热敏灸治疗膝关节骨性关节炎的系统评价与meta分析

发布时间：2018-05-20 19:10

本文选题：骨性关节炎 + 膝　；参考：《现代预防医学》2017年21期

【摘要】：目的系统评价热敏灸疗法与传统灸对比治疗膝关节骨性关节炎的疗效差异,为热敏灸疗法的推广及膝关节骨性关节炎治疗方法的选择提供依据。方法检索CNKI、CBM、WF、VIP、Pubmed、Medline、Cochrane Library和Embase等国内外数据库,筛选热敏灸与传统灸对比治疗膝关节骨性关节炎随机对照试验,并使用Revman 5.3软件进行meta分析。结果本研究纳入7个随机对照试验共计596名患者。Meta分析提示,患者经过热敏灸治疗后,VAS积分明显降低(P0.05),患者膝关节肿胀、僵硬得到有效缓解,步行能力明显提高(P0.05),且膝关节功能得到较好改善(P0.05)。热敏灸疗法相比传统灸法具有更好的短期治愈率(P0.05),在降低VAS积分、缓解临床症状、恢复膝关节功能等方面,更具优势(P0.05)。结论热敏灸疗法是一种有效缓解膝骨关节炎症状,改善患者膝关节功能的方法,值得推广。同时该研究结果还需更多大样本多中心随机对照试验予以佐证。
[Abstract]:Objective to evaluate the difference of therapeutic effect between traditional moxibustion and thermosensitive moxibustion on knee osteoarthritis, and to provide evidence for the popularization of thermosensitive moxibustion and the selection of treatment methods for osteoarthritis of knee joint. Methods to search the databases of Library and Embase in CNKI Library and Embase, and to screen the randomized controlled trial of heat sensitive moxibustion and traditional moxibustion in the treatment of knee osteoarthritis. The meta analysis was carried out with Revman 5.3 software. Results A total of 596 patients were enrolled in 7 randomized controlled trials. Meta-analysis showed that after heat sensitive moxibustion treatment, the VAS score of the patients decreased significantly, and the knee swelling and stiffness of the patients were effectively alleviated. The ability of walking was improved obviously (P 0.05) and the function of knee joint was improved (P 0.05). Compared with traditional moxibustion, thermosensitive moxibustion has a better short-term cure rate (P 0.05). It has more advantages in reducing VAS score, relieving clinical symptoms and restoring knee joint function. Conclusion Thermosensitive moxibustion is an effective method to relieve the symptoms of knee osteoarthritis and improve the function of knee joint. At the same time, the results of the study need to be supported by a large sample of multicenter randomized controlled trials.
【作者单位】：四川大学华西公共卫生学院(华西第四医院);成都中医药大学;
【基金】：国家自然科学基金重大项目穴位的敏化研究(项目编号:81590950)
【分类号】：R246.9

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