运动疗法治疗下腰痛疗效的Meta分析  

Effects of Exercise Therapy on Patients with Low Back Pain: A Meta-analysis

作　　者：陈威烨[1,2] 王辉昊[1,2] 梁飞凡[1,2] 邓真[1,2] 王宽[1,2] 徐勤光[1,2] 詹红生[1,2] 

机构地区：[1]上海中医药大学附属曙光医院石氏伤科医学中心,上海201203 [2]上海市中医药研究院骨伤科研究所,上海201203

出　　处：《中国循证医学杂志》2015年第11期1317-1321,共5页Chinese Journal of Evidence-based Medicine

基　　金："中医骨伤科学"国家重点学科(编号:100508);国家自然科学基金项目(编号:81473702;81001528);上海领军人才项目(编号:041);上海市科委重点项目(编号:14401970402;09dZ1973800;12411951400);上海高校"中医脊柱病损研究"创新团队建设项目(编号:2009-26)

摘　　要：目的系统评价运动疗法治疗下腰痛的临床疗效。方法计算机检索PubMed、The Cochrane Library(2014年第2期)、CNKI、WanFang Data和VIP数据库,搜集运动疗法与其他疗法治疗下腰痛的相关随机对照试验(RCT),检索时限均为2000年至2014年9月。由2位评价员独立筛选文献、提取资料和评价纳入研究的偏倚风险后,采用RevMan 5.3软件进行Meta分析。结果共纳入5个RCT,共计413例患者。与对照组相比,运动疗法可减轻患者疼痛[MD=–0.92,95%CI(–1.32,–0.51),P<0.000 1],改善患者功能活动[MD=–1.21,95%CI(–1.43,–0.99),P<0.01]。结论运动疗法可在一定程度上改善下腰痛患者的疼痛程度与功能活动。受纳入研究数量和质量限制,上述结论尚有赖于进一步开展更多大样本、多中心、高质量的RCT加以验证。Objective To systematically review the clinical efficacy of exercise therapy for patients with low back pain. Methods We electronically searched databases including PubMed, The Cochrane Library, CNKI, WanFang Data and VIP from 2000 to September 2014 to collect randomized controlled trial （RCTs） about exercise therapy versus other therapies in the treatment of low back pain. Two reviewers independently screened literature, extracted data, and assessed the risk of bias of included studies. Then, meta-analysis was performed by using RevMan 5.3 software. Results A total of five RCTs involving 413 patients were finally included. Compared with the control group, exercise therapy could relieve pain （MD= -0.92, 95%CI -1.32 to -0.51, P〈0.000 1）, and improve function activity （MD= -1.21, 95%CI -1.43 to -0.99, P〈0.01）. Conclusion Exercise therapy can improve low back pain and functional activity to a certain extent. Due to the limited quantity and quality of the included studies, larger scale, multicenter, high quality RCTs are needed to verify the aforementioned conclusion.

关 键 词：下腰痛 运动疗法 META分析 系统评价 随机对照试验 

分 类 号：R274.9[医药卫生—中西医结合] R-03[医药卫生—中医骨伤科学]