[1]姚冬,王钦枫,刘长花,等.艾灸联合推拿手法治疗腰椎间盘突出症有效性和安全性的Meta分析[J].中医正骨,2024,36(01):43-49.
　YAO Dong,WANG Qinfeng,LIU Changhua,et al.Clinical outcomes and safety of moxibustion therapy combined with Tuina(推拿)therapy for treatment of lumbar disc herniation:a meta-analysis[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2024,36(01):43-49.
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艾灸联合推拿手法治疗腰椎间盘突出症有效性和安全性的Meta分析()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第36卷
期数:
2024年01期
页码:
43-49
栏目:
文献研究
出版日期:
2024-01-20

文章信息/Info

Title:
Clinical outcomes and safety of moxibustion therapy combined with Tuina(推拿)therapy for treatment of lumbar disc herniation:a meta-analysis
作者:
姚冬1; 王钦枫2; 刘长花1; 李泰标1; 吴心虹1
1.厦门市第五医院,福建 厦门 361101; 2.吉木萨尔县中医医院,新疆 吉木萨尔 831700
Author(s):
YAO Dong1; WANG Qinfeng2; LIU Changhua1; LI Taibiao1; WU Xinhong1
1.The Fifth Hospital of Xiamen,Xiamen 361101,Fujian,China 2.Jmser Hospital of Traditional Chinese Medicine,Jmser 831700,Xinjiang,China
关键词:
椎间盘移位;  腰椎;  灸法(中医);  推拿疗法;  专题Meta分析;  有效性;  安全性
Keywords:
intervertebral disc displacement;  lumbar vertebrae;  moxibustion(TCM);  tui na therapy;  meta-analysis as topic;  efficacy;  safety
摘要:
目的:系统评价艾灸联合推拿手法治疗腰椎间盘突出症(lumbar disc herniation,LDH)的有效性和安全性。方法:应用计算机检索PubMed、Cochrane Library、Embase、中国生物医学文献服务系统、中国知网、维普网、万方数据库,筛选艾灸联合推拿手法治疗LDH的随机对照试验,试验组采用艾灸联合推拿手法治疗,对照组采用单纯推拿手法治疗。采用Cochrane偏倚风险评估工具对纳入研究的文献进行质量评估,采用RevMan5.3软件进行Meta分析。结果:共检索到852篇文献,通过逐层筛选最终纳入12篇文献,均为中文文献。Meta分析结果显示,试验组临床总有效率、日本骨科协会腰痛疾患疗效评分均高于对照组[RR=1.18,95%CI(1.10,1.26),P=0.000; MD=3.77,95%CI(2.32,5.22),P=0.000],试验组疼痛视觉模拟量表评分、Oswestry功能障碍指数均低于对照组[MD=-1.53,95%CI(-1.93,-1.13),P=0.000; MD=-2.28,95%CI(-4.40,-0.16),P=0.040],2组不良反应发生率的差异无统计学意义[OR=0.59,95%CI(0.08,4.58),P=0.620]。结论:现有的证据表明,艾灸联合推拿手法治疗LDH具有较好的临床疗效和安全性,疗效优于单纯推拿手法治疗。
Abstract:
Objective:To systematically review the clinical outcomes and safety of moxibustion therapy combined with Tuina(推拿,TN)therapy for treatment of lumbar disc herniation(LDH).Methods:All the randomized controlled trial(RCT)articles about moxibustion therapy combined with TN therapy for treatment of LDH included from database establishing to December 31,2022 were retrieved from the PubMed,Cochrane Library,Embase,Chinese Biomedical Literature Service System,China National Knowledge Internet,Vip Database and Wanfang Database through computer.The patients in experimental group were treated with moxibustion therapy and TN therapy,while the ones in control group with TN therapy alone.The methodological quality of researches in the included articles was evaluated by using Cochrane bias risk assessment tools,and then a Meta-analysis was conducted by using RevMan5.3 software.Results:Eight hundred and fifty-two articles were searched out.After screening,12 Chinese articles(1075 patients)were included in the final analysis,536 patients in experimental group and 539 ones in control group.The results of Meta-analysis revealed that the total clinical effective rate and Japanese Orthopaedic Association(JOA)low back pain efficacy score were higher,while the pain visual analogue scale(VAS)score and Oswestry disability index(ODI)were lower in experimental group compared to control group(RR=1.18,95%CI(1.10,1.26),P=0.000; MD=3.77,95%CI(2.32,5.22),P=0.000; MD=-1.53,95%CI(-1.93,-1.13),P=0.000; MD=-2.28,95%CI(-4.40,-0.16),P=0.040); Furthermore,there was no statistical difference in incidence rate of adverse reactions between the 2 groups(OR=0.59,95%CI(0.08,4.58),P=0.620).Conclusion:Available evidences suggest that moxibustion therapy combined with TN therapy has good clinical outcomes and safety in treatment of LDH,and it surpasses the monotherapy of TN therapy in clinical outcomes.

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备注/Memo

备注/Memo:
基金项目:福建省卫生健康青年科研课题(2020QNB065); 厦门市扶持中医药发展专项项目(XWZY-2023-0511)
通讯作者:王钦枫 E-mail:942260711@qq.com
更新日期/Last Update: 1900-01-01