Guidelines for the diagnosis and treatment of uterine prolapse with traditional Chinese medicine (revised): a protocol_Chinese Journal of Evidence-Based Medicine

Authors：

XU Kaikai ^1,2 , ZHANG Han ^1,2 , CHU Mengyuan ^1,2 , YANG Jiaqi ^1,2 ,  YAN Ying ^1,2

1. First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300073, P. R. China;
2. National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion, Tianjin 300073, P. R. China;

Corresponding?author：

YAN Ying, Email: yanying799@163.com

Keywords：

Uterine prolapse; Traditional Chinese medicine; Diagnosis; Treatment; Guideline protocol

DOI：

10.7507/1672-2531.202401169

Video：

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In order to standardize and improve the level of TCM diagnosis and treatment of uterine prolapse, the Gynecology Branch of China Association of Traditional Chinese Medicine and the First Teaching Hospital of Tianjin University of Traditional Chinese Medicine took the lead in initiating the revision of the "Guidelines for the TCM diagnosis and treatment of uterine prolapse". Based on the existing relevant literature, the guideline revision working group strictly abides by the principles and steps of evidence-based guideline revision, and establishes a multi-disciplinary and multi-field expert team to standardize the guideline revision work. This plan focuses on the necessity of guideline revision, the establishment and division of labor of the guideline project team, the determination of clinical problems, the screening and evaluation of evidence, and the formation of recommendations.

Citation： XU Kaikai, ZHANG Han, CHU Mengyuan, YANG Jiaqi, YAN Ying. Guidelines for the diagnosis and treatment of uterine prolapse with traditional Chinese medicine (revised): a protocol. Chinese Journal of Evidence-Based Medicine, 2024, 24(7): 751-754. doi: 10.7507/1672-2531.202401169 Copy

