摘要
目的:系统评价刮痧疗法对治疗颈型颈椎病的效果。方法:计算机检索中国知网(CNKI)、万方数据库(WanFang Datebase)、中国生物医学文献数据库(CBM)、维普数据库(VIP)、PubMed、Web of Science、EMbase、the Cochrane Library等关于刮痧干预颈型颈椎病的随机对照试验,检索时间为各数据库建库至2021年11月28日。由2名研究人员独立筛选文献、提取资料,并对纳入的文献进行了偏倚风险评估,采用RevMan 5.4软件进行数据分析。结果:共纳入7项随机对照试验研究,涉及565例病人。Meta分析结果显示,试验组治疗颈型颈椎病的临床有效率高于对照组[RR=1.14,95%CI(1.04,1.24),P=0.003],McGill疼痛问卷表(MPQ)得分[MD=-1.75,95%CI(-2.24,-1.27),P<0.000 01]、颈椎功能障碍指数量表评分(NDI)[MD=-4.01,95%CI(-4.18,-3.84),P<0.000 01]、VAS疼痛评分[MD=-0.55,95%CI(-0.86,-0.24),P=0.000 5]、疼痛指数(PRI)评分[MD=-0.82,95%CI(-0.98,-0.65),P<0.000 01]、现有疼痛指数(PPI)[MD=-0.52,95%CI(-0.66,-0.38),P<0.000 01]低于对照组。结论:现有证据表明,刮痧疗法对于颈型颈椎病的治疗有效,但是纳入的样本数量不够大,且质量不高,对于确切的治疗疗效还需进一步的研究。
Objective:To systematically evaluate the effect of scraping therapy on cervical spondylosis.Methods:The randomized controlled trial on scraping intervention in cervical spondylosis was retrieved from CNKI,WanFang Datebase, CBM,VIP,PubMed, Web of Science, EMbase, the Cochrane Library, etc.The retrieval time was from the establishment of each database to November 28,2021.Two researchers independently screened literatures and extracted data, and conducted bias risk assessment for the included literatures.RevMan 5.4 software was used for data analysis.Results:A total of 7 randomized controlled trials involving 565 patients were included.The results of Meta-analysis showed that the total clinical effective rate of the experimental group in the treatment of cervical spondylosis was higher than that of the control group[RR=1.14,95%CI(1.04,1.24),P=0.003].The scores of MPQ[MD=-1.75,95%CI(-2.24,-1.27),P<0.000 01],NDI[MD=-4.01,95%CI(-4.18,-3.84),P<0.000 01],VAS pain score[MD=-0.55,95%CI(-0.86,-0.24),P=0.005],PRI score[MD=-0.82,95%CI(-0.98,-0.65),P<0.000 01]and PPI[MD=-0.52,95%CI(-0.66,-0.38),P<0.000 01]of the experimental group were lower than those of the control group.Conclusion:Existing evidence shows that scraping therapy is effective for the treatment of cervical spondylosis, but the number of included samples is not large enough, and the quality is not high, the exact therapeutic effect needs further research.
作者
董传黎
计全月
傅映平
张桂兰
陈珂奕
蔺小芳
DONG Chuanli;JI Quanyue;FU Yingping;ZHANG Guilan;CHEN Keyi;LIN Xiaofang(School of Nursing,Yunnan University of Traditional Chinese Medicine,Yunnan 650500 China)
出处
《循证护理》
2023年第1期54-58,共5页
Chinese Evidence-Based Nursing
关键词
颈型颈椎病
刮痧
临床有效率
META分析
循证护理
cervical spondylosis
scrapping
clinical effective rate
Mata-analysis
evidence-based nursing
