[1]饶子龙,廖安庭,宋南昌.推拿治疗急性腰扭伤的系统评价[J].中医正骨,2019,31(12):29-33.
　RAO Zilong,LIAO Anting,SONG Nanchang.Systematic review on TUINA for treatment of acute lumbar sprain[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2019,31(12):29-33.
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推拿治疗急性腰扭伤的系统评价()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第31卷
期数:
2019年12期
页码:
29-33
栏目:
文献研究
出版日期:
2019-12-20

文章信息/Info

Title:
Systematic review on TUINA for treatment of acute lumbar sprain
作者:
饶子龙1; 廖安庭2; 宋南昌1
(1.江西省中西医结合医院,江西 南昌 330003; 2.江西中医药大学针灸推拿学院,江西 南昌 330004)
Author(s):
RAO Zilong1; LIAO Anting2; SONG Nanchang1
1.Jiangxi Combinational Hospital of Traditional Chinese Medicine and Western Medicine,Nanchang 330003,Jiangxi,China2.College of Acupuncture-Moxibustion and Tuina of Jiangxi University of Traditional Chinese Medicine,Nanchang 330004,Jiangxi,China
关键词:
腰扭伤;  推拿;  Meta分析
Keywords:
lumbar sprain;  tuina;  meta-analysis
摘要:
目的:评价推拿治疗急性腰扭伤的临床疗效和安全性。方法:计算机检索中国知网、万方数据库、中国生物医学文献数据库、维普网、PubMed数据库、Cochrane Library从建库至2018年10月收录的推拿治疗急性腰扭伤的中英文随机对照临床试验文献。由2名研究者独立进行文献筛选与数据提取。对纳入文献进行质量评价后,采用RevMan5.3软件进行Meta分析。结果:初检共检出文献788篇,筛选后最终纳入文献11篇,均为中文文献。纳入的11篇文献中8篇提及随机,均未报告分配隐藏、盲法、随访和脱落的相关信息,均报告了预设结局指标。Meta分析结果显示,推拿组治疗总有效率、治愈率均高于对照组[OR=5.47,95%CI(3.27,9.16); OR=3.78,95%CI(2.34,6.11)],治疗后腰部疼痛视觉模拟量表评分低于对照组[WMD=-2.24,95%CI(-2.36,-2.21)]。仅1篇文献提及了不良反应,且2组患者均未发生不良反应,故未进行合并分析。依次剔除文献行敏感性分析,结果无明显改变。基于治疗总有效率绘制漏斗图,图形左右不对称,提示可能存在发表偏倚。结论:推拿治疗急性腰扭伤可缓解患者腰部疼痛,疗效好,并发症少。
Abstract:
Objective:To evaluate the clinical curative effects and safety of TUINA for treatment of acute lumbar sprain.Methods:All Chinese and English randomized controlled trial articles about TUINA for treatment of acute lumbar sprain included from database establishing to October 2018 were retrieved from China national knowledge internet,WanFang Database,Chinese biomedical literature database,VIP Database,PubMed Database and Cochrane Library through computer.The articles were screened and the data were extracted independently by two searchers.The methodological quality of research in the articles was evaluated and a Meta-analysis was conducted by using RevMan5.3 software.Results:Seven hundred and eighty-eight articles were searched out in the initial stage.After screening,11 Chinese articles were included in the final analysis.Randomization was mentioned in 8 articles out of the 11 included articles.Presupposed outcome indicators were described and allocation concealment,blind method and information about follow-up and drop-out were undescribed in all of the included articles.The results of Meta-analysis demonstrated that total effective rate and cure rate were higher and the posttreatment low back pain visual analogue scale(VAS)scores were lower in TUINA group compared to control group(OR=5.47,95%CI(3.27,9.16); OR=3.78,95%CI(2.34,6.11); WMD=-2.24,95%CI(-2.36,-2.21)).The adverse reactions were mentioned in 1 article and no adverse reactions were found in the 2 groups,so merged analysis could not be conducted.The sensitivity analysis was conducted after excluding the articles in turn,and no obvious change of meta-analysis results were found.Funnel plot was drawn according to total effective rate,and the asymmetrical funnel plot demonstrated that there might be publication bias.Conclusion:TUINA can relieve the low back pain in treatment of acute lumbar sprain,and it has the advantages of better clinical curative effects and less complications.

