针刺临床有效性优势病症的系统评价再评价  

Dominant diseases of acupuncture in clinical efficacy:an overview of systematic reviews

作　　者：李秀霞 郭康乐 商雪 鄂芬芬 杨超群 王艳 陈楠 李艳飞 王世中 牛军强[4] 汪永锋[5] 杨克虎[1,2,6] LI Xiuxia;GUO Kangle;SHANG Xue;E Fenfen;YANG Chaoqun;WANG Yan;CHEN Nan;LI Yanfei;WANG Shizhong;NIU Junqiang;WANG Yongfeng;YANG Kehu(Evidence-Based Social Science Research Center&Health Technology Assessment Center,School of Public Health,Lanzhou University,Lanzhou 730000,P.R.China;Key Laboratory of Evidence Based Medicine and Knowledge Translation of Gansu Province,Lanzhou 730000,P.R.China;Wuwei People's Hospital,Wuwei 733000,P.R.China;Department of Traditional Chinese Medicine,the First Hospital of Lanzhou University,Lanzhou 730000,P.R.China;Gansu University of Chinese Medicine,Lanzhou 730000,P.R.China;Evidence-Based Medicine Center,School of Basic Medicine,Lanzhou University,Lanzhou 730000,P.R.China)

机构地区：[1]兰州大学循证社会科学研究中心/卫生技术评估中心,兰州大学公共卫生学院,兰州730000 [2]甘肃省循证医学与临床转化重点实验室,兰州730000 [3]甘肃省武威市人民医院,甘肃武威733000 [4]兰州大学第一医院中医科,兰州730000 [5]甘肃中医药大学,兰州730000 [6]兰州大学循证医学中心,兰州大学基础医学院,兰州730000

出　　处：《中国循证医学杂志》2021年第6期703-709,共7页Chinese Journal of Evidence-based Medicine

基　　金：国家自然科学基金项目(编号:82004203)。

摘　　要：目的对针刺临床有效性优势病症的系统评价进行再评价。方法计算机检索PubMed、The Cochrane Library、Web of Science、CNKI、CBM、VIP和WanFang Data数据库,搜集报告针刺疗法临床有效性优势病症的系统评价或Meta分析,检索时限均为建库至2020年12月。由2名研究者独立筛选文献、提取资料并评估纳入研究的质量后,采用Excel 2010和VOS viewer进行数据分析。结果共纳入263篇系统评价,涉及的针刺技术依次为电针(29篇)、穴位埋线(25篇)、皮肤针(15篇)、水针(12篇)、鍉针(12篇)、火针(8篇)、激光针(8篇)、皮内针(5篇)、毫针(4篇)、刺络(2篇)和圆利针(1篇)。纳入病症94种,其总有效率最低为4%(膀胱癌),最高为98%(膀胱结石、肾绞痛),总有效率在85%以上的病症有72种。结论针刺疗法临床应用广泛。基于当前临床有效性证据,最终确定94种针刺优势病症,但不同针刺研究总样本量和总有效率差别较大,针刺疗效尚不明确,需要未来研究加以关注。Objective To overview the systematic reviews of dominant diseases of acupuncture in clinical efficacy.Methods PubMed,The Cochrane Library,Web of Science,CNKI,CBM,VIP and WanFang Data databases were electronically searched to collect systematic reviews or meta-analyses of dominant diseases of acupuncture in clinical efficacy from inception to December 2020.Two reviewers independently screened literature,extracted data and assessed the quality of the included studies.Then,Excel 2010 and VOS viewer were used for data analysis.Results A total of 263 systematic reviews were included.Acupuncture techniques involved electroacupuncture(n=29),point thread-embedding(n=25),dermal needle(n=15),acupoint injection(n=12),spoon needle(n=12),fire needle(n=8),laser(n=8),intradermal needle(n=5),filiform needle(n=4),pricking blood therapy(n=2)and round-sharp needle(n=1).A total of 94 kinds of diseases were identified,and their total effective rate ranged from 4%(bladder cancer)to 98%(bladder stones,renal colic),72 kinds of which were above 85%.Conclusions Acupuncture is currently widely used in clinical practice.Based on the clinical effectiveness evidence,this study finally identifies 94 types of dominant diseases.However,the total sample size and total effective rate vary considerably,and the types of acupuncture are not yet specified in this study,which requires to be focused in future research.

关 键 词：针刺 优势病症 系统评价 META分析 再评价 

分 类 号：R246[医药卫生—针灸推拿学]