[1]丁兴,许金海,叶洁,等.导引功法治疗腰椎间盘突出症临床疗效的Meta分析[J].中医正骨,2021,33(09):32-37.
　DING Xing,XU Jinhai,YE Jie,et al.Clinical efficacy of Chinese Daoyin therapy in treatment of lumbar disc herniation:a meta-analysis[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2021,33(09):32-37.
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导引功法治疗腰椎间盘突出症临床疗效的Meta分析()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第33卷
期数:
2021年09期
页码:
32-37
栏目:
文献研究
出版日期:
2021-09-20

文章信息/Info

Title:
Clinical efficacy of Chinese Daoyin therapy in treatment of lumbar disc herniation:a meta-analysis
作者:
丁兴; 许金海; 叶洁; 马俊明; 莫文
(上海中医药大学附属龙华医院,上海 200032)
Author(s):
DING Xing; XU Jinhai; YE Jie; MA Junming; MO Wen
Longhua Hospital Shanghai University of Traditional Chinese Medicine,Shanghai 200032,China
关键词:
椎间盘移位;  腰椎;  导引;  Meta分析;  系统评价
Keywords:
intervertebral disc displacement;  lumbar vertebrae;  physical &;  breathing exercises;  meta analysis;  systematic review
摘要:
目的:系统评价导引功法治疗腰椎间盘突出症的临床疗效。方法:应用计算机检索中国知网、万方数据库、维普网、中国生物医学文献数据库、PubMed、Cochrane Library、Clinical trials.gov2010年1月至2020年1月收录的对比导引功法(包括传统功法、太极、飞燕、八段锦、易筋经或五禽戏)联合常规理疗、口服药物、推拿、牵引、针灸或薰洗(试验组)和单纯常规理疗、口服药物、推拿、牵引、针灸或薰洗(对照组)治疗腰椎间盘突出症的随机对照临床研究文献。由2名研究者根据纳入、排除标准独立进行文献筛选和数据提取,采用Cochrane偏倚风险评估工具和改良Jadad评分量表对纳入文献进行质量评价,采用RevMan5.3软件进行Meta分析。结果:共检索出432篇文献,经逐层筛选后,最终纳入10篇文献,共涉及1130例腰椎间盘突出症患者,其中试验组565例、对照组565例。Meta分析结果显示,试验组治疗总有效率、日本骨科学会腰痛评分均高于对照组[I2=41%,P=0.160,RR=1.16,95%CI(1.08,1.24); I2=96%,P=0.000,SMD=2.20,95%CI(0.94,3.46)],腰部疼痛视觉模拟量表评分、Oswestry功能障碍指数评分均低于对照组[I2=98%,P=0.000,SMD=-1.41,95%CI(-2.57,-0.24); I2=37%,P=0.210,SMD=-0.59,95%CI(-0.93,-0.24)]。结论:现有证据表明,在常规治疗的基础上采用导引功法治疗腰椎间盘突出症,能缓解腰部疼痛,改善腰椎功能,疗效确切。
Abstract:
Objective:To systematically review the clinical curative effects of Chinese Daoyin(DY)therapy(physical&breathing exercises)in treatment of lumbar disc herniation(LDH).Methods:All the randomized controlled trial(RCT)articles about Chinese DY therapy(including traditional Chinese exercises,Tai Chi(太极),Feiyan(飞燕),Baduanjin(八段锦),Yijinjing(易筋经)or five mimic-animal boxing(五禽戏)exercises)combined with conventional physiotherapy,oral application of drugs,TUINA,traction therapy,acupuncture or steaming washing therapy(experimental group)versus conventional physiotherapy,oral application of drugs,TUINA,traction therapy,acupuncture or steaming washing therapy alone(control group)for treatment of LDH included from January 2010 to January 2020 were retrieved from China national knowledge internet,WanFang Database,Vip Database,Chinese biomedical literature database,PubMed,Cochrane Library and Clinical trials.gov through computer.The articles were screened and the information was extracted independently by two researchers according to the inclusion and exclusion criteria.The methodological quality of research in the articles was evaluated by using Cochrane bias risk assessment tools and modified Jadad scale,and a Meta-analysis was conducted by using RevMan5.3 software.Results:Four hundred and thirty-two articles were searched out.After screening,10 articles(1130 patients)were included in the final analysis,565 patients in experimental group and 565 patients in control group.The results of Meta-analysis revealed that the total effective rate and Japanese Orthopedic Associations(JOA)low back pain scores were higher,while the low back pain visual analogue scale(VAS)scores and Oswestry disability index(ODI)scores were lower in experimental group compared to control group(I2=41%,P=0.160,RR=1.16,95%CI(1.08,1.24); I2=96%,P=0.000,SMD=2.20,95%CI(0.94,3.46); I2=98%,P=0.000,SMD=-1.41,95%CI(-2.57,-0.24); I2=37%,P=0.210,SMD=-0.59,95%CI(-0.93,-0.24)).Conclusion:Available evidences suggest that the combination therapy of conventional treatment and Chinese DY therapy can relieve low back pain and improve lumbar function with reliable curative effects in treatment of LDH.

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备注/Memo

备注/Memo:
基金项目:上海市科学技术委员会科研计划项目(18401903200)
通讯作者:莫文 E-mail:mw2218@126.com
更新日期/Last Update: 1900-01-01