Rédacteur : Johan Nguyen

Renal Colic

Colique néphrétique : évaluation de l'acupuncture

Systematic Reviews and Meta-Analysis

☆☆☆ Evidence for effectiveness and a specific effect of acupuncture
☆☆ Evidence for effectiveness of acupuncture
Limited evidence for effectiveness of acupuncture
Ø No evidence or insufficient evidence

1.1. Huang 2020 ☆

Huang Yiyu. [Meta-Analysis of Clinical Efficacy of Acupuncture Versus Drugs in the Treatment of Renal Colic]. Chinese Journal of Surgery of Integrated Traditional and Western Medicine. 2020. [212939].

ObjectiveTo evaluate the efficacy of acupuncture versus drug in the treatment of renal colic.
Methods Electronic databases including PubMed database, the Cochrane Library, EMbase, CBM, China Knowledge Network (CNKI), VVIP and Wanfang Data were searched (from the publication of the journal to May 2018) and collected the randomized controlled trial of acupuncture and medication for renal colic. Relevant data were extracted and quality evaluation was performed using the Cochrane System Evaluator' s Manual 5. 1, and Meta analysis was performed using Revman Manager 5. 3 software.
Results A total of 13 RCTs were included. A total of 1131 case were involved. The results of Meta-analysis showed that, compared with the control group, the total analgesic effect was higher in the acupuncture group [RR=1. 12, 95% CI (1. 06, 1. 17), P < 0. 00001 ], and the acupuncture group could shorten the time to start pain relief [MD=-9. 92, 95 % CI (-12. 85, -8. 10), P<0. 00001]. But there was no statistical difference in VAS scores between the two groups after treatment.
Conclusion Compared with simple drug therapy, acupuncture treatment of renal colic has obvious advantages, simple operation and relatively few side effects. It is worthy of widespread clinical promotion. However, due to the quantitative and qualitative limitations of the included studies, more clinical randomized controlled trials are still needed to verify the above conclusions.