[1]刘建航,陈道云,黄勇,等.手法治疗颈源性头痛临床疗效的Meta分析[J].中医正骨,2016,28(01):28-30.
 LIU Jianhang,CHEN Daoyun,HUANG Yong,et al.A meta analysis on the clinical curative effect of manipulation on cervical headache[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2016,28(01):28-30.
点击复制

手法治疗颈源性头痛临床疗效的Meta分析()
分享到:

《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第28卷
期数:
2016年01期
页码:
28-30
栏目:
文献研究
出版日期:
2016-01-20

文章信息/Info

Title:
A meta analysis on the clinical curative effect of manipulation on cervical headache
作者:
刘建航陈道云黄勇徐志为李锦威
广西中医药大学附属瑞康医院,广西 南宁 530011
Author(s):
LIU JianhangCHEN DaoyunHUANG YongXU ZhiweiLI Jinwei
Ruikang Hospital Affiliated to Guangxi University of Traditional Chinese Medicine,Nanning 530011,Guangxi,China
关键词:
颈椎 颈源性头痛 推拿脊柱 Meta分析
Keywords:
cervical vertebrae cervical headache manipulationspinal meta-analysis
摘要:
目的:评价手法治疗颈源性头痛的临床疗效。方法:以“头痛”与“颈源性”与“手法”与“随机对照”为中文检索词,以headache AND cervical AND manipulation AND randomized controlled为英文检索词,通过计算机在中国知网、中国生物医学文献数据库、万方学术期刊数据库、维普中文期刊数据库及PubMed数据库检索2005年1月至2015年10月所有的相关文献。利用Revman 5.2统计软件进行统计分析。结果:共检索出文献120篇,经过筛选最终纳入7篇随机对照临床试验文献,共涉及561例患者,均为中文文献。漏斗图显示不存在发表偏倚。纳入的7篇文献均最终进行了2组间显效率的比较,各研究结果之间具有同质性(I2=0%,P=0.630)。手法组的显效率高于对照组(药物、牵引、中频电疗、低周波),差异具有统计学意义[Z=7.430,P=0.000; OR=4.140,95%CI(2.85,6.02)]。结论:手法治疗颈源性头痛的疗效优于药物、牵引、中频电疗和低周波治疗。
Abstract:
Objective:To evaluate the clinical curative effect of manipulation on cervical headache.Methods:The logical combination of headache,cervical, manipulation and randomized controlled were chosen as index terms.All the relevant literatures included from January 2005 to October 2015 were retrieved from China national knowledge internet,Chinese biomedical literature database,Wanfang Database,Vip Database of Chinese journal and Pubmed database through computer.Statistical analysis was conducted by using Revman 5.2 software.Results:One hundred and twenty literatures were searched out.After screening,7 Chinese literatures(randomized controlled clinical trials,561 patients)were included in the final analysis.The funnel plot demonstrated that there was no publication bias.The excellent rate were compared between the 2 groups in all of the 7 literatures and there was homogeneity within the results of different trials(I2=0%,P=0.630).The excellent rate of manipulation group was higher than that of control group,in which drug therapy,traction,medium-frequency electrotherapy or low frequency current therapy was used(Z=7.430,P=0.000; OR=4.140,95%CI(2.85,6.02)).Conclusion:The manipulative therapy surpasses drug therapy,traction,medium-frequency electrotherapy and low frequency current therapy in the curative effect in the treatment of cervical headache.

