针刺治疗青少年近视效果的系统评价  

Effectiveness of acupuncture for juvenile myopia:A systematic assessment

作　　者：傅甜[1] 童波[2] 王连方[1] 项文莉[1] 方洁[1] 

机构地区：[1]绍兴市中医院眼科,浙江绍兴312000 [2]浙江省绍兴市人民医院急诊科,浙江绍兴312000

出　　处：《中国现代医生》2017年第17期124-127,共4页China Modern Doctor

摘　　要：目的系统评价针刺治疗青少年近视的疗效。方法计算机检索维普数据库、中国知网、万方数据库,查找关于针刺治疗青少年近视的随机对照试验(RCT),检索时限均从1955年1月1日~2015年12月31日。主要由2位研究者先选择文献及其资料,再行Meta分析(RevMan 5.2软件)。结果共纳入6个研究,707例患者。Meta分析结果显示:针刺组治疗青少年近视的总有效率[RR=6.01,95%CI(1.29,28.07),P=0.02]优于对照组,与对照组间的差异有统计学意义。但发表偏倚较大,使该Meta分析过分夸大了治疗效应量。结论现有证据尚不能表明针刺治疗青少年近视有效,尚需开展更多研究予以验证。Objective To systematically evaluate the potential effectiveness of acupuncture in the treatment of juvenile myopia. Methods Databases including VIP and CNKI, WanFang Data were electronically searched from Jan 1, 1955 to Dec 31, 2015 to identify randomized controlled trials（RCTs） about acupuncture for juvenile myopia. Two reviewers screened literarure, extracted data, and then Meta-analysis was performed （RevMan 5.2 software）. Results A total of 6 RCTs involving 707 patients were included. The results of Meta-analysis showed that： the acupuncture group was superior to the control group in total effective rate[（RR=6.01, 95%CI（1.29, 28.07）, P=0.02], and compared with control group, the difference was statistically significant. But the therapeutic effectiveness of this Meta-analysis was exaggerated by the high publication bias. Conclusion Current evidence is not ready to suggest that acupuncture is an effective therapeutic method for juvenile myopia,so large sample size studies are needed to validate the conclusion.

关 键 词：针刺 近视 系统评价 META分析 随机对照试验 

分 类 号：R778.11[医药卫生—眼科]