运动练功法治疗肩关节周围炎疗效的meta分析  

Meta-analysis of the therapeutic effect of exercise therapy on scapulohumeral periarthritis

作　　者：马泽冰 倪力力 伍智亮 陈培 熊辉[2] MAZebing;NI Lili;WUZhiliang;CHENPei;XIONGHui(The Second Affiliated Hospital of Hunan University of Traditional Chinese Medicine,Hunan,Changsha 410005,China;Hunan University of Traditional Chinese Medicine,Hunan,Changsha 410208,China)

机构地区：[1]湖南中医药大学第二附属医院,湖南长沙410005 [2]湖南中医药大学,湖南长沙410208

出　　处：《中国医药科学》2023年第20期154-157,共4页China Medicine And Pharmacy

基　　金：湖南省中医药科研计划项目(B2023092)。

摘　　要：目的本文通过meta分析的方法研究运动练功疗法对肩关节周围炎的治疗效果,以期获得更好的治疗结果。方法检索2012年1月至2022年3月中国知网、万方会议论文数据库、中文科学期刊全文数据库、中国生物学文章资料库、公共医学PubMed资料库、Ovid Technologies、Cochrane Library,筛选关于运动练功疗法治疗肩关节周围炎的文献。文献在筛选和质量评估后,使用RevMan 5.3软件进行meta分析。结果最终纳入21篇文献,研究组875例,试验组897例,共1754例均符合肩部周边炎的诊断标准。meta分析结果显示,运动练功疗法总有效率优于对照组,差异有统计学意义[RR=1.13,95%CI(1.08,1.19),P<0.00001];练功疗法改善患者的疼痛症状较对照组更为显著,差异有统计学意义[MD=2.32,95%CI(0.82,3.82),P=0.002];运动练功疗法提升肩功能活动度较对照组显著,差异有统计学意义[MD=10.62,95%CI(6.09,15.16),P<0.00001]。结论运动练功疗法在治疗肩周炎方面优于其他疗法。但目前尚未制订统一的疗效标准和临床指南,需收集更高质量样本及更客观指标,来进一步验证其疗效的稳定性。Objective To study the therapeutic effect of exercise therapy on scapulohumeral periarthritis by meta-analysis,in order to obtain better treatment results.Methods The data in China National Knowledge Infrastructure(CNKI),Wanfang Conference Paper Database,Chinese Scientific Journal Full Text Database,China Biology Medicine disc,PubMed Database,Ovid Technologies,and Cochrane Library were retrieved,with the retrieval time from January 2012 to March 2022,screening the literature on exercise therapy in the treatment of shoulder periarthritis.After literature selection and quality assessment,meta-analysis was performed using RevMan 5.3 software.Results 21 articles were ultimately included,with 875 patients in the study group and 897 patients in the test group.Among them,a total of 1754 patients met the diagnostic criteria for scapulohumeral periarthritis.The meta-analysis results showed that the total effective rate of exercise training therapy was superior to the control group,with statistically significant difference(RR=1.13,95%CI[1.08,1.19],P<0.00001).Exercise therapy improved the pain symptoms of patients more significantly than the control group,with statistically significant difference(MD=2.32,95%CI[0.82,3.82],P=0.002).The exercise training therapy improved the shoulder function activity of the experimental group significantly compared to the control group,with statistically significant difference(MD=10.62,95%CI[6.09,15.16],P<0.00001).Conclusion Research has shown that exercise therapy is superior to other therapies in treating scapulohumeral periarthritis.However,there are currently no unified efficacy standards and clinical guidelines developed,and higher quality samples and more objective indicators need to be collected to further verify the stability of its efficacy.

关 键 词：运动练功 肩周炎 META分析 系统评价 

分 类 号：R274.9[医药卫生—中西医结合]