平衡针灸治疗腰椎间盘突出症临床疗效的meta分析  

Clinical efficacy of balanced acupuncture for lumbar disc herniation:a meta-analysis

作　　者：黄丽 柳鸿林 王梦洁 薛渊 王秀明 李健敏 王轩 HUANG Li;LIU Honglin;WANG Mengjie;XUE Yuan;WANG Xiuming;LI Jianmin;WANG Xuan(Shanxi University of Chinese Medicine,Taiyuan,Shanxi 030000,China;Shanxi Health Vocational College,Jinzhong,Shanxi 030600,China)

机构地区：[1]山西中医药大学,山西太原030000 [2]山西卫生健康职业学院,山西晋中030600

出　　处：《现代医药卫生》2024年第2期252-257,共6页Journal of Modern Medicine & Health

基　　金：山西省中医药管理局科研项目(2023ZYYA034);山西省卫生健康委员会科研项目(2023080);山西中医药大学研究生创新创业项目(2023CX008)。

摘　　要：目的系统评价平衡针灸治疗腰椎间盘突出症(LDH)的临床疗效。方法计算机检索PubMed、Cochrane Library、Embase、中国知网、中国生物医学文献数据库(CBM)、万方数据库、维普数据库,搜集国内外有关平衡针灸治疗LDH的临床随机对照试验,检索时限为建库至2022年11月26日。采用RevMan5.3软件进行meta分析。结果共纳入文献19篇,涉及患者2835例,其中对照组1418例,干预组1417例。meta分析结果显示,干预组临床有效率及视觉疼痛模拟量表评分、疼痛分级指数评分、现有疼痛强度评分、Oswestry功能障碍指数评分优于对照组,差异有统计学意义(P<0.00001)。结论平衡针灸及其联合疗法治疗LDH的不良反应少,能在一定程度上改善患者临床症状,是一种安全、有效的方法。Objective To systematically evaluate the clinical efficacy of balanced acupuncture in the treatment of lumbar disc herniation(LDH).Methods PubMed,Cochrane Library,Embase,CNKI,CBM,Wanfang and VIP Databases were searched by computer to collect clinical randomized controlled trials of balanced acupuncture for LDH at home and abroad.The search time limit was from the establishment of the database to November 26,2022.Meta-analysis was performed using RevMan5.3 software.Results A total of 19 articles were included,involving 2835 patients,including 1418 in the control group and 1417 in the intervention group.The results of meta-analysis showed that the clinical effective rate,visual pain analogue scale score,pain grading index score,existing pain intensity score and Oswestry dysfunction index score of the intervention group were better than those of the control group,and th e differences were statistically significant(P<0.00001).Conclusion Balanced acupuncture and its combination therapy have fewer adverse reactions in the treatment of LDH,and can improve the clinical symptoms of patients to a certain extent.It is a safe and effective method.

关 键 词：平衡针 腰椎间盘突出症 系统评价 

分 类 号：R245[医药卫生—针灸推拿学]