“肩三针”治疗肩周炎临床研究的系统评价  

A Systematic Review on Clinical Study of the Frozen Shoulder Treated with Three Shoulder Needles

作　　者：唐宏亮[1] 卢栋明 黎丽群 朱元元[2] 禤传凤 谭丽玲[2] 陈婷[2] 庞军[1] 

机构地区：[1]广西中医药大学第一附属医院,广西南宁530023 [2]广西中医药大学,广西南宁530001

出　　处：《辽宁中医杂志》2015年第5期933-936,共4页Liaoning Journal of Traditional Chinese Medicine

基　　金：广西自然科学基金项目(2011GXNSFA018173);广西科学研究与技术开发项目(桂科攻1140003B-58);广西中医药科技专项(GZKZ1111);广西中医药民族医药继承创新工程立项课题(GZZJ13-08;GZLC14-05;GZLC14-41)

摘　　要：目的:系统评价"肩三针"治疗肩周炎的临床疗效。方法:电子检索Cochrane图书馆、Wan Fang Data、CNKI及VIP。由5位研究者按照纳入与排除标准进行文献筛选,按Cochrane系统评价方法对文献提取有效的数据、质量评价后,采用Rev Man5.0软件进行Meta分析。结果:最终纳入符合标准的文献5篇,共5个研究,包括449例患者。Meta分析结果显示:"肩三针"组的总有效率及痊愈率高于对照组的,且差异有统计学意义[RR:2.92,95%CI(1.13,7.56);RR:2.35,95%CI(1.52,3.63)]。结论:当前证据显示,"肩三针"治疗肩周炎疗效肯定,但由于纳入研究数量和质量有限,上述结论仍待更多高质量大样本长期随访的研究予以验证。Objective：To systematically review the clinical study of the frozen shoulder treated with three shoulder needles.Methods：The Chinese databases were electronically retrieved, including Cochrane Library, Wan Fang Data, CNKI and VIP. Ac- cording to the inclusion and exclusion criteria, five reviewers screened literature, and extracted the effective data based on the evaluative standard of Cochrane systematic data,and assessed the methodological quality. And then analyze the therapeutic effect with the Review Manage 5.0 software. Results ： We included 5 identified documents and 5 randomized controlled trials in total, in- cluding 449 participants. The Meta - analysis result showed that the total effective rate and the curative rate of three shoulder nee- dles group were higher than that of the control group with statistical significance respectively [ RR ： 2.92,95% CI （1.13,7.56） ; RR ：2.35, 95 % CI （1.52,3.63） ]. Conclusion ： Current evidence shows that the therapeutic effect of frozen shoulder treated with three shoulder needles is effective. However,more high quality studies with large sample size and long term follow - up are still needed to verify the above conclusion because of the limited quantity and quality of the included studies.

关 键 词：针灸 肩周炎 临床研究 系统评价 

分 类 号：R684.3[医药卫生—骨科学]