平衡针灸治疗肩关节周围炎临床疗效的Meta分析  

Meta-analysis of clinic therapeutic effects of balance acupuncture on scapulohumeral periarthritis

作　　者：付国涛 袁海光 张荣强 鲁刚 王渊 王强 乔海法 FU Guotao;YUAN Haiguang;ZHANG Rongqiang;LU Gang;WANG Yuan;WANG Qiang;QIAO Haifa(School of Public Health,Shaanxi University of Chinese Medicine,Xianyang,Shaanxi 712046,China;Affliated Hospital of Shaanxi University of Chinese Medicine,Xianyang,Shaanxi 712046,China;School of Acupuncture,Moxibustion and Tuina,Shaanxi University of Chinese Medicine,Xianyang,Shaanxi 712046,China)

机构地区：[1]陕西中医药大学公共卫生学院,陕西威阳712046 [2]陕西中医药大学附属医院,陕西咸阳712046 [3]陕西中医药大学针灸推拿学院,陕西咸阳712046

出　　处：《上海中医药杂志》2022年第7期22-29,42,共9页Shanghai Journal of Traditional Chinese Medicine

基　　金：科技部国家重点研发计划项目(2018YFC1704606)。

摘　　要：目的 系统评价平衡针灸治疗肩关节周围炎的疗效。方法 计算机检索中国知网、万方数据知识服务平台、维普中文期刊服务平台、中国生物医学文献服务平台、PubMed、Web of Science等数据库中平衡针灸治疗肩关节周围炎的临床随机对照试验,文献发表时间为建库至2021年6月28日,采用RevMan 5.3软件评价纳入文献的偏倚风险,借助Stata 16.0软件进行Meta分析。结果 共纳入28篇文献,涉及13 354例患者,其中试验组11 447例,对照组1 907例。Meta分析结果显示,与对照组相比,采用平衡针灸疗法的试验组有更好的临床疗效[RR=0.95,95%CI(0.91~0.98),P=0.004],能更好地改善疼痛视觉模拟评分(VAS)[WMD=-1.90,95%CI(-2.71~-1.09),P<0.001]、肩关节活动评分[上举:WMD=11.20,95%CI(7.10~15.29),P<0.001;外展:WMD=7.40,95%CI(4.29~10.52),P<0.001;后伸:WMD=4.42,95%CI(2.36~6.49),P<0.001;外旋:WMD=8.62,95%CI(7.65~9.59),P<0.001],以及肩关节Constant-Murley评分[WMD=7.50,95%CI(5.26~9.74),P<0.001]。结论 平衡针灸疗法治疗肩关节周围炎疗效满意,能有效改善患者的疼痛及肩关节活动受限症状;由于文献数量和文献质量受限,所得结论有待后续研究证实。Objective literature of clinical randomized controlled trials on balanced acupuncture for the treatment of scapulohumeral periarthritis was searched in the databases of Chinese National Knowledge Infrastructure(CNKI),Wan Fang Data,VIP(Chongqing VIP Chinese Scientific Journals Database),China Biology Medicine disc(CBM disc),PubMed and Web of Science from the date of database establishment up to June 28,2021,and the included literature was assessed for risk of bias using RevMan 5.3,and meta-analysis was performed with Stata 16.0.Results literature and 13,354 patients(experimental group:11,447;control group:1,907)were included in this study. According to the results of metaanalysis,we observed that the treatment group with balanced acupuncture had better clinical outcomes[RR=0.95,95% CI:0.91~0.98,P=0.004]and better improvement in visual analogue scale(VAS)score of pain[WMD=-1.90,95% CI:-2.71~-1.09,P<0.001],shoulder activity scale scores[elevation:WMD=11.20,95% CI:7.10~15.29,P<0.001;abduction:WMD=7.40,95% CI:4.29-10.52,P<0.001];posterior extension:WMD=4.42,95% CI:2.36~6.49,P<0.001;external rotation:WMD=8.62,95% CI:7.65~9.59,P<0.001,and CMS score[WMD=7.50,95% CI:5.26~9.74,P<0.001]than the control group.ConclusionsBalance acupuncture is effective in treating scapulohumeral periarthritis,which can effectively alleviate pain and improve limited shoulder joint movement. However,the conclusions obtained have to be validated by future studies due to the limited quantity and quality of the literature.

关 键 词：肩周炎 针灸 平衡针灸 临床疗效 META分析 

分 类 号：R246.9[医药卫生—针灸推拿学]