Clinical effect of governor meridian moxibustion on treatment of lumbar disc protrusion: A meta analysis  

作　　者：Sheng-Yue Wen Min Zhang Guo-Qing Du Jian Pang Xun Lin Ning-Yang Gao Yue-Long Cao Yu-Yun Wu Yu-Xin Zheng Bo Chen Hong-Sheng Zhan 

机构地区：[1]Shi's Traumatology Medical Center,Shuguang Hospital,Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China

出　　处：《Journal of Hainan Medical University》2022年第13期55-62,共8页海南医学院学报（英文版）

基　　金：It was supported by the National Natural Science Fundation of C hina(No.81774340,81973875);Funds from Clinical Medicine Research Center of Chronic Muscle and Bone Diseases of Shanghai City(No.20MC1920600);Cons truction Project of High-level Universities and Colleges in Shanghai City(Guide Strategy for TCM Standardization),Key Clinical Specialty“Orthopedics of Chinese Medicine”(No.shslczdzk03901);Pilot Construction Project of Innovation Model for TCM Diagnosis and Treatment in Shanghai City[No.ZY(2018-2020)-FWTX-6033];Clinical Science and Technology Innovation Project of Development Center of Shanghai Shenkang Hospital(No.SHDC2020CR1051B)。

摘　　要：Objective:To explore the clinical effect of governor meridian moxibustion on lumbar intervertebral disc protrusion.Methods:Randomized controlled trials on treatment of lumbar intervertebral disc protrusion with governor meridian moxibustion and combined governor meridian moxibustion were retrieved from CNKI,VIP,Wan Fang Data,CBM,Web of ScienceTM Core Collection,EBSCO Medline,PubMed,OVID,the Cochrane Library,and other databases.The time was from the inception of the database until October 2021.The studies were screened according to the inclusion and exclusion criteria,extracted,and evaluated for quality assessment.The data were analyzed with Review Manager 5.3 software.Results:A total of 24 randomized controlled trials(2379 cases in total)were included.Meta-analysis results showed that compared with control groups such as acupuncture,electroacupuncture,and massage,the governor meridian treatment improved the clinical efficacy[RR=1.17,95%CI(1.13,1.20),P<0.001],relieved patients'pain[MD=-1.56,95%CI(-1.89,-1.22),P<0.001],and improved patients’dysfunction to a certain extent[MD=4.84,95%CI(3.87,5.82),P<0.001].Funnel plot analysis showed that the included literature may be potentially biased in publication.Conclusion:Governor meridian moxibustion has a significant effect on the treatment of lumbar disc protrusion and is worthy of widespread use.However,given the small number of high-quality literature included in the study,the small sample size,and the short follow-up time,high-quality randomized controlled trials are needed to further study the long-term therapeutic effect of governor meridian moxibustion.

关 键 词：Governor meridian moxibustion Lumbar disc protrusion META-ANALYSIS Randomized controlled trial 

分 类 号：R246.9[医药卫生—针灸推拿学]