摘要
目的:评价国内针刺治疗心绞痛的有效性和安全性,分析目前临床研究的现状。方法:电子检索PubMed(1979～2011年)、OVID(1979～2011年)、EBSCO(1973～2011年)、CBM(1978～2011年)、CNKI(1979～2011年)、VIP(1989～2011年)、万方数据库(1998～2011年),同时筛选纳入研究的参考文献,收集针刺治疗心绞痛的临床随机对照试验,由两名评价员独立评价文献质量,并采用RevMan4.2.8软件对纳入研究结果进行Meta分析。结果:10篇文献符合纳入标准,其中6篇文章具有统一的疗效标准,共682例患者,Meta分析显示6项研究均为针灸对照药物治疗,总有效率的组间比较差异有统计学意义,合并效应量RR[固定效应模型]=1.17,95%CI(1.08,1.27),P=0.0002。结论:针灸对心绞痛型冠心病具有一定的治疗作用。
Objective： To evaluate the effectiveness of the domestic acupuncture treatment for angina and its security, the analysis of the current situation of clinical research. Methods： Electronic retrieval PubMed （1979 - 2011 ）, OVID （ 1979 - 2011 ）, EBSCO （ 1973 -2011 ）, CBM （ 1978 - 2011 ）, CNKI （ 1979 - 2011 ）, VIP （ 1989 - 2011 ）, ten thousand party database （ 1998 - 2011 ）, and included the research on the screening refer- ences, and collected the acupuncture treatment for angina pectoris by clinical randomized controlled trials, by two independent evaluation literature quality, and by using the RevMan4.2.8 software included in the research of the Meta analysis. Results： 10 articles were met inclusion criteria, including six articles which had unified the curative standard, a total of 682 patients, Meta analysis showed that six studies referred to acupuncture control drug therapy, the total effective rate of comparative differences between groups was statistically significant, combined effect quantity RR[ fixed effects model] =1. 17,95% CI （ 1.08, 1. 27 ） ,P = 0.0002. Conclusion： Acupuncture in the treatment of coronary heart disease with angina type has a curative effect to some extent.
出处
《针灸临床杂志》
2012年第4期51-53,共3页
Journal of Clinical Acupuncture and Moxibustion
关键词
针刺
心绞痛
临床随机对照试验
系统评价
Acupuncture
Angina pectoris
Randomized controlled trial
System evaluation
