摘要
目的:运用循证医学系统评价和Meta分析方法评价热敏灸治疗各种痛症的临床疗效。方法:电子检索中国知网(CNKI)、维普数据库(VIP)、万方数据库(Wanfang)、中国生物医学文献数据库(CBM)、PubMed和Cochrane library(2017年第5期),纳入热敏灸治疗各种痛症的临床随机对照试验。根据Cochrane系统评价手册5.0的要求提取资料,结果用RevMan 5.3软件进行Meta分析。结果:最终纳入19个随机对照试验,涉及6种临床常见痛症,共1467例患者。Meta分析结果显示:热敏灸治疗颈椎病和腰椎间盘突出症的近期及远期有效率、痊愈率均高于对照组且颈椎病PRI评分低于对照组,腰椎间盘突出症复发率、VAS评分、M-JOA评分均低于对照组;原发性痛经治疗组近期有效率、痊愈率均高于对照组;肌筋膜疼痛综合征治疗组近期痊愈率高于对照组,PRI评分低于对照组;膝关节骨性关节炎治疗组VAS评分低于对照组;结论:热敏灸治疗各种痛症安全有效,尤其治疗颈椎病和腰椎间盘突出症远期疗效肯定,故临床治疗痛症可优先选择热敏灸疗法。
Objective To evaluate the clinical efcacy of heat-sensitive moxibustion in the treatment of pain syndromes by using systematic review and meta-analysis. Methods： CNKI, VIP, Wanfang DATA, CBM, PubMed and Cochrane library （Issue5, 2017） were re-trieved to identify randomized controlled trials of heat-sensitive moxibustion for pain syndromes. The data was extracted and evaluated by two reviewers independently according to Cochrane Reviewers’ Handbook 5.0. The Cochrane Collaboration’s RevMan 5.3 software was used for meta-analysis. Results：19 randomized controlled trials with a total of 1467 patient were included, involving 6 diseases. The me-ta-analysis showed that heat-sensitive moxibustion group was superior to control group in efective rate and cure rate for cervical spondy-losis and lumbar disc herniation, both in short-term and long-term; and the PRI score of heat-sensitive moxibustion for cervical spondylosis were lower than those of control group; the VAS score, M-JOA score and the recurrence rate of heat-sensitive moxibustion for lumbar disc herniation were all lower than those of control group. For primary dysmenorrhea, the treatment group displayed a higher efective rate and cure rate in short-term than control group. For myofascial pain syndrome, the short-term cure rate of treatment group was higher than that of control group, and PRI score were lower than those of control group. For knee osteoarthritis, the VAS score was lower than that of con-trol group. Conclusion： It showed that heat-sensitive moxibustion was safe and efective for pain syndromes, especially cervical spondylosis and lumbar disc herniation. Therefore, heat-sensitive moxibustion could be given a priority to treat pain syndromes.
出处
《中医临床研究》
2018年第30期115-123,共9页
Clinical Journal Of Chinese Medicine
关键词
热敏灸
痛症
系统评价
META分析
Heat-sensitive moxibustion
Pain syndromes
Systematic review
Meta-analysis
