针灸治疗慢性前列腺炎疗效及安全性的系统评价

发布时间：2018-06-07 02:40

本文选题：慢性前列腺炎 + 针灸　；参考：《重庆医科大学》2016年硕士论文

【摘要】：目的:系统评价针灸治疗慢性前列腺炎(chronic prostatitis,CP)的疗效及安全性。方法:计算机检索PubMed、Embase、The Cochrane Library、CBM、CNKI、VIP及WanFang Data,查找针灸治疗CP的随机对照试验,查找的时间是从数据库建立到2015年9月。依据Cochrane关于系统评价的具体方法挑选文献、提取资料和评价风险偏倚,然后使用Revman 5.3作meta分析。结果:经筛选后纳入16个研究,总共1200名患者,Meta分析结果为:针灸治疗CP的有效率及改善美国国立卫生研究院慢性前列腺炎症状评分(National Institutes of Health-Chronic Prostatitis Smyptom Index,NIH-CPSI)优于假针刺组、常规药物组及空白对照组,差异均有统计学意义。3个研究报道了针灸治疗CP的不良反应,主要是针刺点疼痛、针刺点皮下血肿,无严重不良反应发生。结论:针灸治疗CP的有效率及改善患者NIH-CPSI症状评分优于对照组,且不良反应少,可能是一种安全而有效的治疗方法,未来需要质量更高、样本量更大的临床研究来得出确切的结论。
[Abstract]:Objective: to evaluate the efficacy and safety of acupuncture and moxibustion in the treatment of chronic prostatitis. Methods: a computer search was conducted to search the Cochrane Library Cochrane WanFang data and to find out the randomized controlled trial of acupuncture and moxibustion therapy for CP. The search time was from the establishment of database to September 2015. According to the specific method of systematic evaluation of Cochrane, the literature was selected, the data was extracted and the risk bias was evaluated. Then Revman 5.3 was used for meta analysis. Results: a total of 1200 patients were enrolled in 16 studies. The results showed that the effective rate of acupuncture and moxibustion treatment of CP and the improvement of National Institutes of Health-Chronic Prostatitis Smyptom Index NIH-CPSI were better than those of sham acupuncture group. There were significant differences between the routine drug group and the blank control group. Three studies reported the adverse reactions of acupuncture treatment of CP, mainly acupuncture point pain, acupuncture point subcutaneous hematoma, no serious adverse reactions. Conclusion: the effective rate of acupuncture and moxibustion treatment for CP and the improvement of NIH-CPSI symptom score of patients in the control group are better than those in the control group, and the adverse reactions are less, which may be a safe and effective treatment method with higher quality in the future. A larger sample of clinical studies to arrive at a definite conclusion.
【学位授予单位】：重庆医科大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246.9

【引证文献】