摘要
目的 了解是否有足够的证据表明高压氧治疗糖尿病性周围神经病有效.方法 电子检索PubMed、The Cochrane Central Register of Controlled Trails、EMbase、Science Citation Index Expanded、中国生物医学文献数据库（CBMDisc）、中国妇网（CNKI）、维普数据库（VIP）,文献检索起止时间均为从建库到2010年7月,同时检索纳入文献的参考文献,纳入高压氧治疗糖尿病性周围神经病的随机对照试验,采用Cochrane协作网推荐的工具进行质量评价及资料提取.统计学分析采用RevMan 5.0.22.0软件.结果 共检索到基本符合要求的随机对照试验7个,446例病例.所有研究认为高压氧治疗糖尿病性周围神经病有效.结论 虽然现有证据提示高压氧治疗糖尿病性周围神经病变有效,但是缺乏设计严格的随机对照试验（RCT）,所有研究都未说明随机的具体方法,是否实施分配隐藏,是否进行育法评价.研究质量有待改进,结果说服力不强,尚需高质量的RCT证实其疗效.
Objective To explore whether there is enough clinical evidence to confirm that hyperbaric oxygen （HBO） does more good than other treatments in treating patients with diabetic peripheral neuropathy. Methods Published clinical trials on hyperbaric oxygen treatment for diabetic peripheral neuropathy were collected through electronic searches of PubMed, the Cochrane Central Register of Controlled Trials, EMbase, Science Citation Index Expanded, the China Biological Medicine Database （CBM-disc）, the Chinese National Knowledge Infrastructure （CNKI） and the VIP Database for Chinese Technical Periodicals （from the date of establishment of the databases to July 2010）. The bibliographies of the retrieved articles were also checked. Results A total of 7 trials involving 446 patients with diabetic peripheral neuropathy were included. All studies reported positive results regarding the effects,but the quality of the studies was generally poor. The main problem was that most trials were reported as randomized and controlled, but with no description of the methods of randomization, concealment and blinding. Conclusions HBO in the treatment of diabetic peripheral neuropathy is promising based on present evidence. However at present,definite conclusions cannot be drawn about whether hyperbaric oxygen treatment is superior to the alternatives for patients with diabetic peripheral neuropathy. Higher quality randomized and controlled trials are required.
出处
《中华物理医学与康复杂志》
CAS
CSCD
北大核心
2011年第4期275-280,共6页
Chinese Journal of Physical Medicine and Rehabilitation
