Seventeen RCTs with 1071 participants were included. The five following modalities were identified: combination of conventional medication (levodopa) with (1) electroacupuncture (ELEC), (2) manual acupuncture (MANU), (3) bee venom acupuncture (BEEV), (4) sham acupuncture (SHAM), and (5) conventional medication alone (CONV). In NMA on UPDRS-III, BEEV was the best modality compared to CONV (mean difference [MD]) −7.37, 95% confidence interval [−11.97, −2.77]). The comparative ranking assessed through NMA was suggested to be BEEV, MANU, ELEC, SHAM, and CONV. Regarding daily activity assessment (UPDRS-II), the magnitude of effectiveness was in the order of BEEV, ELEC, MANU, SHAM, and CONV. Combination treatment with BEEV (MANU or ELEC) and CONV can be recommended to improve motor function in PD patients. Due to the limited number of included RCTs, further NMA with more rigorous RCTs are warranted.

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“…[ 14 ] The clinical efficacy of acupuncture on FD has also been confirmed by a number of clinical trials, which can improve patients’ dyspepsia symptoms and is no less effective than conventional western medicine treatment. [ 15 , 16 ] Currently, there is no clinical study on acupuncture combined with Liujunzi Decoction in the treatment of FD. Therefore, we designed this randomized controlled trial to evaluate the efficacy and safety of acupuncture combined with Liujunzi decoction in the treatment of FD.…”

Section: Introductionmentioning

confidence: 99%

Efficacy evaluation of acupuncture combined with Liujunzi Decoction in the treatment of functional dyspepsia

et al. 2021

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Background: Functional dyspepsia (FD) is a common and frequently-occurring disease in internal medicine. It is known that Liujunzi decoction and acupuncture are widely used in the treatment of FD, but there are few studies on the combination of Liujunzi decoction and acupuncture in the treatment of FD, and its safety and efficacy are still controversial. Therefore, the purpose of this study is to evaluate the efficacy and safety of acupuncture combined with Liujunzi decoction in the treatment of FD. Methods: We designed a prospective randomized controlled trial. The study protocol was approved by the Clinical Research Ethics Committee of our hospital. Patients with FD were randomly assigned to the treatment group of acupuncture combined with Liujunzi Decoction (the experimental group) and the treatment group of Liujunzi Decoction (the control group) in a ratio of 1:1. Outcome indicators were Nepean Dyspepsia Index, the MOS item short from health survey, and adverse reactions. Finally, SPSS 18.0 software would be used for statistical analysis of the data. Discussion: This study will evaluate the efficacy and safety of acupuncture combined with Liujunzi Decoction in the treatment of FD and provide clinical basis for the use of acupuncture combined with Liujunzi Decoction in the treatment of FD. OSF Registration number: DOI 10.17605/OSF.IO/67GKN

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Efficacy Comparison of Different Acupuncture Treatments for Functional Dyspepsia: A Systematic Review with Network Meta‐Analysis

Cited by 14 publications

References 49 publications

Magnetic Resonance Imaging Studies on Acupuncture Therapy in Depression: A Systematic Review

Magnetic Resonance Imaging Studies on Acupuncture Therapy in Depression: A Systematic Review

Effect of Acupuncture on Movement Function in Patients with Parkinson’s Disease: Network Meta-Analysis of Randomized Controlled Trials

Efficacy evaluation of acupuncture combined with Liujunzi Decoction in the treatment of functional dyspepsia

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