1.	Voelker R. What Is Uterine Prolapse. JAMA, 2024, 331(7): 624.
2.	Fatton B, de Tayrac R, Letouzey V, et al. Pelvic organ prolapse and sexual function. Nat Rev Urol, 2020, 17(7): 373-390.
3.	Genc M, Celik E, Eskicioglu F, et al. The relationship between uterine prolapse and premalignant endometrial pathology. Clin Exp Obstet Gynecol, 2016, 43(4): 500-503.
4.	中華醫學會婦產科學分會婦科盆底學組. 盆腔器官脫垂的中國診治指南(2020年版). 中華婦產科雜志, 2020, 55(5): 300-306.
5.	van der Vaart LR, Vollebregt A, Milani AL, et al. Effect of pessary vs surgery on patient-reported improvement in patients with symptomatic pelvic organ prolapse: a randomized clinical trial. JAMA, 2022, 328(23): 2312-2323.
6.	Wang J, Shang X, Huang J, et al. Effect of different surgical techniques on postoperative wound infection in patients with uterine prolapse: a meta-analysis. Int Wound J, 2024, 21(1): e14588.
7.	中華中醫藥學會. 中醫婦科常見病診療指南. 北京: 中國中醫藥出版社, 2012: 66.
8.	World Health Organization. WHO handbook for guideline development-2nd ed. Geneva: WHO Press, 2014.
9.	楊克虎, 譯. 世界衛生組織指南制定手冊. 蘭州: 蘭州大學出版社, 2013.
10.	Holger JS, Wojtek W, Itziar E, 等. 指南2.0: 為成功制定指南而系統研發的全面清單. 中國循證醫學雜志, 2014, 14(9): 1135-1149.
11.	陳耀龍, 羅旭飛. 臨床實踐指南的制定方法與步驟. 中華傳染病雜志, 2019, 37(9): 523-526.
12.	Brouwers MC, Kerkvliet K, Spithoff K, et al. The AGREE reporting checklist: a tool to improve reporting of clinical practice guidelines. BMJ, 2016, 352: i1152.
13.	Song Y, Alonso-Coello P, Ballesteros M, et al. A reporting tool for adapted guidelines in health care: the RIGHT-Ad@pt checklist. Ann Intern Med, 2022, 175(5): 710-719.
14.	Harada T, Abe T, Kato F, et al. Five-point Likert scaling on MRI predicts clinically significant prostate carcinoma. BMC Urol, 2015, 15: 91.
15.	Shea BJ, Grimshaw JM, Wells GA, et al. Development of AMSTAR: a measurement tool to assess the methodological quality of systematic reviews. BMC Med Res Methodol, 2007, 7: 10.
16.	Higgins JP, Altman DG, G?tzsche PC, et al. The Cochrane collaboration's tool for assessing risk of bias in randomised trials. BMJ, 2011, 343: d5928.
17.	Wells GA, Shea B, O'connelld, et al. The Newcastle-Ottawa Scale (NOS) for assessing the quality of nonrandomised studies in meta-analyses. 2016.
18.	Guyatt GH, Oxman AD, Vist GE, et al. GRADE: an emerging consensus on rating quality of evidence and strength of recommendations. BMJ, 2008, 336(7650): 924-926.
19.	王婭丹, 李娜, 肖天齡. 盆底康復治療對中重度子宮脫垂術后盆底肌功能的影響. 中國醫藥科學, 2023, 13(4): 99-101, 105.
20.	Mcleod LJ, Lee PE. Pelvic organ prolapse. CMAJ, 2023, 195(30): E1013.
21.	Peinado-Molina RA, Hernández-Martínez A, Martínez-Vázquez S, et al. Pelvic floor dysfunction: prevalence and associated factors. BMC Public Health, 2023, 23(1): 2005.
22.	陳宣蓉, 王靜, 徐淑穎, 等. 子宮脫垂的非手術療法研究進展. 實用中醫內科雜志, 2023, (9): 1-6.
23.	何欣, 汪汐, 龍子臨, 等. 針灸療法治療子宮脫垂的診療特點. 中華中醫藥雜志, 2023, 38(11): 5529-5533.
24.	鄔開會, 鄔霞, 鄔洪明, 等. 補中益氣湯聯合電刺激生物反饋對初產婦早期盆底功能康復的療效評價. 中國康復醫學雜志, 2020, 35(9): 1082-1085.
25.	趙琪琳. 針藥并用聯合生物電刺激治療腎氣虛型子宮脫垂的臨床觀察. 濟南: 山東中醫藥大學, 2018.
26.	王穎巨, 呂夢奕, 丁彩飛, 等. 針灸治療子宮脫垂Meta分析. 浙江中西醫結合雜志, 2022, 32(4): 373-376.
27.	劉倩茹. 溫針灸與生物反饋電刺激治療Ⅰ-Ⅱ度子宮脫垂患者的療效對比觀察. 長沙: 湖南中醫藥大學, 2022.
28.	中華醫學會婦產科學分會婦科盆底學組. 盆腔器官脫垂的中國診治指南(草案). 中華婦產科雜志, 2014, 49(9): 647-651.

