针刀治疗臀上皮神经卡压综合征临床疗效的Meta分析

发布时间：2018-05-12 06:14

本文选题：针刀 + 臀上皮神经卡压综合征　；参考：《辽宁中医杂志》2017年05期

【摘要】：目的:系统评价针刀治疗臀上皮神经卡压综合征的临床疗效。方法:电子检索2001年1月—2016年11月7个中外文数据库,通过阅读全文并进行筛选,纳入针刀治疗臀上皮神经卡压综合征的随机对照临床试验(randomized controlled trail,RCT),提取纳入文献有效信息。根据改良版Jadad量表对纳入RCT进行文献质量评分,采用统计软件Review Manager 5.3进行Meta分析。结果:共纳入10篇RCTs,Meta分析结果显示:与对照组相比,针刀治疗臀上皮神经卡压综合征可提高临床疗效。RR=7.53,95%CI(4.90,11.56),P0.00001。结论:与对照组治疗臀上皮神经卡压综合征的方法相比,针刀疗法在提高临床疗效方面具有统计学差异。但由于纳入文献大部分文献质量较低,且安全性评价存在发表偏倚,尚需大量高质量、大样本、多中心的随机对照临床试验验证其临床效果。
[Abstract]:Objective: to evaluate the clinical effect of needle knife in the treatment of gluteal epithelial nerve entrapment syndrome. Methods: seven databases of Chinese and foreign languages were searched electronically from January 2001 to November 2016. The full text was read and screened, and the randomized controlled clinical trial of acupuncture for the treatment of gluteal epithelial nerve entrapment syndrome was carried out. The valid information was extracted and included in the literature. According to the improved version of Jadad scale, the literature quality of RCT was evaluated, and the Meta analysis was carried out with the statistical software Review Manager 5.3. Results: the results of 10 RCTs Meta-analysis showed that acupuncture treatment of gluteal epithelial nerve entrapment syndrome could improve the clinical efficacy. RRRN 7.53 ~ 95CII 4.90 ~ 11.56% P0.00001. Conclusion: compared with the control group, acupuncture therapy has statistical difference in improving the clinical efficacy. However, due to the low quality of most of the literature included and the publication bias of the safety evaluation, a large number of high quality, large samples, and multi-center randomized controlled clinical trials are needed to verify its clinical effect.
【作者单位】：南京中医药大学;
【基金】：国家自然科学基金(81674063) 江苏高校优势学科建设工程资助项目(PAPD)
【分类号】：R246.9

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