温针灸治疗肱骨外上髁炎疗效的Meta分析  

Meta-analysis of effect of modified acupuncture on external humeral epicondylitis

作　　者：胡兰 凌敏[1] HU Lan;LING Min(Guangzhou University of Chinese Medicine,Guangdong 510006,China)

机构地区：[1]广州中医药大学,广东510006

出　　处：《中国临床新医学》2018年第1期39-43,共5页CHINESE JOURNAL OF NEW CLINICAL MEDICINE

摘　　要：目的系统评价温针灸治疗肱骨外上髁炎的临床疗效。方法计算机检索Cochrane Library、Embase、Pub Med、中国生物医学文献数据库(CBM)、中国期刊全文数据库(CNKI)、维普数据库(VIP)和万方数据库(Wan Fang),收集关于温针灸治疗肱骨外上髁炎的临床随机对照试验(RCT),对符合纳入标准的临床研究进行资料提取和质量评价后,用Revman5.3统计软件进行Meta分析。结果最终纳入13项RCT,共计639例患者。Meta分析结果显示,试验组患者的总有效率高于对照组[RR=1.15,95%CI(1.10,1.21),P<0.00001];试验组患者治疗后VAS评分[MD=1.18,95%CI(1.01,1.35),P<0.00001]低于对照组。结论温针灸与普通针刺相比,对肱骨外上髁炎的总体疗效较好,镇痛效果较理想。但所纳入的临床研究质量相对偏低,需要更多高质量、多中心的随机双盲临床研究进一步补充验证。Objective To systematically review the effect of modified acupuncture on the treatment of external humeral epicondylitis.Methods Such databases as Pubmed,Embase,Cochrane Library,CBM,CNKI,VIP and WanFang Data were searched to collect the randomized clinical trials on the effects of modified acupuncture for external humeral epicondylitis.According to the inclusion and exclusion criteria,literature was screened,and the data were extracted,and the methodological quality of included studies was also assessed.Meta-analysis was performed using Revman 5.3 software.Results 13 RCTs were included eventually among a total of 639 cases with modified acupuncture in the treatment of external humeral epicondylitis.The analysis showed that the effect of modified acupuncture in the treatment of external humeral epicondylitis were superior than that of common acupuncture[RR=1.15,95%CI(1.10,1.21),P<0.00001];The VAS scores of the group using modified acupuncture were significantly lower than those of the group using common acupuncture[MD=1.18,95%CI(1.01,1.35),P<0.00001].Conclusion The clinical effects of modified acupuncture are superior to those of common acupuncture on the treatment of external humeral epicondylitis.However more researches need to be verified by the data based on high-quality randomized and double-blind multicenter studies.

关 键 词：温针灸 普通针刺 肱骨外上髁炎 META分析 

分 类 号：R68[医药卫生—骨科学]