毫针针刺深度对腰椎间盘突出症效应影响的系统评价

发布时间：2018-04-23 22:11

本文选题：针刺深度 + 腰椎间盘突出症　；参考：《中国针灸》2017年09期

【摘要】：目的:评价针刺深浅对腰椎间盘突出症效应的影响。方法:检索10个数据库,包括相关期刊论文(CNKI)、维普数据库(VIP)、中国生物医学文献数据库(CBM)、万方数据库、MEDLINE、Cochrane图书馆数据库(CENTRAL)、护理学及医疗相关文献累计索引数据库(CINAHL PLUS)、联合补充医学文献数据库(AMED),荷兰医学文献数据库(Embase)、精神医学信息数据库(Psyc INFO),以及6个临床试验注册平台,收集比较不同针刺深度治疗腰椎间盘突出症效应影响的所有随机对照试验,并手工检索纳入研究的参考文献,由2人分别进行资料提取,最后采用Rev Man 5.3版进行统计分析。结果:共检索到文献8 716篇,经筛选后纳入随机对照试验文献10篇,共计病例数1 116例。结果显示毫针深刺治疗腰椎间盘突出症对缓解疼痛、降低功能障碍指数评分(ODI评分)、提高总有效率和日本骨科协会评估治疗腰椎分数(JOA评分)的效果优于毫针浅刺的治疗。结论:初步认为深刺有助于提高腰椎间盘突出症的疗效。但由于目前纳入研究质量和样本量偏低,证据尚不充分,尚需更多高质量的研究进一步证实。
[Abstract]:Objective: To evaluate the effect of needling depth on the effect of lumbar intervertebral disc herniation. Methods: 10 databases were retrieved, including Chinese journal full text database (CNKI), VP database (VIP), Chinese biomedical literature database (CBM), Wanfang database, MEDLINE, Cochrane library database (CENTRAL), and the accumulative cology of nursing and medical related literature. According to the CINAHL PLUS, the combined supplementary medical literature database (AMED), the Holland medical literature database (Embase), the mental medical information database (Psyc INFO), and the 6 clinical trial registration platforms, all the randomized controlled trials were collected to compare the effects of different needling depth on the effect of lumbar disc herniation and were manually retrieved into the study. In reference, the data were extracted by 2 people, and the results were analyzed by Rev Man 5.3. Results: 8716 articles were retrieved and 10 articles were included in the randomized controlled trial. The total number of cases was 1116 cases. The results showed that the treatment of lumbar disc herniation was relieved and the dysfunction index score was reduced (ODI To improve the total efficiency and the Japanese Department of orthopedics Association for the evaluation of the treatment of lumbar spine score (JOA score) is better than the treatment of shallow needling. Conclusion: it is preliminary thought that deep needling helps to improve the efficacy of lumbar disc herniation. However, as the quality and sample amount are low and the evidence is not sufficient at present, more high quality research is needed. Step by step.

【作者单位】：北京中医药大学;首都医科大学附属北京潞河医院;常州市第一人民医院;
【基金】：国家重点基础研究发展计划(“973”计划)项目:2012 CB 518506,2006 CB 504503
【分类号】：R246.9

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