手法复位联合中药治疗良性阵发性位置性眩晕临床研究文献的Meta分析  

Meta Analysis of Clinical Literatures on Chinese Materia Medica for Benign Paroxysmal Positional Vertigo

作　　者：舒竞铖 尹时华[1] 刘渊[1] 何美荣[1] 

机构地区：[1]广西医科大学第一附属医院耳鼻咽喉头颈外科,南宁530021

出　　处：《世界中医药》2015年第4期598-600,605,共4页World Chinese Medicine

基　　金：国家自然科学基金项目(编号:30860312)

摘　　要：目的:运用Meta分析的方法分析在手法复位联合中药治疗良性阵发性位置性眩晕的疗效。方法:计算机检索Pubmed、Embase、Cochrane图书馆(英文)和中国生物医学文献数据库(CBM)(中文),查找手法复位联合中药治疗BPPV的临床研究,对纳入的所有文献进行严格方法学质量评价,并采用Stata12.0软件进行Meta分析。结果:共6篇文献进入Meta分析,总病例数为490例。Meta分析显示手法复位联合中药治疗良性阵发性位置性眩晕的疗效明显优于单纯手法复位,具有统计学意义(P<0.05,RR[95%CI]为1.12[1.05,1.19])。结论:但仅以本篇Meta分析为基础,对于手法治疗良性阵发性位置性眩晕是否有必要加用中药治疗目前尚不能得出最终的结论,尚需开展多中心大样本量的高质量研究进一步证实。Objective：To evaluate the effectiveness of Chinese Materia Medica combined with canalith repositioning maneuver in treating benign paroxysmal positional vertigo （BPPV）.Methods：Databases including Pubmed,Embase,Cochrane Library and CBMwere searched to collect case control studies on Chinese Materia Medica for benign paroxysmal positional vertigo.Quality e-valuation and meta-analysis by using Stata12.0 were performed.Results：A total of 8 grade-CRCTs including 648 cases were gath-ered.The results showed that the Chinese Materia Medica combined with canalith repositioning maneuver group was better than the only canalith repositioning maneuver group;P =〈0.05,RR[95% CI]=1.12[1.05,1.19].Conclusion：Based on current evi-dence,compared with canalith repositioning maneuver,Chinese Materia Medica combined with canalith repositioning maneuver is better and safer for BPPV.

关 键 词：良性阵发性位置性眩晕 中药 手法复位 META分析 

分 类 号：R255.3[医药卫生—中医内科学] R244.9[医药卫生—中医学]