中医适宜技术对寒湿痹阻型膝痹病患者干预效果的网状Meta分析  

Network Meta-analysis of the Intervention Effect of Traditional Chinese Medicine Appropriate Techniques on Patients with Knee Osteoarthritis of Cold-Dampness Obstruction Type

作　　者：周春清 唐林霞 刘永思 冯欣夷 马桂月 林伊慧 裘云霞 马小琴[1] ZHOU Chunqing;TANG Linxia;LIU Yongsi(School of Nursing,Zhejiang Chinese Medical University,Hangzhou(310053),China;Hangzhou Zhongce Vocational School Qiantang)

机构地区：[1]浙江中医药大学护理学院,杭州310053 [2]杭州市中策职业学校钱塘学校

出　　处：《浙江中医药大学学报》2025年第3期356-366,共11页Journal of Zhejiang Chinese Medical University

基　　金：浙江省中医药科技计划项目(2024ZL041)。

摘　　要：[目的]系统评价不同中医适宜技术对寒湿痹阻型膝痹病患者的干预效果,为临床实践提供循证依据。[方法]检索英文数据库PubMed、Web of Science Core Collection、CINAHL Complete、Embase、Science Direct、Cochrane Library,中文数据库中国知网、万方、维普和中国生物医学文献数据库中关于中医适宜技术对寒湿痹阻型膝痹病患者干预效果的文献,检索时限为2019年1月1日至2024年7月18日,由2名研究者独立筛选文献,并进行资料提取和文献质量评价。采用RevMan 5.4软件进行传统Meta分析,Stata 17.0软件进行网状Meta分析。[结果]最终纳入33项研究,共3154例患者,13种中医适宜技术。网状Meta分析显示,穴位贴敷联合中药熏洗改善膝关节症状的效果最好,累计排序概率图下面积(surface under the cumulative ranking,SUCRA)为92.7%;艾灸联合中药离子导入在提高临床总有效率方面效果最好,SUCRA为86.8%。[结论]现有研究表明,穴位贴敷联合中药熏洗能有效改善寒湿痹阻型膝痹病患者膝关节症状,艾灸联合中药离子导入能有效提高临床总有效率,且联合使用不同的中医适宜技术较单一使用效果较好。建议临床医护人员可在中医辨证基础之上,制定多样化的中医适宜技术干预方案,以提高寒湿痹阻型膝痹病患者的临床疗效和护理质量。[ObjectiveObjective]To systematically evaluate the effect of different traditional Chinese medicine(TCM)appropriate techniques on patients with knee osteoarthritis of cold-dampness obstruction type,so as to provide evidence-based clinical practice.[MethodsMethods]Databases including PubMed,Web of Science Core Collection,CINAHL Complete,Embase,Science Direct,Cochrane Library,CNKI,Wanfang,VIP and SinoMed were searched for literature on the intervention effect of TCM appropriate techniques on patients with knee osteoarthritis of cold-dampness obstruction type.The retrieval time was from January 1,2019 to July 18,2024.Two researchers independently screened the literature,extracted the data and evaluated the quality of the literature.RevMan 5.4 software was used for traditional Meta-analysis,and Stata 17.0 software was used for network Meta-analysis.[ResultsResults]A total of 33 studies were included,involving 3154 patients and 13 TCM appropriate techniques.Network Meta-analysis showed that acupoint application combined with Chinese medicine fumigation and washing had the best effect in relieving knee joint symptoms,and the surface under the cumulative ranking(SUCRA)was 92.7%,moxibustion combined with Chinese medicine iontophoresis had the best effect in improving clinical efficacy,and the SUCRA was 86.8%.[ConclusionConclusion]The existing research shows that acupoint application combined with Chinese medicine fumigation and washing can effectively relieve the knee joint symptoms of patients with knee osteoarthritis of cold-dampness obstruction type,and moxibustion combined with Chinese medicine iontophoresis can effectively improve the clinical efficacy.The combined use of different TCM appropriate techniques is better than the single use.It is suggested that the clinical medical staff can implement comprehensive TCM appropriate techniques based on TCM syndrome differentiation,so as to improve the clinical efficacy and nursing quality of patients with cold-dampness obstruction type knee osteoarthritis.

关 键 词：中医适宜技术 膝痹病 寒湿痹阻型 穴位贴敷 中药熏洗 艾灸 中药离子导入 网状Meta分析 

分 类 号：R472[医药卫生—护理学]