芒针治疗腰椎间盘突出症有效性和安全性的Meta分析  

Efficacy and safety of awn needle in the treatment of lumbar disc herniation: A meta-analysis

作　　者：崔海玲 李延菊[2] 陈幸生[2] 王敏君 李燎原 胡玲[1,3] 吴子建 CUI Hai-ling;LI Yan-jv;CHEN Xing-sheng;WANG Min-jun;LI Liao-yuan;HU Ling;WU Zi-jian(Anhui University of Chinese Medicine,Hefei 230012,China;The Second Affiliated Hospital of Anhui University of Chinese Medicine,Hefei 230061,China;Institute of Acupuncture and Meridians,Anhui Academy of Traditional Chinese Medicine,Hefei 230038,China)

机构地区：[1]安徽中医药大学,安徽合肥230012 [2]安徽中医药大学第二附属医院,安徽合肥230061 [3]安徽省中医药科学院针灸经络研究所,安徽合肥230038

出　　处：《海南医学院学报》2022年第24期1904-1911,1916,共9页Journal of Hainan Medical University

基　　金：安徽中医药大学青年科学研究项目(2015qn038);安徽高校科研创新平台团队项目(2015TD033)。

摘　　要：目的:通过Meta分析评价芒针疗法对腰椎间盘突出症患者临床治疗的效果。方法:检索中国知网、万方数据库、维普数据库、PubMed等数据库搜集芒针治疗腰椎间盘突出症患者的临床观察研究。纳入文献方法学质量评价使用Cochrane5.1.0偏倚风险评估标准和Jadad评分量表,数据分析使用RevMan5.3软件。结果:本研究共纳入14篇随机对照实验,共1 186例患者,其中芒针组595例,对照组591例。Meta分析显示芒针治疗组总有效率高于对照组[RR=1.17;95%CI(1.12,1.22);Z=6.66;P<0.000 01];芒针治疗组VAS评分改善优于对照组[WMD=-1.07,95%CI(-1.19,-0.95),Z=17.87,P<0.000 1];芒针治疗组JOA评分改善优于对照组[WMD=3.18,95%CI(2.64,3.71),Z=11.57,P<0.000 01];芒针治疗组ADL评分改善优于对照组[SMD=2.44,95%CI(0.54,4.35),Z=2.52,P=0.01];芒针治疗组SLRT角度改善优于对照组[WMD=12.71,95%CI(3.21,22.21),Z=2.62,P=0.009]。结论:芒针疗法能够提高腰椎间盘突出症患者的总有效率,减轻疼痛,提高患者直腿抬高角度,对改善症状,缓解病情发展具有重要意义,值得临床推广和应用。Objective:To evaluate the intervention effect of awn needle in the treatment of lumbar disc herniation through meta-analysis. Methods:In CNKI,Wanfang Data,PubMed,VIP and other databases,we searched the clinical observation studies on the treatment of patients with lumbar disc herniation with awn needle. The methodological quality of the included studies was evaluated using Cochrane 5.1.0 bias risk assessment criteria and Jadad scale. Revman 5.3 software was used for meta-analysis.Results:A total of 14 randomized controlled trials involving 1 186 patients were included,with 595 in the awn needle treatment group and 591 in the control group. Meta-analysis showed that the awn needle treatment group was better than that of the control group in the total effective rate[RR=1.17;95%CI(1.12,1.22);Z=6.66;P<0.000 01];the awn needle treatment group was better than the control group in ameliorating VAS score[WMD=-1.07,95%CI(-1.19,-0.95),Z=17.87,P<0.000 01];the awn needle treatment group was better than the control group in ameliorating JOA score[WMD=3.18,95%CI(2.64,3.71),Z=11.57,P<0.000 01];the awn needle treatment group was better than the control group in the amelioration of ADL score[SMD=2.44,95%CI(0.54,4.35),Z=2.52,P=0.01];the awn needle treatment group was better than the control group in the improvement of SLRT angle[WMD=12.71,95%CI(3.21,22.21),Z=2.62,P=0.009]. Conclusion:Awn needle treatment can improve the total effective rate of patients with lumbar disc herniation,relieve the pain of patients,improve the straight leg elevation angle of patients,alleviate the disease development,relieve the symptoms,and improve the quality of life of patients. It is worthy of clinical application.

关 键 词：中医疗法 芒针 腰椎间盘突出症 META分析 

分 类 号：R246.9[医药卫生—针灸推拿学]