认知功能疗法治疗非特异性慢性腰痛疗效的Meta分析  

Effect of cognitive functional therapy for patients with chronic non-specific low back pain:a Meta-analysis

作　　者：王盛均 张志刚[1,2] 姚丽[2] 屈会丽 WANG Sheng-jun;ZHANG Zhi-gang;YAO Li;QU Hui-li(Department of ICU,the First Hospital of Lanzhou University,Lanzhou,Gansu 730000,China;School of Nursing,Lanzhou University,Lanzhou,Gansu 730000,China)

机构地区：[1]兰州大学第一医院重症医学科,甘肃兰州730000 [2]兰州大学护理学院,甘肃兰州730000

出　　处：《颈腰痛杂志》2021年第2期155-159,共5页The Journal of Cervicodynia and Lumbodynia

基　　金：宁夏回族自治区自然科学基金(编号:NZ16212)。

摘　　要：目的评价认知功能疗法在非特异性慢性腰痛中的有效性。方法计算机检索Cochrane Library、PubMed、Web of Science、Embase、CINAHL、中国生物医学文献数据库、中国学术期刊全文数据库和万方数据库中,有关认知功能疗法对非特异性慢性腰痛患者的随机对照试验,检索时限均为建库至2020年8月,由2名研究者独立进行文献筛选、资料提取并评价纳入研究的偏倚风险后,采用RevMan 5.3软件进行Meta分析。结果最终纳入5篇文献,共434例患者。Meta分析显示,认知功能训练能有效改善患者身体残疾指数[SMD=-0.77,95%CI(-0.97,-0.56),P<0.001],能减轻患者疼痛[SMD=-0.69,95%CI(-0.89,-0.48),P<0.001],差异均有统计学意义(P<0.05)。结论认知功能疗法能有效改善非特异性慢性腰痛患者的身体残疾指数,并减轻患者疼痛感。但本文纳入的高质量证据有限,日后还需设计严谨的大样本随机对照试验做进一步研究。Objective This Meta-analysis aimed to evaluate the effect of cognitive functional therapy(CFT)in the treatment of patients with chronic non-specific low back pain(CNSLBP).Methods A systematic search of the following online databases was conducted,including Cochrane Library,PubMed,Web of Science,EMbase,CBM,CNKI and Wanfang Data.We used RevMan 5.3 software to conduct Meta-analysis.Results A total of 5 randomized control trial(RCTs)including 434 patients were included in this Meta-analysis.The Meta-analysis showed that CFT could reduce disability[SMD=-0.77,95%CI(-0.97,-0.56),P<0.001],and reduce pain intensity[SMD=-0.69,95%CI(-0.89,-0.48),P<0.001].Conclusion CFT is effective in reducing disability and pain intensity.In the future,a large sample of high-quality RCT should be included for further research.

关 键 词：认知功能疗法 非特异性慢性腰痛 随机对照试验 META分析 

分 类 号：R441.1[医药卫生—诊断学]