A network meta-analysis of different acupuncture and moxibustion methods for the treatment of endometriosis

eview question / Objective P: Patients who meet the relevant diagnostic criteria for endometriosis; I: The treatment group consisted of various acupuncture and moxibustion therapies, mainly including electroacupuncture, a b d o m i n a l a c u p u n c t u re , a c u p o i n t c a t g u t embedding，warming needle moxibustion，herbpartition moxibustion，acupuncture，moxa stick moxibustion，buccal acupuncture，midnight-noon e b b -fl o w l o w -f r e q u e n c y t h e r a p y ， l a s e r moxibustion，ear acupuncture; C: The control g r o u p i s c o n t r o l l e d b y p l a c e b o ， s h a m acupuncture，western medicine or traditional Chinese medicine，blank; O: Clinical efficacy rate，Visual Analogue Score (VAS) and adverse events; S: Published clinical randomized controlled trials of acupuncture and moxibustion methods for endometriosis.Rationale In recent years, traditional Chinese acupuncture and moxibustion have been applied more and more in the clinical treatment of EMs, and the relevant mechanism suggests that acupuncture and moxibustion can improve pelvic circulation, relieve uterine smooth muscle spasm and regulate hormone levels.There are many methods of acupuncture and moxibustion for the treatment of endometriosis in clinical practice, including routine acupuncture, electroacupuncture, abdominal acupuncture, and moxibustion, etc.Most of them have achieved good therapeutic effects.However, due to the lack of direct efficacy a n d s a f e t y c o m p a r i s o n b e t w e e n v a r i o u s acupuncture and moxibustion therapies, it is not possible to form a relatively accurate assessment of the differences in outcome improvement indicators in patients with endometriosis treated by different acupuncture and moxibustion therapies.Through the comparison of different acupuncture INPLASY 1 International Platform of Registered Systematic Review and Meta-analysis Protocols INPLASY A network meta-analysis of different acupuncture and moxibustion methods for the treatment of endometriosis