Meta-analysis and systematic evaluation of the curative effect and analgesic effect of acupuncture on herpes zoster  

作　　者：Huan Xie Yong-Jun Peng Ke-Rui Wu Hai-Bin Jiang Xing-Zhuo Jiang 

机构地区：[1]Affiliated Hospital of Nanjing University of Chinese Medicine,Jiangsu Province Hospital of Chinese Medicine,Nanjing 210029,China [2]Guangzhou University of Chinese Medicine,Guangzhou 510000,China

出　　处：《Journal of Hainan Medical University》2021年第18期48-48,共1页海南医学院学报（英文版）

基　　金：Construction Project of Advantageous Disciplines in Jiangsu Universities,Open Project of the Third Phase of Advantageous Disciplines in Traditional Chinese Medicine of Nanjing University of Chinese Medicine(No.ZYX03KF035);2019 Hospital-Level Project of Jiangsu Hospital of Traditional Chinese Medicine(No.Y19024);the Sixth Batch of National Old Chinese Medicine experts Academic Experience Successor Project[National Education and Development of Traditional Chinese Medicine(2017)No.29]。

摘　　要：Objective:To systematically evaluate the clinical efficacy and analgesic effect of acupuncture and moxibustion in the treatment of herpes zoster by comparing western medicine.Methods:Randomized controlled trials on acupuncture and western medicine for herpes zoster were searched from CNKI,Wanfang Database,VIP,CMB,PubMed,Embase and Cochrane library databases,and the retrieval time was from January 2010 to July 2020.RevMan5.3 software was used for Meta analysis.Results:A total of 30 randomized controlled studies were included,involving a total of 4292 patients.Subgroup analysis was conducted according to different intervention measures in the experimental group.The results showed that:(1)The total effective rate of the subgroup analysis showed that the combined effect of acupuncture treatment alone RR=1.10,95%CI[1.05,1.15],P<0.0001.Results:RR=1.16,95%CI[0.86,1.57],P=0.33.It suggests that the therapeutic effect of acupuncture and moxibustion on herpes zoster is superior to that of western medicine,but acupuncture and western medicine treatment cannot improve the clinical efficacy of western medicine.However,due to the unstable meta-analysis of acupuncture and western medicine treatment in the subgroup,the results need to be treated with caution and further clinical verification is still needed.(2)VAS score improvement analysis showed that the combined effect of acupuncture alone RR=2.20,95%CI[1.53,2.87],P<0.00001.RR=1.12,95%CI[0.39,1.85],P=0.002,suggesting that acupuncture is significantly better than western medicine in improving the pain of shingles,and western medicine combined with acupuncture can improve the analgesic effect.(3)The subgroup analysis of sequelae incidence showed that the combined effect amount of acupuncture alone on sequelae incidence at 30 days was RR=0.34,95%CI[0.25,0.48],P<0.00001,and the combined effect amount of acupuncture combined with western medicine was RR=0.18,95%CI[0.05,0.69],P=0.01.Incidence of sequelae at 60 days RR=0.38,95%CI[0.23,0.62],P=0.0001;The incidence of post-herpetic neu

关 键 词：ACUPUNCTURE Herpes zoster Snake sore META-ANALYSIS Clinical efficacy Analgesic effect 

分 类 号：R24[医药卫生—中医临床基础]