不同针灸疗法治疗神经根型颈椎病的网状Meta分析
作者:
作者单位:

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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R246.9

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收稿日期: 2020 - 09- 08 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)

?一作者简介: 兰凯(1994-),男,在读硕士研究生,研究方向:针灸应用技术原理研究。
?通信作者: 于海波,E-mail szmedbn@aliyun.com


A Reticular Meta-analysis of Cervical Spondylotic Radiculopathywith Different Acupuncture Treatments
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Affiliation:

1. The Fourth Clinical Medical College of Guangzhou University of Chinese Medicine, Shenzhen 518033, China; 2. Department of Acupuncture, Shenzhen Traditional Chinese Medicine Hospital, Shenzhen 518033, China

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    摘要:

    目的〓采用贝叶斯网状Meta分析方法,比较毫针、牵引、温针、电针、水针、火针之间的疗效差异。方法 检索The Cochrane Library、PubMed、CNKI、VIP、万方(WANFANG DATA)及中国生物医学文献数据库(CBM),检索时间为建库至2020年1月1日。2名研究者根据设定的标准独立筛选文献、提取数据,运用stata 16.0、ADDIS 16.7软件进行数据分析。结果 共纳入34篇RCT/CCT文献,共计2667例患者,涉及毫针、牵引、温针、电针、水针、火针6种针刺方法。①在有效率方面,温针、火针、水针、电针均优于毫针、牵引,而温针、火针、水针、电针之间的比较,差异无统计学意义。排序从优到劣,依次为火针>温针>水针>电针>毫针>牵引。②在目测类比评分方面仅温针、水针优于牵引,温针优于毫针,其它比较均无统计学意义。排序从优到劣依次为火针>温针>水针>电针>毫针>牵引。结论 在治疗神经根型颈椎病有效率方面,火针、温针疗效最佳,温针在缓解患者疼痛方面疗效最佳,但仍需更多高质量的文献进一步证实。

    Abstract:

    Objective Using Bayesian mesh Meta analysis method to compare the curative effect of filiform needle, traction, warm needle, electroacupuncture, water acupuncture, and fire acupuncture. Methods Search PubMed, The Cochrane Library and CNKI, VIP, WANFANG and China Biological Full-text Database. The search time is from the establishment of the database to 2020-1-1. Two researchers independently screened the literature and extracted data according to the set criteria, and used stata 16.0 and ADDIS 16.7 software for data analysis. Results A total of 34 RCTS/CCTS involving 2667 patients were included, involving 6 intervention measures of filiform needle, traction needle, warm needle, electroacupuncture needle, water needle and fire needle. The results are as follows: ① In terms of efficiency, the warm needle, fire needle, water needle, and electric acupuncture are better than the mill needle and traction. However, the difference between warm needle, fire needle, water needle and electric needle is not statistically significant. The order from superior to inferior is fire needle> warm needle> water needle> electric needle> mill needle> traction. ② In terms of visual analogy score, only warm acupuncture and water acupuncture are better than traction, and warm acupuncture is better than milli-needle. Other comparisons are not statistically significant. The order from good to bad is fire needle> warm needle> water needle> electric needle> mill needle> traction. Conclusion Fire needling and warm needling have the best curative effect in the treatment of cervical spondylotic radiculopathy, and warm needling has the best effect in relieving pain in patients, but more high-quality literature still needs to be further confirmed.

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