中药熏洗在关节镜下前交叉韧带重建术后护理中有效性的meta分析  

Meta analysis of the effectiveness of traditional Chinese medicine fumigation in the nursing of patients after anterior cruciate ligament reconstruction

作　　者：李品[1] 韩燕鸿[2] 杨伟毅[2] 陈红云[2] 黄秀军[1] 陈丽宜[1] LI Pin;HAN Yanhong;YANG Weiyi;CHEN Hongyun;HUANG Xiujun;CHEN Liyi(Department of Knee Osteoarthritis,Guangdong Provincial Hospital of Traditional Chinese Medicine,Guangdong Province,Guangzhou510120,China;Department of Sport Medicine,Guangdong Provincial Hospital of Traditional Chinese Medicine,Guangdong Province,Guangzhou510120,China)

机构地区：[1]广东省中医院膝骨关节病科,广东广州510120 [2]广东省中医院运动医学科,广东广州510120

出　　处：《中国医药导报》2020年第33期129-132,144,共5页China Medical Herald

基　　金：国家自然科学基金资助项目(81974574)。

摘　　要：目的系统评价中药熏洗在关节镜下前交叉韧带重建术后护理中的有效性。方法电子检索各数据库(PubMed、Wanfang Data、CNKI、VIP和CBM),检索时间从建库至2020年6月,汇总所有对照组术后采用常规康复训练、试验组术后采用中药熏洗配合常规康复训练的随机对照试验。纳入的文献按照Cochrane协作网上的评价方法进行文献质量评价,采用RevMan 5.3软件对总有效率、视觉模拟评分(VAS)、Lysholm评分进行统计分析。结果最终纳入7篇文献,共544例患者。meta分析结果显示:与对照组比较,试验组总有效率升高[OR=10.43,95%CI(4.98,21.83),P<0.00001],VAS降低[MD=-0.47,95%CI(-0.62,-0.31),P<0.00001],Lysholm评分升高[MD=8.24,95%CI(5.41,11.07),P<0.00001],差异有统计学意义。结论关节镜下前交叉韧带重建术后应用中药熏洗进行干预具有较好的临床疗效,但由于此次纳入的文献质量偏低,各研究的数量有限,今后还需要开展严格设计的、高质量的临床研究进一步验证。Objective To systematically assess the clinical effect of traditional Chinese medicine fumigation in the nursing of patients after anterior cruciate ligament reconstruction.Methods From the establishment of the database to June 2020,the databases of PubMed,Wanfang Data,CNKI,VIP and CBM were searched by computer.All the randomized controlled trials conducted after surgery were collected that experimental group using traditional Chinese medicine fumigation and none using traditional Chinese medicine fumigation as control group.Cochrane Handbook was used to analyze the quality of included literature.RevMan 5.3 software was used to evaluate total effective rate,visual analogue scale(VAS)and Lysholm score.Results Seven articles that contained 544 patients were included.Meta analysis results suggested that compared with control group,total effective rate of experimental group increased(OR=10.43,95%CI[4.98,21.83],P<0.00001),VAS of experimental group decreased(MD=-0.47,95%CI[-0.62,-0.31],P<0.00001),Lysholm score of experimental group increased(MD=8.24,95%CI[5.41,11.07],P<0.00001).Conclusion The application of traditional Chinese medicine fumigation in the nursing of patients after anterior cruciate ligament reconstruction has good clinical efficacy.However,due to the low quality of the included literature and limitations of the included researches,more rigorously designed and high quality clinical studies are required for confirmation in the future.

关 键 词：中药熏洗 前交叉韧带 关节镜 护理 META分析 

分 类 号：R274[医药卫生—中医骨伤科学]