针灸与针刀治疗肩关节周围炎疗效比较的系统评价
发布时间:2018-01-15 20:01
本文关键词:针灸与针刀治疗肩关节周围炎疗效比较的系统评价 出处:《中华中医药杂志》2012年03期 论文类型:期刊论文
更多相关文章: 针灸 针刀 肩关节周围炎 系统评价 Meta分析 循证医学
【摘要】:目的:系统评价针灸与针刀治疗肩关节周围炎的疗效和安全性差异。方法:计算机检索中国生物医学文献数据库CBM(1978年—2010年)、中国知网CNKI(1979年—2010年)、维普数据库VIP(1989年—2010年)、PubMed(1966年—2010年)和Cochrane Library(2010年第4期),辅以手工检索相关期刊,纳入针灸与针刀比较治疗肩周炎的随机对照试验。由2名评价者按照Cochrane系统评价员手册4.2.8的要求独立提取资料并交叉核对,采用RevMan5.1软件进行Meta分析。结果:共纳入6个随机对照试验,包括570例患者,仅有1篇高质量文献。Meta分析结果:针刀组治疗肩周炎总有效率明显高于针灸组,OR=7.70,95%CI[2.58,22.99],Z=3.66,P0.01;针刀组治疗肩周炎痊愈率明显高于针灸组,OR=5.39,95%CI[3.48,8.32],Z=7.58,P0.01。结论:针刀治疗肩周炎疗效优于针灸。但本研究纳入试验数有限且文献质量较低,需设计更严格的随机对照试验来进一步验证上述结论。
[Abstract]:Objective: to evaluate the efficacy and safety of acupuncture and acupuncture in the treatment of periarthritis of shoulder. Methods: CBM (1978-2010) was searched by computer in Chinese biomedical literature database. CNKI (1979-2010), VIPB (1989-1989). PubMedand (1966-2010) and Cochrane Library (issue 4, 2010), supplemented by manual retrieval of relevant journals. A randomized controlled trial was conducted to compare acupuncture and acupuncture in the treatment of periarthritis of shoulder. The data were extracted and cross-checked by two evaluators according to the requirements of the Cochrane system evaluator's manual 4.2.8. Results: six randomized controlled trials were conducted, including 570 patients. Results of Meta-analysis: the total effective rate of acupuncture group in treating shoulder periarthritis was significantly higher than that in acupuncture group (7.7095 CI). [The cure rate of scapulohumeral periarthritis in the acupuncture group was significantly higher than that in the acupuncture group (OR 5.39 卤95 CI). [Conclusion: acupuncture is superior to acupuncture in the treatment of periarthritis of shoulder, but the number of experiments involved in this study is limited and the quality of literature is low. Stricter randomized controlled trials need to be designed to further validate the above conclusions.
【作者单位】: 北京中医药大学;江西中医学院;山西中医学院;
【基金】:国家重点基础研究发展计划(973计划)(No.2006CB504508)~~
【分类号】:R246.9
【正文快照】: 肩关节周围炎(frozen shoulder)是因肩关节周围软组织病变引起肩关节疼痛和活动受限的一种常见病和多发病,简称肩周炎,又称凝结肩、凝肩症等。因其好发于中老年人,尤其以50岁左右年龄组的发病率为最高,故又称“五十肩”、“老年肩”。临床上应用针灸和针刀治疗肩周炎较多,目
【参考文献】
相关期刊论文 前8条
1 张友芝;;小针刀治疗肩周炎临床疗效观察[J];中医药临床杂志;2009年02期
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