Traditional Chinese acupoint massage, acupuncture, and moxibustion for people with diabetic gastroparesis: A systematic review and meta-analysis

Abstract

Background: Traditional Chinese acupoint therapy has been used for thousands of years on gastrointestinal diseases. In this work, we evaluated the efficiency and safety of traditional Chinese acupoint therapies versus standard therapies, nursing or recovery treatments in the treatment of diabetic gastroparesis.e expect that traditional Chinese medicine acupoint therapy can be noticed by more people, so as to provide more high-quality clinical evidence.Methods: Randomized controlled trials were included in this meta-analysis. The treatment groups received traditional Chinese acupoint therapy, while the control groups received standard therapies, nursing, or recovery treatments. The relative risk and weighted mean difference with 95% confidence interval for the total effective rate, gastrin level, gastric-emptying time, fasting blood glucose level, 2-hour blood glucose level, and glycosylated hemoglobin level were evaluated using RevMan 5.3 software. Bias assessment was performed using the Cochrane risk-of-bias tool.Results: A total of 59 articles were included in the analysis. In comparison with the control groups, the acupoint therapy groups showed higher total effective rates (P < .00001), enhanced gastric-emptying rates (P < .00001), and reduced glycosylated hemoglobin levels. Conclusion:In comparison with Western medicine or conventional care, traditional Chinese acupoint therapies showed a significant advantage in the treatment of diabetic gastroparesis. However, considering the low quality and high risk of the included studies, more high-quality randomized controlled trials are needed to confirm the results.

Is acupuncture combined with usual medical care more effective than usual medical care alone for the treatment of knee osteoarthritis pain?

“…Limitations include a high risk of selection bias, detection bias, attrition bias, and publication bias.A 2022 meta-analysis of 59 RCTs (N54,373) compared the efficacy of traditional Chinese acupuncture therapies in treating diabetic gastroparesis. 3 Patients included were diagnosed with diabetic gastroparesis on the basis of symptoms and abnormal physiological test results, such as abnormal gastric motor function on electrogastric examination and delayed gastric emptying on scintillation scan. Patients with other types of gastroparesis were excluded.…”

Is acupuncture an effective treatment for diabetic gastroparesis?

“…A 2022 meta-analysis of 59 RCTs (N=4,373) compared the efficacy of traditional Chinese acupuncture therapies in treating diabetic gastroparesis. 3 Patients included were diagnosed with diabetic gastroparesis on the basis of symptoms and abnormal physiological test results, such as abnormal gastric motor function on electrogastric examination and delayed gastric emptying on scintillation scan. Patients with other types of gastroparesis were excluded.…”