针刺远近端腧穴治疗急性腰扭伤疗效比较评价  

The Curative Effect Comparison Appraises of Acupuncture Near and Far Acupoints on Acute Lumbar Muscle Sprain

作　　者：刘倩[1] 黎波[1] 杜元灏[2] 熊俊[1] 林小苗[1] 

机构地区：[1]天津中医药大学,天津300193 [2]天津中医药大学第一附属医院,天津300193

出　　处：《辽宁中医杂志》2009年第8期1392-1394,共3页Liaoning Journal of Traditional Chinese Medicine

基　　金：国家"十一五"科技支撑计划项目(2006BAI12B01)

摘　　要：目的:评价针刺治疗急性腰扭伤不同取穴方法的临床疗效比较。方法:检索PUBMED、Cohrance图书馆、CBM数据库、CNKI数据库收集针刺治疗急性腰扭伤的随机对照试验,选择符合纳入标准的临床试验,以Cochrane系统评价手册5.0进行质量评价,统计学分析采用RevMan4.2.8。结果:5篇文献符合纳入标准,共1076例患者。Meta-分析显示针刺远端穴位对照局部常规取穴其一次治愈率合并RR=1.81,95%CI(1.49,2.19)。结论:针刺远端腧穴治疗急性腰扭伤的疗效可能优于局部常规取穴,且起效快,但纳入的文献质量较低且数量有限,尚需进一步验证。Objective ： To assess the therapeutic effect of acupuncture different acupoints on acute lumbar muscle sprain. Methods ：Retrieves PUBMED, the Cohrance library, the CBM database, the CNKI database to collect all relevant randomized comtroUed trims（RCT） about acupuncture treatment of acute lumbar muscle sprain, and use the Cochrane systematic evaluation handbook5. 0 to carry out a systematic evaluation. The statistic analysis is surposed to use a software named RevMan4. 2. 8. Results：5 literatures met the enrolled criteria,including 1076 patients. Meta-analysis shows that acupuncturing the distant points comparing with the commonly local points, the once cure rates Merge RR = 1.81,95 % CI （ 1.49,2. 19）, beth got statistical significance. Conclusion ： Acpuncturing the distant points maybe has an advantage effect on local points, and it is faster and safer than the latter. But quality of integrated literature is low,and quantity is limited,it must be further confirmed.

关 键 词：针刺 急性腰扭伤 临床随机对照试验 系统评价 远端取穴 局部取穴 

分 类 号：R246.2[医药卫生—针灸推拿学]