Meta-analysis of effectiveness of moxibustion in treatment of postoperative urinary retention  

艾灸治疗术后尿潴留有效性的Meta分析(英文)

作　　者：檀占娜 朱学亮[1] 李伯英[1] 王建岭[2] 孙彦辉[1] 李晓峰[1] 张选平[1] 张莘[1] 徐晶[1] 杜玉茱[1] 石晶[3] 贾春生[1] 

机构地区：[1]河北中医学院针灸推拿学院,中国河北石家庄050200 [2]河北中医学院公共课教学部,中国河北石家庄050200 [3]河北中医学院基础医学院,中国河北石家庄050200

出　　处：《World Journal of Acupuncture-Moxibustion》2016年第1期64-70,共7页世界针灸杂志（英文版）

基　　金：Supported by National Natural Science Foundation of China:81072883,81173342;Hebei Education Department Research Foundation:Z2014145

摘　　要：Objective To provide objective basis for clinical decision through efficacy evaluation of randomized controlled trial on moxibustion in treatment of urinary retention.Methods Chinese National knowledge Infrastructure（CNKI）,China Biology Medicine disc（CBM）,VIP,Wanfang Data,and Sciencedirect were retrieved.The objects screened were from January 1,1990 to June 30,2013.Irrelevant,repeated and non-randomized controlled trials were excluded,and randomized controlled trials on moxibustion in treatment of urinary retention conforming to the inclusive criteria were selected.The quality of randomized controlled trials conforming to the inclusive criteria was evaluated using Jadad Scale,and the trials were analyzed statistically via RevMan5.2software.The randomized controlled trials on moxibustion in treatment of urinary retention were evaluated systematically through Cochrane systematic review.Results Nineteen references with better homogeneity were included into the study.Based on Meta-analysis result,the consolidated effect size OR=6.95,95%C/（5.12,9.44）,consolidated effect size test Z=12.43,P〈0.000 01,and the difference was statistically significant,indicating that the moxibustion group might be superior to control group,and the efficacy of moxibustion in treatment of urinary retention was better.It was shown from funnel plot that the subjects distributed symmetrically,indicating small bias of study.Conclusion Moxibustion in treatment of urinary retention has a certain efficacy but there are some small sample size and low-quality literature in the study,big sample size and high-quality and formal randomized controlled trials are needed to study in the futher.目的:对艾灸治疗尿潴留临床随机对照研究报告进行质量评价,为临床决策提供客观依据。方法:电子检索中国知网(CNKI)、中国生物医学文献数据库(CBM)、维普期刊数据库(VIP)、万方数据库,英文文献数据库Sciencedirect。年限为1990年1月1日至2013年6月3《日在排除无关、重复及非随机对照试验后,筛选出符合纳入标准的穴位艾灸治疗尿潴留的随机对照试验、应用Jadad评分量表对符合入选标准的随机对照研究进行质量评价,并用专用软件RevMan 5.2版进行统计分析采用Cochrane系统评价的方法对穴位艾灸治疗尿潴留的随机对照试验进行系统评价。结果:纳入的19篇文献同质性较好,Meta分析结果显示,合并效应量OR=6.95,95%CI(5.1 2,9.44),合并效应量检验Z=12.43,P<0.00001,差异有统计学意义,提示穴位艾灸组可能优于对照组,可认为穴位艾灸治疗尿潴留疗效较好、漏斗图显示研究对象分布较为对称,可认为该研究的偏倚较小。结论:穴位艾灸治疗尿潴留有一定优势。但纳入研究的样本含量少、文献质量较低,有待补充一些大样本、高质量。

关 键 词：moxibustion at acupoints urinary retention EFFECTIVENESS system evaluation META-ANALYSIS 

分 类 号：R246.9[医药卫生—针灸推拿学]