Effectiveness of acupuncture combined with artificial tears in managing dry eye syndrome: A systematic review and meta-analysis.
Medicine (Baltimore)
; 103(1): e36374, 2024 Jan 05.
Article
en En
| MEDLINE
| ID: mdl-38181299
ABSTRACT
BACKGROUND:
Dry eye syndrome is an ocular surface disease with high incidence. Acupuncture combined with artificial tears is effective for treating dry eye syndrome. This study aimed to evaluate the evidence for the efficacy of acupuncture combined with artificial tears in dry eye syndrome by conducting a systematic review and meta-analysis.METHODS:
A systematic online search was performed from the date of database establishment to July 1, 2023. The study groups that addressed acupuncture combined with artificial tears for patients with dry eye syndrome (DES) and the control groups that addressed artificial tears were analyzed. The main outcomes were tear breakup time (BUT) and Schirmer I test (SIT), assessed as previously described.RESULTS:
Sixteen randomized or controlled trials met the selection criteria, and 1383 patients with DES were included in this study. The analysis results showed that BUT [Standard mean difference (SMD)â =â 1.25, 95% confidence interval (CI) (1.14, 1.37), Pâ <â .0001], SIT [SMDâ =â 1.55, 95% CI (1.08, 2.02), Pâ <â .0001], and corneal fluorescein staining [SMDâ =â -2.08, 95% CI (-2.96, -1.20), Pâ <â .00001] significantly improved in the trial groups compared with the control groups. The acupuncture treatment was more effective in reducing the levels of IL-6 (Pâ <â .0001) and TNF-α (Pâ <â .00001). The overall efficacy rate was better in the trial group than in the control group [odds ratioâ =â 4.09, 95% CI (3.04, 5.51), Pâ <â .00001]. However, no significant difference was observed in the ocular surface disease index (Pâ =â .15) between the trial and control groups.CONCLUSION:
The results of this study indicated that acupuncture combined with artificial tears could be considered safe, effective to patients with DES.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Síndromes de Ojo Seco
/
Terapia por Acupuntura
Tipo de estudio:
Clinical_trials
/
Systematic_reviews
Límite:
Humans
Idioma:
En
Revista:
Medicine (Baltimore)
Año:
2024
Tipo del documento:
Article
País de afiliación:
China
Pais de publicación:
Estados Unidos