刮痧治疗外感发热退热效果的Meta分析  

The effect of scrapping treatment on abatement of fever in patients with exogenous fever: a Meta-analysis

作　　者：经升琴[1] 徐君凤[1] JING Shengqin;XU Junfeng(Department of Disease Prevention,Jiangsu Province Hospital of Traditional Chinese Medicine,Nanjing,Jiangsu,210029)

机构地区：[1]江苏省中医院南京中医药大学附属医院治未病科,江苏南京210029

出　　处：《中西医结合护理（中英文）》2018年第5期47-51,共5页Journal of Clinical Nursing in Practice

摘　　要：目的评价刮痧治疗外感发热的退热效果。方法计算机检索中国期刊全文数据库、中国生物医学文献数据库、中文科技期刊全文数据库、PubMed、Science Direct全文数据库、Cochrane图书馆、万方数据库中所有刮痧疗法治疗外感发热的随机对照试验(RCT)、半随机对照试验(CCT)、队列研究。按纳入、排除标准由2名筛选员进行独立评价后,使用Review Manager 5.3软件进行数据分析和处理。结果纳入文献9篇。Meta分析结果显示,刮痧组总体疗效较对照组高,差异有统计学意义(OR=4.81,95%CI:3.13~7.40,P<0.01);刮痧组24、48、72 h体温恢复率均较对照组高,合并效应有统计学意义(OR=3.36,95%CI:1.95~5.81,P<0.01;OR=4.92,95%CI:2.82~8.57,P<0.01;OR=3.42,95%CI:1.29~9.05,P=0.01);刮痧组退热的起效时间少于对照组,差异有统计学意义(SMD=-1.30,95%CI:-2.57^-0.04,P=0.04)。结论刮痧能有效降低外感发热患者体温,值得在临床上推广。Objective To evaluate the effectiveness of crapping treatment on abatement of fever in patients with exogenous fever.Methods The randomized controlled trials(RCTs),controlled clinical trials(CCTs)and cohort studies about scrapping treatment for exogenous fever were collected through the databases such as CNKI,CBM,VIP Database for Chinese Technical Periodicals,PubMed,Science Direct,Cochrane Library,Wanfang Data.The quality of studies was critically appraised and data were extracted by two reviewers independently,and Meta-analysis was performed for the included studies by the Review Manager 5.3 software(RevMan 5.3).Results Nine articles were included in the study.Meta-analysis showed that compared with control group,scrapping group the overall effect was higher,and the difference was statistically significant(OR=4.81,95%CI[3.13,7.40],P<0.01).scrapping group 24,48,72 hours of temperature recovery rate was higher than those of the control group,and the combined effect was statistically significant(OR=3.36,95%CI[1.95,5.81],P<0.01;OR=4.92,95%CI[2.82,8.57],P<0.01;OR=3.42,95%CI[1.29,9.05],P=0.01).The onset tine of fever abatement in the scrapping group was shorter than that of the control group,and the difference was statistically significant(SMD=-1.30,95%CI[-2.57,-0.04],P=0.04).Conclusions The method of scrapping can effectively reduce the body temperature of exogenous fever patients,which should be promoted in clinical practice.

关 键 词：刮痧法 外感热病 META分析 效果评价 中西医结合护理 中医护理技术 

分 类 号：R244.4[医药卫生—针灸推拿学]