文献类型：期刊文献

英文题名：Comparison between Acupuncture and Nicotine Replacement Therapies for Smoking Cessation Based on Randomized Controlled Trials: A Systematic Review and Bayesian Network Meta-Analysis

作者：Dai, Runjing[1];Cao, Yongchun[2];Zhang, Hailiang[1];Zhao, Na[1];Ren, Dong[3];Jiang, Xiaomei[3];Zheng, Guisen[1];Bao, Shisan[1];Yan, Xingke[4];Fan, Jingchun[1]

第一作者：Dai, Runjing

通信作者：Bao, SS[1];Fan, JC[1];Yan, XK[2]

机构：[1]Gansu Univ Chinese Med, Sch Publ Hlth, Ctr Evidence Based Med, Lanzhou 730000, Gansu, Peoples R China;[2]Gansu Prov Matern & Child Care Hosp, Human Resources Management Dept, Lanzhou 730050, Gansu, Peoples R China;[3]Gansu Gem Flower Hosp, Psychosomat & Sleep Med, Lanzhou 730060, Gansu, Peoples R China;[4]Gansu Univ Chinese Med, Coll Acupuncture Moxibust & Tuina, Lanzhou 730000, Gansu, Peoples R China

第一机构：甘肃中医药大学公共卫生学院

通信机构：[1]corresponding author), Gansu Univ Chinese Med, Sch Publ Hlth, Ctr Evidence Based Med, Lanzhou 730000, Gansu, Peoples R China;[2]corresponding author), Gansu Univ Chinese Med, Coll Acupuncture Moxibust & Tuina, Lanzhou 730000, Gansu, Peoples R China.|[10735db5df93766a96e5b]甘肃中医药大学针灸推拿学院;[10735]甘肃中医药大学;[10735e9d5e7087247e71b]甘肃中医药大学公共卫生学院;

年份：2021

卷号：2021

外文期刊名：EVIDENCE-BASED COMPLEMENTARY AND ALTERNATIVE MEDICINE

收录：;WOS:【SSCI(收录号:WOS:000670631700002)，SCI-EXPANDED(收录号:WOS:000670631700002)】；

基金：The authors are very grateful to Long Ge and Liangying Hou from the Center for Evidence-Based Medicine of Lanzhou University for their suggestions on data analysis. This work was supported by the National Natural Science Foundation of China (Grant no. 81460744), Talent Introduction Program of Gansu University of Chinese Medicine (Grant no. 2016YJRC-01), and the University Innovation Capacity Improvement Project in Gansu Province.

语种：英文

摘要：Objectives. To evaluate the efficacy and/or safety of acupuncture therapy (AT) in quitting smoking. Methods. Randomized controlled trials (RCTs) were searched in PubMed, Cochrane Library, Embase, Web of Science, and Chinese Biomedical Database (CBM). We used Cochrane Collaborative Quality Assessment to assess the risk of bias. Bayesian network meta-analysis was utilized to evaluate the efficacy and safety of different interventions. Data analyses were conducted using WinBUGS 1.4.3, Stata 14, and RevMan 5.3.5 software. Results. A total of 2706 patients from 23 studies were included, involving 6 treatment arms. Network meta-analysis demonstrated that there was no significant difference in short-term abstinence rates or changes in Fagerstrom test for nicotine dependence (FTND) scores and daily smoking among these groups (AT, sham acupuncture therapy (SAT), auricular acupressure (AA), sham auricular acupressure (SAA), acupuncture plus auricular acupressure (APAA), and nicotine replacement therapy (NRT)). However, there was a significant difference between SAA and AA with risk ratio (RR) of 2.49 (95% CI 1.14, 5.97) in long-term abstinence rate. The probabilistic ranking results showed that APAA and AA were superior to other interventions in the comparison of abstinence rates. There was no obvious inconsistency between the direct comparison and indirect comparison, using the consistency test. Conclusion. AA was superior to SAA in smoke quitting, but there was no difference among other interventions in long-term truncation rates. There was no difference in short-term abstinence rates among these selected groups. We need large sample RCTs to clarify the advantages of interventions such as APAA and AA. In addition, reporting of adverse events that may occur during treatment also should be enhanced to complement evidence-based medicine.