1. Voelker R. What Is Uterine Prolapse. JAMA, 2024, 331(7): 624.
2. Fatton B, de Tayrac R, Letouzey V, et al. Pelvic organ prolapse and sexual function. Nat Rev Urol, 2020, 17(7): 373-390.
3. Genc M, Celik E, Eskicioglu F, et al. The relationship between uterine prolapse and premalignant endometrial pathology. Clin Exp Obstet Gynecol, 2016, 43(4): 500-503.
4. 中華醫學會婦產科學分會婦科盆底學組. 盆腔器官脫垂的中國診治指南(2020年版). 中華婦產科雜志, 2020, 55(5): 300-306.
5. van der Vaart LR, Vollebregt A, Milani AL, et al. Effect of pessary vs surgery on patient-reported improvement in patients with symptomatic pelvic organ prolapse: a randomized clinical trial. JAMA, 2022, 328(23): 2312-2323.
6. Wang J, Shang X, Huang J, et al. Effect of different surgical techniques on postoperative wound infection in patients with uterine prolapse: a meta-analysis. Int Wound J, 2024, 21(1): e14588.
7. 中華中醫藥學會. 中醫婦科常見病診療指南. 北京: 中國中醫藥出版社, 2012: 66.
8. World Health Organization. WHO handbook for guideline development-2nd ed. Geneva: WHO Press, 2014.
9. 楊克虎, 譯. 世界衛生組織指南制定手冊. 蘭州: 蘭州大學出版社, 2013.
10. Holger JS, Wojtek W, Itziar E, 等. 指南2.0: 為成功制定指南而系統研發的全面清單. 中國循證醫學雜志, 2014, 14(9): 1135-1149.
11. 陳耀龍, 羅旭飛. 臨床實踐指南的制定方法與步驟. 中華傳染病雜志, 2019, 37(9): 523-526.
12. Brouwers MC, Kerkvliet K, Spithoff K, et al. The AGREE reporting checklist: a tool to improve reporting of clinical practice guidelines. BMJ, 2016, 352: i1152.
13. Song Y, Alonso-Coello P, Ballesteros M, et al. A reporting tool for adapted guidelines in health care: the RIGHT-Ad@pt checklist. Ann Intern Med, 2022, 175(5): 710-719.
14. Harada T, Abe T, Kato F, et al. Five-point Likert scaling on MRI predicts clinically significant prostate carcinoma. BMC Urol, 2015, 15: 91.
15. Shea BJ, Grimshaw JM, Wells GA, et al. Development of AMSTAR: a measurement tool to assess the methodological quality of systematic reviews. BMC Med Res Methodol, 2007, 7: 10.
16. Higgins JP, Altman DG, G?tzsche PC, et al. The Cochrane collaboration's tool for assessing risk of bias in randomised trials. BMJ, 2011, 343: d5928.
17. Wells GA, Shea B, O'connelld, et al. The Newcastle-Ottawa Scale (NOS) for assessing the quality of nonrandomised studies in meta-analyses. 2016.
18. Guyatt GH, Oxman AD, Vist GE, et al. GRADE: an emerging consensus on rating quality of evidence and strength of recommendations. BMJ, 2008, 336(7650): 924-926.
19. 王婭丹, 李娜, 肖天齡. 盆底康復治療對中重度子宮脫垂術后盆底肌功能的影響. 中國醫藥科學, 2023, 13(4): 99-101, 105.
20. Mcleod LJ, Lee PE. Pelvic organ prolapse. CMAJ, 2023, 195(30): E1013.
21. Peinado-Molina RA, Hernández-Martínez A, Martínez-Vázquez S, et al. Pelvic floor dysfunction: prevalence and associated factors. BMC Public Health, 2023, 23(1): 2005.
22. 陳宣蓉, 王靜, 徐淑穎, 等. 子宮脫垂的非手術療法研究進展. 實用中醫內科雜志, 2023, (9): 1-6.
23. 何欣, 汪汐, 龍子臨, 等. 針灸療法治療子宮脫垂的診療特點. 中華中醫藥雜志, 2023, 38(11): 5529-5533.
24. 鄔開會, 鄔霞, 鄔洪明, 等. 補中益氣湯聯合電刺激生物反饋對初產婦早期盆底功能康復的療效評價. 中國康復醫學雜志, 2020, 35(9): 1082-1085.
25. 趙琪琳. 針藥并用聯合生物電刺激治療腎氣虛型子宮脫垂的臨床觀察. 濟南: 山東中醫藥大學, 2018.
26. 王穎巨, 呂夢奕, 丁彩飛, 等. 針灸治療子宮脫垂Meta分析. 浙江中西醫結合雜志, 2022, 32(4): 373-376.
27. 劉倩茹. 溫針灸與生物反饋電刺激治療Ⅰ-Ⅱ度子宮脫垂患者的療效對比觀察. 長沙: 湖南中醫藥大學, 2022.
28. 中華醫學會婦產科學分會婦科盆底學組. 盆腔器官脫垂的中國診治指南(草案). 中華婦產科雜志, 2014, 49(9): 647-651.

Chinese Journal of Evidence-Based Medicine

Guidelines for the diagnosis and treatment of uterine prolapse with traditional Chinese medicine (revised): a protocol

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