中西医结合治疗腰椎间盘突出术后残余症状临床疗效的Meta分析  

Meta analysis of the clinical efficacy of integrated traditional Chinese and Western medicine in treating residual symptoms after lumbar disc herniation surgery

作　　者：高芹[1] 凌泽权 GAO Qin;LING Zequan(Linyi Traditional Chinese Medicine Hospital,Linyi 276000,China)

机构地区：[1]临沂市中医医院,山东临沂276000

出　　处：《黑龙江医药科学》2024年第2期49-52,共4页Heilongjiang Medicine and Pharmacy

基　　金：山东省中医药科技项目,编号:Q-2023135;临沂市重点研发计划医学类,编号:2022YX0141。

摘　　要：目的:应用Meta系统评价在常规西医治疗(抗感染、消肿、营养神经等)基础下加入中医疗法对腰椎间盘突出症(lumbar disc herniation,LDH)患者术后残余症状的临床疗效。方法:检索知网、万方、维普、Pubmed等中英文数据库中有关中西医结合对治疗腰椎间盘突出术后残余症状临床疗效的相关文献,研究方法均为随机对照试验(randomized controlled trial,RCT),检索时间2018年1月1日至2023年9月1日。文献质量评估依照Cochrane偏倚风险评价工具,RevMan5.3软件进行分析。结果:共纳入10篇文献,737例患者,Meta分析结果示:治疗组的总体临床疗效高于对照组(RR=1.19,Z=5.22,P<0.00001),疼痛视觉模拟评分(visual analogue scale,VAS)、腰椎功能障碍评分(oswestry dability index,ODI)均低于对照组(SMD=-1.30,Z=14.29,P<0.00001;SMD=-1.71,Z=12.40,P<0.00001),日本骨科协会腰痛疾病疗效评分高于对照组(SMD=1.66,Z=15.74,P<0.00001)。结论:中西医结合治疗能够改善腰椎间盘突出患者的术后残余症状,进一步减轻疼痛,改善生活质量。Objective:To evaluate the clinical efficacy of adding traditional Chinese medicine therapy on postoperative residual symptoms in patients with lumbar disc herniation,based on conventional Western medicine treatment(such as anti infection,swelling reduction,and nerve nutrition),using a metasystem.Method:Retrieve relevant literature on the clinical efficacy of integrated traditional Chinese and Western medicine in treating residual symptoms of lumbar disc herniation after surgery from Chinese and English databases such as CNKI,Wanfang,VIP,Pubmed,etc.The research methods were randomized controlled trials,and the search period has been from 2018 to present.The literature quality evaluation was conducted using the Cochrane bias risk assessment tool method and ultimately analyzed using RevMan5.3 software.Result:A total of 10 articles were included,and the meta-analysis results showed that the overall clinical efficacy of the treatment group was higher than that of the control group(RR=1.19,Z=5.22,P<0.00001).The pain visual analogue score and lumbar dysfunction score were lower than those of the control group(SMD=-1.30,Z=14.29,P<0.00001;SMD=-1.71,Z=12.40,P<0.00001),The efficacy score of the Japanese Orthopedic Association for low back pain was higher than that of the control group(SMD=1.66,Z=15.74,P<0.00001).Conclusion:The combination of traditional Chinese and Western medicine can improve the postoperative residual symptoms of patients with lumbar disc herniation,further alleviate pain,and improve quality of life.

关 键 词：中西医结合 腰椎间盘突出 术后残余症状 META分析 

分 类 号：R681.5[医药卫生—骨科学]