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Title

Acupuncture plus moxibustion for herpes zoster: A systematic review and meta-analysis of randomized controlled trials.

Authors

Coyle ME, Liang H, Wang K, Zhang AL, Guo X, Lu C, Xue CC.

Journal

Dermatol Ther.

Year

2017

Vol (Issue)

Page

doi

10.1111/dth.12468.

PMID

28338265

Url

http://www.ncbi.nlm.nih.gov/pubmed/28338265

MeSH

Keywords

acupuncture; herpes zoster; moxibustion; review; meta-analysis; systematic; varicella

한글 키워드

침 치료; 대상포진; 뜸 치료; 리뷰; 메타분석; 체계적 문헌고찰; 수두

KMCRIC
Summary & Commentary

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Korean Study

Abstract

Herpes zoster is an acute inflammatory condition which can have a significant impact on quality of life. Antiviral therapies are effective, but do not meet patients' expectations of symptomatic relief. Acupuncture and moxibustion have been used for herpes zoster; this systematic review evaluated their efficacy and safety. Nine English and Chinese databases were searched from their inceptions to March 2016. Randomized controlled trials evaluating the combination of acupuncture plus moxibustion in adult herpes zoster were included. Outcomes included pain intensity and duration, quality of life and adverse events. Meta-analysis was performed using RevMan software (version 5.3). Nine studies (945 participants) were included. Studies were of low to moderate methodological quality based on risk of bias assessment. Pain intensity (visual analogue scale) was lower among those who received acupuncture plus moxibustion compared with pharmacotherapy (one study; MD -8.25 mm, 95% CI -12.36 to -4.14). The clinical significance of this result is yet to be established. Some benefits were seen for other pain and cutaneous outcomes, and global improvement in symptoms. Mild adverse events were reported in the intervention groups. Acupuncture plus moxibustion may improve pain and cutaneous outcomes, although current evidence is limited by the number of studies and methodological shortcomings.

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