针灸与推拿及联合治疗肩周炎疗效对比的Meta分析

发布时间：2019-04-02 05:40

【摘要】：目的本研究通过对针灸联合推拿与单纯针灸及单纯推拿3种干预措施治疗肩周炎疗效对比的临床随机对照试验进行分析,系统评价3种干预措施治疗肩周炎的总体疗效及优越性,为肩周炎的治疗提供更多、更准确的信息。方法计算机检索中国知网、中国生物医学文献库(CBM)、万方数据知识服务平台、维普网、Pub Med等数据库,检索时限均截至2017年2月,根据纳入和排除标准,收集国内外关于针灸联合推拿(联合组)与单纯针灸(针灸组)及单纯推拿(推拿组)治疗肩周炎疗效对比的临床随机对照试验,采用Rev Man 5.3统计软件进行分析。结果 7篇文献符合纳入标准,共1 037例患者。Meta分析结果显示,联合组总有效率和治愈率均高于针灸组及推拿组,差异有统计学意义(P0.05);针灸组与推拿组总有效率和治愈率比较,差异无统计学意义(P0.05)。结论针灸联合推拿治疗肩周炎的总体疗效明显优于单纯针灸及单纯推拿,联合疗法值得临床推广及应用,但由于符合纳入标准的文献较少,其长期疗效尚需更多高质量的临床研究进一步验证。
[Abstract]:Objective to compare the efficacy of acupuncture and moxibustion combined with massage and acupuncture and massage in the treatment of scapulohumeral periarthritis. In order to provide more and more accurate information for the treatment of scapulohumeral periarthritis, the overall curative effect and superiority of three kinds of intervention measures were systematically evaluated in order to provide more accurate information for the treatment of shoulder periarthritis. Methods A computer search was conducted on China knowledge Network, (CBM), Wanfang data knowledge Service platform of China Biomedical Literature Library, Pub Med and other databases. The time limit of retrieval was up to February 2017, according to the inclusion and exclusion criteria. The clinical randomized controlled trials of acupuncture combined with massage (combined group) and simple acupuncture (acupuncture group) and simple massage (massage group) in the treatment of periarthritis of shoulder were collected and analyzed by Rev Man 5.3.Statistical software was used to analyze the therapeutic effects of acupuncture combined with massage (combined group) and acupuncture alone (acupuncture group) on the treatment of shoulder periarthritis. Results the results of meta-analysis showed that the total effective rate and cure rate of the combined group were higher than those of the acupuncture group and the massage group, and the difference was statistically significant (P0.05). The results of meta-analysis showed that the total effective rate and cure rate of the combined group were higher than those of the acupuncture group and massage group. There was no significant difference in total effective rate and cure rate between acupuncture group and massage group (P0.05). Conclusion Acupuncture combined with massage is superior to acupuncture and massage in treating scapulohumeral periarthritis. The combined therapy is worthy of clinical popularization and application, but there are few literatures that meet the inclusion criteria. More high-quality clinical studies are needed to verify its long-term efficacy.
【作者单位】：南昌大学第二附属医院;南昌大学护理学院;
【基金】：江西省自然科学基金资助项目(20151BAB205101) 江西省科技厅资助项目(20151BBG70247) 江西省教育厅资助项目(141010)
【分类号】：R246.9

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