摘要
目的 总结按摩在睑板腺功能障碍相关性干眼中应用的最佳证据.方法 系统检索UpToDate、BMJ最佳临床实践、澳大利亚乔安娜布里格斯研究所循证卫生保健中心数据库、美国国立指南库、医脉通、PubMed、中国知网、万方数据库等数据库或网站中有关按摩在睑板腺功能障碍相关性干眼中应用的文献,包括临床决策、最佳实践、证据总结、指南、专家共识、系统评价、随机对照试验,检索时限为建库至2023年12月,由2名研究人员独立对文献进行质量评价及证据提取、汇总.结果 共纳入9篇文献,包括指南3篇、专家共识4篇、系统评价2篇.从按摩实施者、按摩方式及适应证、按摩器械和设备、按摩时间和频次、按摩联合治疗、按摩安全性和有效性6个方面总结了 25条最佳证据.结论 本研究总结了按摩在睑板腺功能障碍相关性干眼中应用的最佳证据,建议医护人员结合临床情境及患者意愿应用证据.
Abstract
Objective To summarize the best evidence for the application of massage in the management of meibomian gland dysfunction(MGD)-related dry eye.Methods A systematic search was conducted in databases and websites including UpToDate,BMJ Best Clinical Practice,Joanna Briggs Institute Evidence-Based Healthcare Center database,National Guideline Clearinghouse,Medlive,PubMed,China National Knowledge Infrastructure,and WanFang data.The search covered literature on massage for MGD-related dry eye,including clinical decisions,best practices,evidence summaries,guidelines,expert consensus,systematic reviews,and randomized controlled trials.The search period extended to December 2023.Two researchers independently evaluated the quality of the literature and extracted and summarized the evidence.Results A total of nine articles were included:three guidelines,four expert consensus papers,and two systematic reviews.Twenty-five pieces of best evidence were summarized from six aspects:massage practitioners,massage methods and indications,massage instruments and devices,massage duration and frequency,combination therapy,and the safety and efficacy of massage.Conclusions This study summarizes the best evidence for applying massage in MGD-related dry eye.It is recommended that healthcare professionals apply this evidence in combination with clinical context and patient preferences.
维普
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