近5年来针灸治疗干眼症的系统评价再评价

Acupuncture and Moxibustion in the Treatment of Dry Eye Disease in Recent 5 Years: An Overview of Systematic Reviews

摘要: 目的：再评价针灸治疗干眼症系统评价(SR)的报告质量与证据质量。方法：检索PubMed、EMbase、Cochrane Library、SinoMed、CNKI、维普、万方等数据库2018年1月1日至2023年1月1日的系统评价/meta分析，使用NoteExpress 3.2.0进行文献管理，运用PRISMA、GRADE对纳入文献进行评估。结果：最终纳入9篇相关文献，其中GRADE评级结果显示文献证据质量普遍不高；PRISMA评价报告质量结果显示，纳入文献得分区间为16~22.5分，平均20.4分。结论：近5年来针灸治疗干眼症优于人工泪液等疗法，受纳入文献质量，今后需开展更高水平的多中心随机对照试验加以验证，并建议诊治干眼症过程中应结合中医辨证及临床实际合理选择临床方案。但现有针灸疗法治疗干眼的结论尚需开展更多高质量的研究予以验证。

Abstract: Objective: Objective to overview of systematic reviews (SRs) of acupuncture and moxibustion in the treatment of dry eye disease (DED) and evaluate the quality of report and evidence. Methods: Pub-Med, Embase, Cochrane Library, SinoMed, CNKI, VIP and Wangfang Data were searched from Janu-ary 1, 2018 to January 1, 2023 for systematic review or meta-analysis. NoteExpress 3.2.0 was used for literature management. PRISMA and GRADE were used to evaluate the literature. Results: Nine relevant literatures were included. The result of GRADE rating shows that the quality of literature evidence is relatively common. The quality of PRISMA evaluation report showed that the score range of the included literature was 16~22.5, with an average of 20.4. Conclusion: In the past 5 years, acupuncture is superior to artificial tears in the treatment of DED. Due to the quality of the literature, it is necessary to carry out a higher level of multicenter randomized controlled trials in the future. It is suggested that the clinical scheme should be reasonably selected according to syn-drome differentiation of traditional Chinese medicine and clinical practice in the treatment of DED. However, the existing conclusion of acupuncture in the treatment of DED needs to be verified by more high-quality research.