穴位埋线法治疗腰椎间盘突出症疗效的系统评价  

Systematic Evaluation of Therapeutic Effect of Acupoint Catgut Embedding on Lumbar Disc Herniation

作　　者：吴萍[1] 周逸伦[1] 徐铭阳 张敏燕[1] 丁德光[2] 

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8期1330-1332,1375,共4页Journal of Emergency in Traditional Chinese Medicine

基　　金：中央级公益性科研院所基本科研业务费中国中医科学院基础所自主选题项目(YZ-1607)

摘　　要：目的系统评价穴位埋线对腰椎间盘突出症(LDH)的疗效,以指导临床实践。方法检索近30年来国内外公开发表的穴位埋线治疗LDH的随机对照试验(RCTs)和临床对照试验(CCTs),经2名研究员独立筛选评价文献,提取数据运用Rev Man5.3软件统计分析。结果纳入12篇研究,2137例患者,Meta分析显示,穴位埋线更能提高近远期总有效率,降低VAS评分。结论穴位埋线治疗LDH有效,但鉴于本次研究缺乏大样本、多中心高质量文献,其临床疗效、作用机制等尚需进一步验证,其操作方法、取穴等有待规范化。Objective： To evaluate the effect of acupoint catgut embedding therapy on lumbar disc hernia- tion in order to guide clinical practice. Methods： Randomised controlled trials（RCTs） and controlled clini- cal trials（CCTs） of acupoint catgut embedding therapy on LDH published at home and abroad in recent 30 years were searched,and 2 researchers independently screened and evaluated the literature. The data were extracted and anal）zeal by RevMan5.3 software. Results： Totally 12 studies and 2137 cases were involved. Meta-analysis showed that aeupoint catgut embedding could improve the short-term and long-term effective rate and reduce VAS scores. Conclusion： Acupoint catgut embedding therapy is elf ctive on LDH,but in view of the lack of large sample and multi center high-quality literature,the clinical efficacy and mecha- nism should be further verified,and its operation method and acupoint selection should be standardized.

关 键 词：穴位埋线 腰椎间盘突出症 META分析 

分 类 号：R245.91[医药卫生—针灸推拿学]