alexa A Systematic Review and a Meta-Analysis of Using Acupuncture for the Treatment of Nocturnal Enuresis
ISSN: 2161-0959

Journal of Nephrology & Therapeutics
Open Access

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Research Article

A Systematic Review and a Meta-Analysis of Using Acupuncture for the Treatment of Nocturnal Enuresis

Anoush Azarfar1, Yalda Ravanshad2*, Shahpour Badiei Aval3, Zhila Khamnian4 and Hassan Mehrad-Majd2

1Department of Pediatric, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran

2Clinical Research Unit, Mashhad University of Medical Sciences, Mashhad, Iran

3Chinese Medicine Traditional and Complementary, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran

4Social Determinant of Health Research Center, Tabriz University of Medical Sciences, Tabriz, Iran

*Corresponding Author:
Yalda Ravanshad
Clinical Research Unit
Mashhad University of Medical Sciences
Mashhad, Iran
Tel: +989153017977
E-mail: [email protected]

Received Date: April 17, 2017; Accepted Date: April 28, 2017; Published Date: April 30, 2017

Citation: Azarfar A, Ravanshad Y, Aval SB, Khamnian S, Mehrad-Majd H (2017) A Systematic Review and a Meta-Analysis of Using Acupuncture for the Treatment of Nocturnal Enuresis. J Nephrol Ther 7: 292. doi:10.4172/2161-0959.1000292

Copyright: © 2017 Azarfar A, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.



Background: Acupuncture has been an interesting portion of Traditional Chinese Medicine. Many studies have shown that pediatric acupuncture is also acceptable and feasible. Nocturnal enuresis (NE) is defined as evacuating the bladder during sleep in a child older than five years old. Acupuncture and laser acupuncture may be more effective than sham procedures at reducing enuresis and relapse rates; however, the evidence is weak. The purpose of this study is to evaluate the effect of acupuncture therapy in the treatment of nocturnal enuresis on randomized controlled trials (RCTs). Method: An electronic literature search was conducted to identify appropriated trial studies. The outcomes were presented as relative risk, with 95% confidence intervals (CI). Results: We found only seven trials that fulfilled our inclusion criteria. Only seven trials from five studies were included in meta-analysis. Final relative risk (RR) was not statistically significant (RR (range) = 1.312(0.939-1.832)) but evidences from independent review of each study suggested effective roll of acupuncture in treatment of NE. Conclusion: In summary, the results of this study show that acupuncture seems to be an effective treatment for NE, but further large randomized trials are suggested.


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