针灸治疗多发性抽动症临床疗效meta分析  

Efficacy of acupuncture and moxibustion for treating Tourette syndrome:a meta analysis*

作　　者：朱博畅[1] 单永华 曹燕[1] 郑慧敏[1] ZHU Bochang;SHAN Yonghua;CAO Yan;ZHENG Huimin(Department of Acupuncture and Moxibustion,Affiliated Shanghai Municipal Hospital of Traditional Chinese Medicine,Shanghai University of Traditional Chinese Medicine,Shanghai 200071,China)

机构地区：[1]上海中医药大学附属市中医医院针灸科,上海200071

出　　处：《现代医药卫生》2020年第15期2314-2318,共5页Journal of Modern Medicine & Health

基　　金：上海市卫生健康委员会中医药科研专项课题项目(2016LP033)。

摘　　要：目的系统评价针灸治疗多发性抽动症的临床疗效。方法通过计算机检索中国知网(CNKI)、维普资讯中文期刊服务平台(VIP)、万方数据知识服务平台、Pubmed、Cochrane Library数据库中符合针灸对照口服西药治疗多发性抽动症的临床随机对照试验文献,检索时间为建库至2018年10月6日。针灸采用Cochrane系统评价方法,运用RevMan5.3软件对纳入文献进行系统评价。结果共纳入19篇文献,共1544例多发性抽动症患者。针灸治疗多发性抽动症的总有效率明显高于口服西药,耶鲁综合抽动严重程度量表积分改善较口服西药具有明显优势,差异均有统计学意义(P<0.05)。结论针灸治疗多发性抽动症有效,与口服西药比较,具有一定疗效优势。但纳入文献质量较低,存在一定偏倚,尚需大量、高质量的随机对照试验研究进一步支持。Objective To systematically evaluate the clinical efficacy of acupuncture and moxibustion in the treatment of Tourette syndrome.Methods The clinical randomized controlled trials of acupuncture and moxibustion in the treatment of Tourette syndrome with oral Western medicine as the control were retrieved from the databases of CNKI,Weipu Information Chinese periodical service platform(VIP),Wanfang database,Pubmed and Cochrane Library by computer.The retrieval time was from the establishment of the database to October 6,2018.Acupuncture and moxibustion adopted the Cochrane system evaluation method and the RevMan 5.3 software was used to systematically evaluate the included data.Results A total of 19 papers involving 1544 patients with Tourette syndrome were included.The total effective rate of acupuncture and moxibustion for treating Tourette syndrome was significantly higher than that of oral Western medicine.The improvement of YGTSS score in the acupuncture and moxibustion had significant superiority than oral Western medicine,and the difference between them was statistically significant(P<0.05).Conclusion Acupuncture and moxibustion is effective in the treatment of Tourette syndrome.Compared with oral Western medicine,it has certain curative effect advantages.However,the quality of the included literatures is low and there are some biases.A large number of high-quality randomized controlled trials are needed for further support.

关 键 词：多动秽语综合征 针灸疗法 治疗结果 随机对照试验 META分析 

分 类 号：R246.4[医药卫生—针灸推拿学] R749.94[医药卫生—中医临床基础]