参考文献/References:

[1] 彭太平.中医骨伤科学[M].长沙:湖南科学技术出版社,2014:436.[2] 陆裕朴,胥少汀,葛宝丰,等.实用骨科学[M].北京:人民军医出版社,1991:1134-1135.[3] 仇秀宇,赵丹,屠立平,等.中医治疗急性腰扭伤研究进展[J].中国中医基础医学杂志,2016,22(10):1426-1428.[4] 罗才贵,王富春,康锁彬.推拿治疗学[M].北京:人民卫生出版社,2001:80-82.[5] 国家中医药管理局.中医病证诊断疗效标准[M].南京:南京大学出版社,1994:186.[6] ZENG X,ZHANG Y,KWONG J S,et al.The methodological quality assessment tools for preclinical and clinical studies,systematic review and meta-analysis,and clinical practice guideline:a systematic review[J].J Evid Based Med,2015,8(1):2-10. 中医正骨2019年12月第31卷第12期 J Trad Chin Orthop Trauma,2019,Vol.31,No.12(总913)(总914)中医正骨2019年12月第31卷第12期 J Trad Chin Orthop Trauma,2019,Vol.31,No.12 [7] 李亚楠,张起,古恩鹏.手术与非手术治疗肱骨近端骨折的Meta分析[J].中医正骨,2018,30(9):42-48.[8] 胡桂兴,夏智,刘再高,等.三步推拿法治疗急性腰扭伤的临床疗效观察[J].按摩与导引,2008,24(2):12-13.[9] 阮强.推拿配合针刺治疗急性腰扭伤的临床疗效观察[J].黑龙江中医药,2010,39(6):39-40.[10] 刘建群,孙波,吴云定.推拿手法治疗急性腰扭伤的临床疗效研究[J].辽宁中医杂志,2002,29(9):558.[11] 朱天福.针灸推拿治疗急性腰扭伤临床观察[J].内蒙古中医药,2017,36(9):119.[12] 冯同忠.电针配合推拿手法治疗急性腰扭伤78例临床观察[J].世界最新医学信息文摘,2016,16(32):51.[13] 肖在普.急性腰扭伤患者采用针灸推拿治疗的效果观察[J].特别健康,2018,(18):22-23.[14] 李晓民.四步推拿法治疗急性腰扭伤患者的疗效[J].医疗装备,2016,29(18):64.[15] 潘钦关,李以德,马必委.舒筋活血膏联合电针推拿治疗急性腰扭伤临床研究[J].中国中医急症,2014,23(11):2083-2085.[16] 刘志丹,张秀华.针刺配合推拿治疗急性腰扭伤60例临床疗效分析[J].中医临床研究,2017,9(14):91-92.[17] 黄东来,钟玉涛,高邈,等.推拿手法配合桃红四物汤加味治疗急性腰扭伤临床研究[J].中医学报,2012,27(12):1679-1681.[18] 樊远志,吴耀持.针灸推拿治疗急性腰扭伤的临床疗效与红外热像研究[J].中医学报,2013,28(11):1752-1754.[19] 方震宇,郎伯旭.浮针配合定点斜扳法治疗急性腰扭伤60例[J].中医正骨,2011,23(4):57-62.[20] 莫灼锚,张人文,唐树杰.脊柱“骨错缝,筋出槽”理论的研究进展[J].中医正骨,2017,29(5):16-19.[21] 张赫,刘俊昌.急性腰扭伤推拿治疗近况[J].新疆中医药,2018,36(2):85-88.[22] 刘建宇.推拿治疗软组织损伤的机理[J].中国实用医药,2007,2(14):72-73.[23] 徐敏,刘保新,黄承军,等.腰痛穴针刺合推拿治疗急性腰扭伤的临床观察[J].浙江中医药大学学报,2010,34(4):570-571.[24] 曹阳,吴启六.急性腰扭伤辨病选择推拿手法治疗50例[J].中国疗养医学,2009,18(3):252.[25] 黄法森,张清,王海洋,等.运动捕捉技术在推拿手法生物力学研究中的应用[J].中医正骨,2017,29(11):41-43.

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备注/Memo

备注/Memo:
通讯作者:宋南昌 E-mail:rzl_fang@126.com(收稿日期:2019-01-30 本文编辑:杨雅)
更新日期/Last Update: 2019-12-15