针刺治疗疼痛性颞下颌关节紊乱病Meta分析  

Meta-analysis of acupuncture for painful temporomandibular disorders

作　　者：王芳莉 包烨华[1] 楚佳梅[1] 余静[1] WANG Fangli;BAO Yehua;CHU Jiamei(Department of Acupuncture and Moxibustion,Hangzhou TCM Hospital Affiliated to Zhejiang Chinese Medical University,Hangzhou 310007,China)

机构地区：[1]浙江中医药大学附属杭州市中医院针炙康复科,浙江杭州310007

出　　处：《全科医学临床与教育》2023年第8期685-689,F0003,共6页Clinical Education of General Practice

基　　金：2022年杭州市卫生科技计划一般(A类)项目(A20220437)。

摘　　要：目的系统评价针刺对改善疼痛性颞下颌关节紊乱病(TMDs)的临床疗效。方法检索数据库包括中国知网(CNKI)、万方(Wanfang Data)、维普网(VIP)、PubMed、Embase建库至2023年3月21日针刺治疗疼痛性TMDs的随机对照研究,采用Revman 5.4软件进行数据分析,并对数据分析结果进行GRADE证据等级评价。结果共纳入7项临床研究,共464例患者。改善疼痛强度方面,试验组疗效优于对照组,差异具有统计学意义(SMD=0.84,95%CI 0.60~1.08);试验组最大张口度改善效果优于对照组(SMD=0.64,95%CI 0.40~0.89);试验组在改善Fricton颞下颌关节紊乱指数方面优于对照组(MD=-0.04,95%CI-0.08~-0.00)。结论针刺治疗疼痛性TMDs能够改善疼痛、最大张口度、颞下颌关节功能,但证据质量等级评价不高,仍需更多高质量随机对照试验进一步验证。Objective To systematically evaluate the clinical efficacy of acupuncture in treating painful temporomandibular disorders.Methods Databases including CNKI,Wanfang,VIP,PubMed,and Embase were searched for randomized controlled studies of acupuncture for painful temporomandibular disorders from the date construction to March 21,2023,and data analysis was performed using Revman 5.4,the literature quality were evaluated by GRADE.Results A total of 7 studies with 464 cases were included.For decreasing of pain intensity,the experiment group was more effective than the control group(SMD=0.84,95%CI 0.60-1.08).The improvement in maximal mouth opening was better in the experiment group than in the control group(SMD=0.64,95%CI 0.40-0.89).The experiment group was superior to the control group in improving craniomandibular index(MD=-0.04,95%CI-0.08--0.00).Conclusion Acupuncture for painful temporomandibular disorders improves pain,maximal mouth opening,and temporomandibular joint function,but the quality of evidence rating is not high and further validation by additional high-quality randomized controlled trials is needed.

关 键 词：普通针刺 颞下颌关节紊乱病 疼痛 META分析 

分 类 号：R246.83[医药卫生—针灸推拿学]