针刀联合正骨治疗颈性眩晕临床疗效的Meta分析  

Meta-analysis of Clinical Efficacy of Acupotomy Combined with Bonesetting for Cervical Vertigo

作　　者：宋雪 居宇斌 叶芊 严一成 曾翡翠 朱烱伟 SONG Xue;JU Yu-bin;YE Qian;YAN Yi-cheng;ZENG Fei-cui;ZHU Jiong-wei(Orthopedics and Traumatology Department I,Shanghai Traditional Chinese Medicine Integrated Hospital,Shanghai University of Traditional Chinese Medicine,Shanghai 200082)

机构地区：[1]上海中医药大学附属上海市中西医结合医院骨伤一科,上海200082

出　　处：《世界中西医结合杂志》2024年第7期1305-1311,共7页World Journal of Integrated Traditional and Western Medicine

基　　金：2022年度上海市虹口区卫生健康委员会中医药科研课题(HKQGYQY-ZYY-2022-07);上海市科委科技创新行动计划(21Y21920302)。

摘　　要：目的系统评价针刀联合正骨治疗颈性眩晕的临床疗效,为治疗颈性眩晕的临床决策提供循证参考。方法检索2013年1月1日-2023年12月31日期间中国生物医学数据库(SinoMed)、中国知网、万方数据库、维普数据库、PubMed等数据库中收录的针刀联合正骨治疗颈性眩晕相关的随机对照研究文献。分层筛选,将所纳文献行数据提取并予质量评价,采用RevMan5.3,Stata14.0统计学软件进行Meta分析。结果共有27篇文献符合纳入标准,共2481例患者。Meta分析结果:观察组总有效率优于对照组(P<0.00001);观察组左、右椎动脉,基底动脉血流速度改善程度均优于对照组(P<0.00001);观察组相较其他疗法能有效改善颈X线影像学指标(P<0.001);观察组在改善颈性眩晕症状与功能评分方面较对照组有明显优势(P<0.05)。结论针刀联合正骨相较其他疗法可显著提高临床有效率、改善其临床症状、疼痛程度、椎基底动脉血流速度及影像学指标,提示临床治疗颈性眩晕可优先采用针刀联合正骨方法。Objective To systematically evaluate the clinical efficacy of acupotomy combined with bonesetting in the treatment of cervical vertigo and provide evidence-based references for clinical decision-making in the treatment of cervical vertigo.Methods A search was conducted for randomized controlled trials(RCTs)related to acupotomy combined with bonesetting in the treatment of cervical vertigo from January 1,2013,to December 31,2023,in databases including SinoMed,CNKI,Wanfang Data,VIP,and PubMed.The relevant literature was screened in layers,and data were extracted.The quality was assessed.Meta-analysis was performed using RevMan 5.3 and Stata 14.0 statistical software.Results A total of 27 studies meeting the inclusion criteria were found,involving 2481 patients.The results of the Meta-analysis showed that the overall efficacy rate in the observation group was superior to that in the control group(P<0.00001).The improvement in blood flow velocity of the left and right vertebral arteries and the basilar artery in the observation group was better than that in the control group(P<0.00001).The observation group showed significant improvements in cervical X-ray imaging indicators compared to other therapies(P<0.001).Additionally,the observation group demonstrated a significant advantage over the control group in improving cervical vertigo symptoms and functional scores(P=0.01<0.05).Conclusion Acupotomy combined with bonesetting significantly enhanced clinical efficacy,improved clinical symptoms,reduced pain levels,increased vertebrobasilar artery blood flow velocity,and improved imaging indicators in patients with cervical vertigo compared to other treatments.Therefore,this combination therapy should be prioritized in the clinical treatment of cervical vertigo.

关 键 词：颈性眩晕 椎动脉型颈椎病 正骨 针刀 META分析 

分 类 号：R255.3[医药卫生—中医内科学]