小针刀治疗肌筋膜疼痛综合征随机对照研究的Meta分析

发布时间：2019-03-17 14:51

【摘要】：目的对国内公开发表的小针刀治疗肌筋膜疼痛综合征疗效的相关文献进行Meta分析,探讨针刀疗法对肌筋膜疼痛综合征的临床疗效。方法检索中国知网(CNKI)、中国学术期刊全文数据库、中国生物医学文献数据库、维普(VIP)、万方等数据库关于小针刀治疗肌筋膜疼痛综合征的随机对照研究进行Meta分析。经筛选,对最终纳入的研究进行方法学质量评价,用Revman5.0软件进行统计分析。结果纳入文献11篇,共795例患者。经Meta分析,11项研究具有同质性(CHI2=7.27,df=10,P=0.700.1,I2=0%),采用固定效应模型进行分析计算、合并效应量。OR合并后经Z检验,Z=6.15(P0.00001),表明针刀组与普通针刺组临床疗效差异有统计学意义,针刀组优于普通针刺组,并且在改善疼痛症状方面,针刀疗法有较大的优势。结论当前证据显示,小针刀治疗肌筋膜疼痛综合症的总有效率及改善疼痛症状方面优于普通针剂,但鉴于纳入研究的高质量文献偏少,样本量有限,需要更进一步的设计合理、随机方法正确、大样本、多中心、方法科学的高质量随机对照研究支持针刀疗法的疗效。
[Abstract]:Aim to analyze the efficacy of small needle knife in treating myofascial pain syndrome by Meta analysis and to explore the clinical effect of needle knife therapy on myofascial pain syndrome. Methods A Meta study was conducted to search the Chinese academic Journal full-text Database (CNKI), the Chinese Biomedical Literature Database (CBMD), and the Wip (VIP), Wanfang database for the treatment of myofascial pain syndrome with small needle knife. After screening, the quality of the included study was evaluated and analyzed statistically with Revman5.0 software. Results totally 795 patients were included in 11 literatures. Meta analysis showed that 11 studies were homogeneous (CHI2=7.27,df=10,P=0.700.1,I2=0%). The fixed effect model was used to analyze and calculate the combined effects. After the combination of OR and Z test, Za 6.15 (P 0.00001) was obtained. The results showed that there was a significant difference between the acupuncture group and the ordinary acupuncture group, the acupuncture group was superior to the ordinary acupuncture group, and the acupuncture therapy had great advantages in the improvement of pain symptoms. Conclusion the present evidence shows that the total effective rate of small needle knife in treating myofascial pain syndrome and the improvement of pain symptoms are better than that of ordinary acupuncture. However, in view of the small number of high-quality literature included in the study and the limited sample size, it needs to be further designed reasonably. Randomized, large-sample, multicenter, scientific, high-quality randomized controlled trials support the efficacy of needle-knife therapy.
【作者单位】：广西中医药大学第一附属医院;广西中医药大学;南宁市第二人民医院;
【基金】：国家自然科学基金(No.81560800;No.81660825) 广西中医药民族医药传承创新专项立项课题(No.GZLC14-05) 广西科学研究与技术开发计划项目(No.桂科AB16380232) 研究生教育创新计划(No.YJSP201724) 广西中医药民族医药项目(No.GZZC16-58)
【分类号】：R246.9

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