Systematic reevaluation and reevaluation and mesh meta analysis of different acupuncture therapies

Background: The systematic evaluation of acupuncture in the treatment of shoulder inflammation shows that acupuncture therapy has better efficacy than Western medicine. However, the methodological quality of these systems and the differences between different acupuncture therapies are unclear. Objective: Evaluate the existing systematic evaluation of acupuncture therapy for the treatment of shoulder inflammation. legal quality to compare the efficacy of different acupuncture therapies to treat peripheral shoulder inflammation.Method: in 7 countries and abroad Systematic evaluation of different acupuncture therapies in the database for the treatment of peripheral shoulder inflammation from the building to 2019-12-28. using the AMSTAR2 tool to assess the methodological quality of the methodology incorporated into the system evaluation, and to screen eligible studies from randomized controlled trials updated to 2019-12-28. Evaluation with Cochrane Risk Bias Tool The risk of bias included in the study, two-two meta-analysis using a randomized effect model, network meta-analysis analysis of integrated randomized controlled trials using a frequency framework, data analysis was implemented at Stata 14.0. Results and conclusions: ① From 5 randomized controlled trials of very low quality systems, and updated randomized controlled trials 34 qualified randomized controlled trials screened in controlled trials (n=3098 ), involving 5 interventions; ② Based on the sequencing results in the mesh meta analysis, thermoacupuncture [OR=1.26,95% CI (1.15,1.39)] has the highest chance of improving peripheral shoulder inflammation symptoms, followed by thermosensitive acupuncture [OR=1.26,95% CI (1.15,1.39)], electroacupuncture [ORS =1.21,95% CI ( 1.10,1.33)], mNeedles [OR=1.21,95% CI (1.01,1.24)]; ③ Thermal acupuncture [OR=0.12,95% CI (0.03,0.46)] has the highest likelihood of reducing the target analogy score compared to Western medicine, followed by thermoacupuncture [OR=0.28,95% CI ( 0.11,0.75)] and electroacupuncture [OR=0.34,95% CI (0.12,0.96)]; 4. Considering the direct Meta analysis and mesh meta analysis of this study, thermosensitive and warm acupuncture may be considered as complementary alternative therapies for the treatment of peripheral shoulder, but given the inclusion of the Overall evaluation of extremely low methodological quality and randomized control The risk bias of poor test reporting and the need for more rigorous design and more normative reporting in the future to further demonstrate the reliability of the study.