摘要
目的:评价针刺治疗经前期综合征的临床疗效。方法:计算机检索Cochrane Library、Embase、Medline、Pubmed、中国知网、中国生物医学文献数据库、万方数据库和维普数据库中关于针刺治疗经前期综合征临床疗效的所有临床随机对照试验,检索时限为建库至2019-02。同时检索重要学术会议(妇产科学术会议、针灸学术会议、中国中西医结合学术会议)论文汇编。为全面搜索文献,对相关文献的参考文献进行追溯查阅。2名研究者对检索收集到的文献按照纳入及排除标准独立进行筛选。以治疗总有效率、治疗后症状体征评分和汉密尔顿焦虑量表(hamilton anxiety scale,HAMA)评分作为评价指标。对纳入文献进行方法学质量评价,采用Review Manager 5.3软件进行Meta分析。结果:本研究纳入11篇文献,共767例患者。Meta分析结果显示,针刺治疗总有效率优于其他治疗,差异有统计学意义(RR=1.20,95%CI:1.08~1.34,P=0.0008),症状体征评分低于其他治疗,差异有统计学意义(MD=-5.16,95%CI:-6.14^-4.17,P<0.01),HAMA评分低于其他治疗,差异有统计学意义(MD=-2.45,95%CI:-3.36^-1.53,P<0.01)。结论:针刺治疗经前期综合征比其他治疗方法更有优势。
Objective:To evaluate the efficacy of acupuncture on premenstrual syndrome(PMS).Methods:The literature search was performed in Cochrane Library,Embase,Medline,PubMed,SinoMed,CNKI,Wanfang and CQVIP databases for acupuncture for PMS,and searches of conference proceedings were also conducted.The data were extracted and a Metaanalysis was performed using Rev Man 5.3.The outcome measures included total efficiency rate,score of symptoms,score of hamilton anxiety scale(HAMA).Results:Eleven randomized controlled trials and 767 patients were included in the Meta-analysis.The Meta-analysis showed,total efficiency rate of acupuncture treatment was better than that of others treatment(RR=1.20,95%CI:1.08~1.34,P=0.0008),score of symptoms and sign was lower than that of others treatment(MD=-5.16,95%CI:-6.14^-4.17,P<0.01),and score of HAMA was lower than that of others treatment(MD=-2.45,95%CI:-3.36^-1.53,P <0.01),the differences were statistically significant.Conclusion:Acupuncture treatment is more effective compared to others treatments in treatment of PMS.
作者
刘黎宏
王飞
LIU Lihong;WANG Fei(Department of Traumatic Orthopedics,the 940th Hospital of Joint Logistic Support Force of PLA,Lanzhou 730050,China)
出处
《西北国防医学杂志》
CAS
2019年第7期440-445,共6页
Medical Journal of National Defending Forces in Northwest China
基金
甘肃省卫生行业科研计划项目(GSWSKY2017-30)
