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Acupuncture for Diarrhoea-Predominant Irritable Bowel Syndrome: A Network Meta-Analysis
Joint Authors
Zhu, Lingping
Ma, Yunhui
Ye, Shasha
Shu, Zhiqun
Source
Evidence-Based Complementary and Alternative Medicine
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-12, 12 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-05-27
Country of Publication
Egypt
No. of Pages
12
Main Subjects
Abstract EN
Background.
The objective of this study was to compare the efficacy and side effects of acupuncture, sham acupuncture, and drugs in the treatment of diarrhoea-predominant irritable bowel syndrome.
Methods.
Randomized controlled trials (RCTs) assessing the effects of acupuncture and drugs were comprehensively retrieved from electronic databases (such as PubMed, Cochrane Library, Embase, CNKI, Wanfang Database, VIP Database, and CBM) up to December 2017.
Additional references were obtained from review articles.
With document quality evaluations and data extraction, Network Meta-Analysis was performed using a random-effects model under a frequentist framework.
Results.
A total of 29 studies (n = 9369) were included; 19 were high-quality studies, and 10 were low-quality studies.
NMA showed the following: (1) the ranking of treatments in terms of efficacy in diarrhoea-predominant irritable bowel syndrome is acupuncture, sham acupuncture, pinaverium bromide, alosetron = eluxadoline, ramosetron, and rifaximin; (2) the ranking of treatments in terms of severity of side effects in diarrhoea-predominant irritable bowel syndrome is rifaximin, alosetron, ramosetron = pinaverium bromide, sham acupuncture, and acupuncture; and (3) the treatment of diarrhoea-predominant irritable bowel syndrome includes common acupoints such as ST25, ST36, ST37, SP6, GV20, and EX-HN3.
Conclusion.
Acupuncture may improve diarrhoea-predominant irritable bowel syndrome better than drugs and has the fewest side effects.
Sham acupuncture may have curative effect except for placebo effect.
In the future, it is necessary to perform highly qualified research to prove this result.
Pinaverium bromide also has good curative effects with fewer side effects than other drugs.
American Psychological Association (APA)
Zhu, Lingping& Ma, Yunhui& Ye, Shasha& Shu, Zhiqun. 2018. Acupuncture for Diarrhoea-Predominant Irritable Bowel Syndrome: A Network Meta-Analysis. Evidence-Based Complementary and Alternative Medicine،Vol. 2018, no. 2018, pp.1-12.
https://search.emarefa.net/detail/BIM-1154700
Modern Language Association (MLA)
Zhu, Lingping…[et al.]. Acupuncture for Diarrhoea-Predominant Irritable Bowel Syndrome: A Network Meta-Analysis. Evidence-Based Complementary and Alternative Medicine No. 2018 (2018), pp.1-12.
https://search.emarefa.net/detail/BIM-1154700
American Medical Association (AMA)
Zhu, Lingping& Ma, Yunhui& Ye, Shasha& Shu, Zhiqun. Acupuncture for Diarrhoea-Predominant Irritable Bowel Syndrome: A Network Meta-Analysis. Evidence-Based Complementary and Alternative Medicine. 2018. Vol. 2018, no. 2018, pp.1-12.
https://search.emarefa.net/detail/BIM-1154700
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1154700