推拿与牵引治疗神经根型颈椎病的Meta分析  

Meta-analysis on nerve-root-type cervical spondylosis treatment by manipulation and cervical traction

作　　者：杨佳[1] 张瑞春[2] 王新军[2] 

机构地区：[1]天津中医药大学,硕士研究生300193 [2]新疆医科大学附属中医医院推拿科

出　　处：《环球中医药》2013年第9期641-648,共8页Global Traditional Chinese Medicine

基　　金：国家中医药管理局2011年度中医药行业科研专项(201107004)

摘　　要：目的评价推拿与颈椎牵引治疗神经根型颈椎病的有效性及安全性。方法计算机检索考克兰图书馆(Cochrane Library)、PubMed医学文献检索服务系统、中国学术期刊全文数据库(CNKI)、中文科技期刊数据库(VIP)和万方数据库,全面搜集推拿与牵引治疗神经根型颈椎病的随机对照试验,运用Cochrane风险偏倚评估工具评价纳入研究的方法学质量并提取有效数据,应用RevMan 5.2软件对符合要求的研究进行合并分析。结果符合纳入标准的文献共30篇,总样本量2807例。Meta分析显示:推拿治疗神经根型颈椎病在近期疗效、缓解疼痛及改善症状体征方面较颈椎牵引占有优势;治疗组远期疗效优于对照组,但两组间差异无统计学意义。安全性评价结果表明推拿治疗安全性较高。结论推拿治疗神经根型颈椎病与颈椎牵引相比占有一定优势,但推拿手法种类繁多,诊断及疗效标准不一致,本研究尚需要高质量的随机对照试验进一步论证。Objective To evaluate the efficacy and safety of therapeutic manipulation cervical traction treatment of nerve-root-type cervical spondylosis. Methods Papers from 5 data bases including Cochrane Library, Pubmed, CNKI, VIP,and Wanfang were retrieved by computer, targeting the randomized controlled trials（RCTs） for nerve-root-type cervical spondylosis treatment by therapeutic manipulation and cervical traction. The Cochrane Collaboration＇s recommended method was used to assess the quality of the articles that meet the inclusion criteria and extract the effective data. The RevMan 5.2 software was used to summarize and analyze the effective literature. Results 30 studies met the inclusion criteria, with a total sample size of 2807 cases. Meta-analysis shows ： manipulation has advantages in treating such with respect to short-term therapy, pain relief and the signs/symptoms amelioration compared with cervical traction ; and it performed more efficiently on the long-term treatment group than the control group, but it is of no statistically significance. Security evaluation results show that the therapeutic manipulation is of higher security. Conclusions Therapeutic manipulation for treatment on nerve root type cervical spondylosis occupy a certain advantage, due to the wide variety of therapeutic manipulation techniques, diagnosis and treatment standards are inconsistent. This research still entails further expounding and proof by high quality randomized controlled trials.

关 键 词：推拿 颈椎牵引 神经根型颈椎病 META分析 

分 类 号：R244.1[医药卫生—针灸推拿学]