参考文献/References:

[1] 国家中医药管理局.中医病症诊断疗效标准[M].南京:南京大学出版社,1994:201-202.
[2] 倪家骧,段红光,裴爱珍.颈源性疼痛诊疗学[M].北京:人民军医出版社,2005:172.
[3] 周振东.颈肩部慢性疼痛治疗学[M].北京:人民军医出版社,2003:98-99.
[4] 张志凌,李义凯.颈源性头痛的诊断标准[J].中国中医骨伤科杂志,1999,7(6):55.
[5] 孙彦青.颈源性头痛的手法治疗28例疗效观察[J].中国全科医学,2005,8(19):1625-1626.
[6] 覃兴乐.正骨手法治疗颈源性头痛的临床观察[J].中国康复医学杂志,2007,22(4):356-357.
[7] 全晓彬,木荣华.正骨推拿手法治疗颈源性头痛60例[J].浙江中医杂志,2011,46(9):655-656.
[8] 眭承志,樊孝俊,林景雄,等.理脊通脉手法治疗颈源性头痛的临床观察[J].按摩与康复医学:下旬刊,2010,1(3):5-6.
[9] 韦锋.手法治疗颈源性头痛的疗效观察[J].医学理论与实践,2009,22(3):285-287.
[10] 范琰.仰卧整复手法与低周波治疗颈源性头痛的疗效比较[J].按摩与康复医学:中旬刊,2010,1(2):57-58.
[11] 汪芳俊,王鹏.仰卧位整复推拿治疗颈源性头痛30例[J].中医杂志,2007,48(2):149-150.
[12] Antonaci F,Sjaastad O.Cervicogenic headache:a real headache[J].Curr Neurol Neurosci Rep,2011,11(2):149-155.
[13] Mehio AK,Shah SK.Alleviating head and neck pain[J].Otolaryngol Clin North Am,2009,42(1):143-159.

相似文献/References:

[1]梅伟,高晓群.前路复位椎间植骨融合内固定术治疗 单节段下颈椎骨折脱位合并关节突交锁[J].中医正骨,2016,28(03):42.
[2]孙兰芬,王龙强,刘润宏,等.颈椎骨折脱位合并脊髓损伤截瘫患者的围手术期护理[J].中医正骨,2016,28(03):79.
[3]孙旗,吴齐飞,郑晨颖,等.颈椎前路手术后咽痛的防治进展[J].中医正骨,2016,28(05):22.
[4]毕 锴.颈椎手法常见高危禁忌证的X线诊断[J].中医正骨,2016,28(08):73.
[5]邓真,王辉昊,王宽,等.C2~T1三维有限元模型的建立和验证[J].中医正骨,2016,28(10):1.
 DENG Zhen,WANG Huihao,WANG Kuan,et al.Establishment and verification of three-dimensional finite element model of C2-T1 vertebrae[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2016,28(01):1.
[6]马江涛,张银刚,袁启令,等.颈性眩晕的发病机制、诊断和治疗研究进展[J].中医正骨,2016,28(10):32.
[7]陈海龙,郑九琴,朱文潇,等.常规颅骨牵引和全身麻醉下手法复位在下颈椎脱位前路减压植骨融合内固定术中的应用[J].中医正骨,2017,29(07):74.
[8]沈知彼,王辉昊,王宽,等.颈椎定位旋转扳法对不同曲度颈椎内部结构应力的影响[J].中医正骨,2018,30(03):8.
 SHEN Zhibi,WANG Huihao,WANG Kuan,et al.Effect of cervical fixed-position rotary pulling manipulation on internal structure stresses of cervical vertebrae with different curvature[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2018,30(01):8.
[9]邓真,王辉昊,王宽,等.石氏伤科颈椎定位旋转扳法的动力学参数在体测量[J].中医正骨,2018,30(03):17.
 DENG Zhen,WANG Huihao,WANG Kuan,et al.In vivo measurement of kinetic parameters of cervical fixed-position rotary pulling manipulation of Shi's department of traumatology[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2018,30(01):17.
[10]王浩,陈佳丽,钱桑.范炳华教授诊治3种常见颈椎生理结构异常的经验[J].中医正骨,2018,30(03):56.

备注/Memo

备注/Memo:
基金项目:广西壮族自治区中医药科技专项课题(GZSY14-03、GZZY13-27); 广西壮族自治区教育厅科研项目(201204LX202)
通讯作者:陈道云 E-mail:454759934@qq.com
更新日期/Last Update: 2016-02-29