针刀与针灸治疗颈型颈椎病疗效比较的Meta分析

发布时间：2018-05-05 09:11

本文选题：颈型颈椎病 + 针刀　；参考：《辽宁中医杂志》2017年11期

【摘要】：背景:针刀是治疗颈型颈椎病的常用疗法,但目前对针刀与针灸治疗颈型颈椎病的疗效比较缺乏系统性评价。目的:评价针刀与针灸治疗颈型颈椎病的有效性和安全性差异。方法:计算机检索Pub Med(1966/2016)Cochrane library(1993/2016)、中国知网CNKI(1979/2016)、维普数据库VIP(1989/2016)、万方数据库Wangfang(1990/2016)中有关针刀治疗颈型颈椎病临床随机对照试验。数据由两名评价者按照Cochrane系统评价手册的要求单独提取,而后相互核对探讨,采用Rev Man 5.3软件进行系统分析。结果:5个临床随机对照试验被纳入,共444例颈型颈椎病患者。Meta分析显示:针刀组治疗颈型颈椎病的近期总有效率、治愈率和远期总有效率均高于针灸组。结论:颈型颈椎病的临床疗效,针刀疗法优于针灸疗法。然纳入文献量少且质不高,尚需方法科学的大样本、多中心、高质量临床随机对照试验来进行进一步的验证。
[Abstract]:Background: needle knife is a common treatment for cervical spondylosis, but there is no systematic evaluation on the curative effect of acupuncture and acupuncture on cervical spondylosis. Objective: to evaluate the efficacy and safety of acupuncture and acupuncture in the treatment of cervical spondylosis. Methods: a randomized controlled trial of needle knife therapy for cervical spondylosis was searched by computer in Pub Med(1966/2016)Cochrane library 1993 / 2016, CNKI 1979 / 2016, Vip 1989 / 2016, Wanfang database Wangfangli 1990 / 2016. The data were extracted separately by two evaluators according to the requirements of the Cochrane system evaluation manual, and then checked and discussed, and the system analysis was carried out with Rev Man 5.3 software. Results: a total of 444 patients with cervical spondylosis were included in 5 clinical randomized controlled trials. Meta-analysis showed that the total short-term effective rate, cure rate and long-term total effective rate in the acupuncture group were higher than those in the acupuncture group. Conclusion: the clinical effect of cervical spondylosis is superior to acupuncture therapy. However, the quantity and quality of the literature is low, and it needs a large sample, multi-center and high quality randomized controlled trials of method science for further verification.
【作者单位】：江西中医药大学灸学院;
【基金】：国家自然科学基金资助项目(81560792) 江西省教育厅科技计划项目(重点项目)(GJJ150834) 江西省卫生计生委中医药科研项目(重点课题)(2016Z03)
【分类号】：R246.9

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