5种针灸疗法治疗支气管哮喘有效性网状Meta分析*
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(1. 广州中医药大学第四临床医学院,广东 深圳 518033;2. 深圳市中医院,广东 深圳 518033)

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R246.1

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收稿日期: 2019 - 11- 16
* 基金项目: “三名工程”中国中医科学院刘保延首席研究员中国针灸临床评价方法创新(SZSM201612001)
第一作者简介: 张金焕( 1992- ) ,女,在读博士研究生,研究方向:针灸医学研究。
△通信作者: 于海波,E-mail:szmedbn@aliyun.com


Network Meta-analysis on the Efficacy of Five Types of Acupuncture for Bronchial Asthma
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(1. The Fourth Clinical Medical College of Guangzhou University of Chinese Medicine, Shenzhen 518033, China; 2.Shenzhen Traditional Chinese Medicine Hospital,Shenzhen 518033,China)

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    摘要:

    目的基于网状Meta分析比较5种针灸疗法治疗支气管哮喘有效性。方法 检索Cochrane Library、Embase、PubMed以及中国生物医学文献数据库、维普期刊资源数据库、万方数据库、中国知网,检索时间范围为2000年1月1日至2019年10月10日之前,搜集穴位埋线、穴位贴敷、电针、针刺、热敏灸治疗支气管哮喘的临床随机对照试验。数据提取及质量评价由2名评价者单独提取,并相互核对,意见不一致时,由第3名再次核对并讨论解决。数据处理采用Stata 14.0软件行数据分析。结果 最终纳入19个临床随机对照试验,共1 460例支气管哮喘患者。网状Meta分析结果示: 在临床总有效率方面热敏灸、穴位贴敷均优于西药,有统计学差异(P<0.05);在疗效排序方面热敏灸最优、其余依次为穴位贴敷、埋线、针刺、电针、西药。结论 5种不同针灸相关疗法在治疗支气管哮喘有效率方面,热敏灸效果最佳。

    Abstract:

    Objective To compare the efficacy of five types of acupuncture for bronchial asthma based on Network Meta-analysis. Methods Search for Cochrane Library, Embase, PubMed, and China Biomedical Medical Database, VIP Database, Wanfang Database, CNKI (China National Knowledge Infrastructure), the retrieval time range was from January 1, 2000 to October 10, 2019. collecting clinical randomized controlled trials about acupoint embedding, acupoint application, electroacupuncture, acupuncture and heat-sensitive moxibustion for bronchial asthma. Data extraction and quality evaluation shall be extracted separately by two evaluators and checked with each other. In case of disagreement, the third shall check again and discuss to solve the problem. Data processing was performed using Stata 14.0 software line data analysis. Results A total of 1 460 bronchial asthma patients were included in 19 clinical randomized controlled trials. The results of mesh meta-analysis showed that thermal moxibustion and acupoint sticking were superior to western medicine in terms of clinical total effective rate, and there were statistical differences(P<0.05). The optimal heat-sensitive moxibustion in ordering, followed by acupoint application, acupoint embedding, acupuncture, electroacupuncture, western medicine. Conclusion In five different acupuncture and moxibustion related therapies, heat-sensitive moxibustion has the best effect in treating bronchial asthma.

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