摘要
目的:客观评价浮针疗法治疗疼痛的临床疗效。方法:检索国家知识基础设施数据库(CNKI)、中国学术期刊数据库(CSPD)、中文科技期刊数据库(CCD)、中国生物医学文献数据库(CBM)、PubMed、Cochrane Library等;时间为1996—2019年;纳入随机对照试验(RCT),要求观察组全部以浮针疗法或以浮针为主要疗法,而对照组采用其他疗法;按照Cochrane系统评价员手册5.1.0进行质量评价,应用Review-Manager 5.3软件进行Meta分析。结果:最终27篇文献符合纳入标准,合并病例2397例。异质性评价:异质性数值检验(χ^(2)=8.97,P=1.00,I^(2)=0%<50%)确定为无异质性或小。漏斗图形左右对称性良好,说明本研究偏倚风险不大。Meta分析结果:浮针或联合其他疗法对疼痛的疗效优于其他疗法,有效率差异有统计学意义(OR=4.55,95%CI为3.38~6.14,Z=9.93,P<0.00001)。浮针或以浮针为主要疗法分别与对照组不同干预措施进行比较,浮针临床疗效分别优于常规针刺、药物治疗。结论:浮针治疗疼痛具备相对优势,可在临床上进行推广。同时浮针疗法具有潜在优势,需要更多随机对照研究对上述结果进行进一步验证。
Objective:To objectively evaluate the clinical efficacy of continuous acupuncture in the treatment of pain.Methods:The National Knowledge Infrastructure Database(CNKI),China Academic Journals Database(CSPD),Chinese Sci-tech Journals Database(CCD),Chinese Biomedical Literature Database(CBM),PubMed,Cochrane Library,etc.were searched;time was from 1996 to2019;random Controlled trials(RCT)was included;we required all the test groups to use FU′s subcataneous needling therapy or FU′s subcataneous needlings as the main therapy,while the control group used other therapies;the quality evaluation was carried out according to Cochrane System Reviewer Manual 5.1.0,and the Review-Manager 5.3 software was used for Meta analysis.Results:Finally,a total of 27 literature which met the inclusion criteria,with 2397 cases combined were included.Heterogeneity evaluation:Heterogeneity numerical test(χ^(2)=8.97,P=1.00,I^(2)=0%<50%)was determined as no heterogeneity or small.The good left-right symmetry of the funnel graph indicated that the risk of bias in this study was not high.Meta-analysis results:FU′s subcataneous needling or combined with other therapies were better than other therapies for pain,and the difference in effective rate was statistically significant(OR=4.55,95%CI 3.38,6.14,Z=9.93,P<0.00001).FU′s subcataneous needling or FU′s subcataneous needling as the main therapy were compared with different interventions in the control group.The clinical efficacy of FU′s subcataneous needling was better than conventional acupuncture and drug therapy.Conclusion:The treatment of pain with FU′s subcataneous needling has relative advantages and be popularized in clinical practice.Fu′s subcataneous needling therapy for pain has a comparative advantage,which can be promoted in clinical practice.At the same time,FU′s subcataneous needling therapy has potential advantages,and we need more randomized controlled studies to further verify the above results.
作者
李媛媛
臧运华
施萌婧
肖斌斌
LI Yuanyuan;ZANG Yunhua;SHI Mengjing;XIAO Binbin(Shandong University of Traditional Chinese Medicine,Jinan 250000,China;Qingdao Hospital of Traditional Chinese Medicine of Shandong Province,Jinan 266000,China;The First Affiliated Hospital of Hunan Traditional Chinese Medical College,Zhuzhou 412000,China)
出处
《世界中医药》
CAS
2021年第21期3219-3224,3236,共7页
World Chinese Medicine
基金
湖南省中医药科研计划项目(2017136)。
关键词
浮针
疼痛
治疗
安全性
疗效
系统评价
检索
META分析
Fu′s subcataneous needling
Pain
Treatment
Security
Curative effect
Systematic evaluation
Search
Meta-analysis
