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Sommaire

Diarrhées : évaluation de l'acupuncture

1. Revues systématiques et méta-analyses

1.1. Acupuncture générique

1.1.1. Cui 2012 ☆

Cui Hai-Fu, Chen Cheng, Yu Lu, Yan Xing-Ke. [Meta-analysis of randomized controlled clinical trials of acupuncture treatment function diarrhea]. China Journal of Traditional Chinese Medicine and. 2012;11:2910-291. [186911].

Objectives To assess the efficacy of the acupuncture treatment on functional diarrhea, and evaluate the quality of the related literatures.
Methods Retrieve randomized controlled clinical trials literatures about acupuncture on functional diarrhea from VIP, CNKI and Pubmed databases during 2000 to 2010 period, select RCT and CCT literatures according to request, and meta-analysize the literatures using RevMan 4. 2 software.
Results A total of 19 literatures and 1888 patients were analysized. The results showed: the total effective rate of acupuncture group on functional didarrhea was higher than drug group, RR=1. 21, 95%CI [1. 17, 1. 26], Z=10. 19, P<0. 00001;antidiarrheal time of acupuncture group shorter than drug group, OR=-27. 45, 95%CI [-33. 22, -21. 67], Z=9. 32, P<0. 00001;symptom total scores different with drug group, OR=-3. 19, 95%CI [-3. 84, -2. 54], Z=9. 58, P<0. 00001.
Conclusions Acupuncture was more effective than drugs on treating functional diarrhea from total effective rate, antidiarrheal time and symptom total scores aspects. However, due to less amounts of RCT and CCT literatures, especially high quality, large sample, multi-centre clinical reports, bias, lack of random, blind method, adverse reaction and follow-up reports, completely positive clinical conclusions hadn’t been made and needed to been confirmed further by high qualified evidences.

1.2. Techniques particulières

1.2.1. Qin 2015 ( 25E) ☆

Qin Zongshi, Liu Xiaoxu, Liu Zhishun. [ST25 treatment for chronic diarrhea: A meta-analysis]. Modern Journal of Integrated Traditional Chinese and Western Medicine. 2015;25:2753-275. [187049].

Objectives It is to assess the therapeutic effect and safety of acupuncture ST 25 treatment for chronic diarrhea with a systematic review.
Methods We searched PubMed, EMBASE, Cochrane Library, Citation Information by National In-stitute of Informatics (CiNii ) , Chinese Biomedical Literature Database (CBM ) , Wan -Fang Database , China National Knowledge Infrastructure (CNKI), and from their inception to December 2014. All randomized controlled trials related with acupuncture Tianshu (ST25) for chronic diarrhea were included and meta -analysis would be performed.
Results Altogether 4 studies were included, including 403 patients. The result showed that acupuncture Tianshu (ST25) had better effect in global assessment than non -acupuncture points [RR=1. 80, 95%CI (1. 51, 2. 13), P<0. 01], and Daheng (SP15) [RR=1. 18, 95%CI (1. 01, 1. 39), P<0. 01], however there was no difference in the curative effect between Tianshu (ST25) and Tzu-sanli (ST36) [RR=1. 08, 95%CI (0. 91, 1. 28), P=0. 39], 4 studies had not mentioned adverse effect .
Conclusions Acupuncture Tianshu ST25 is effect to chronic diarrhea and the it is based on specificity of acupuncture effect , however the degree of evidence is low , more high quality randomized controlled trials related to acupuncture Tianshu ST 25 for chronic diarrhea and long terms follow-up are needed.

1.3. Formes cliniques particulières

1.3.1. Diarrhée infantile