电针治疗原发性三叉神经痛的Meta分析  

A Meta-analysis of Electroacupuncture Treatment on Primary Trigeminal Neuralgia

作　　者：吴萍[1] 徐铭阳 张媛媛[1] 吝宇 周仲瑜[2] 丁德光[1,2] 黄伟[1] 

机构地区：[1]湖北中医药大学,湖北武汉430061 [2]湖北省中医院,湖北武汉430000

出　　处：《中国中医急症》2017年第5期830-833,共4页Journal of Emergency in Traditional Chinese Medicine

基　　金：国家中医药管理局中医药标准化项目(SATCM-2015-BZ[151])

摘　　要：目的观察电针治疗原发性三叉神经痛(PTN)的临床安全有效性。方法计算机检索电针治疗PTN的中英文文献,严格筛选符合纳入标准的随机对照试验(RCTs)和临床对照试验(CCTs),按照Cochrane系统评价方法进行质量评估,提取有效数据后运用Rev Man5.3软件进行Meta分析。结果共纳入7篇RCTs和1篇CCT,累计病例477例,其中电针组252例,西药组225例。Meta分析结果显示:电针组的总有效率、愈显率均高于西药组,差异有统计学意义。结论电针治疗PTN有效,但受样本量、质量、临床方法差异等限制,其疗效仍需进一步验证。Objective： To evaluate the clinical safety and efficacy of eleetroacupuncture （EA） treatment for pri- mary trigeminal neuralgia（PTN）. Methods： Chinese and English databases were searched to identify the relevant literatures of EA treatment for PTN, the randomized controlled trials （RCTs） and controlled clinical trials （CCTs） that met the inclusion criteria were strictly selected and evaluated by systematic review Coehrane. RevMan5.3 software was used to make a recta-analysis on the valid data. Results： 7 RCTs and 1 CCTs were selected and 477 patients were included with 252 patients in the EA group and 225 patients in the western medicine group. The Meta-analysis suggested that the total effective rate and cure-remarkable-effectiveness rate of the EA group was superior to those of the western medicine group and the difference was statistically significant. Conclusion： EA is effective for PTN. Due to limited sample size, uneven sample quality and difference clinical methods etal,its curative effect still needs further validation.

关 键 词：电针 原发性三叉神经痛 随机对照试验 临床对照试验 META 分 析 

分 类 号：R245.97[医药卫生—针灸推拿学]