本文關(guān)鍵詞：針灸與針刀治療肩關(guān)節(jié)周圍炎療效比較的系統(tǒng)評價　出處：《中華中醫(yī)藥雜志》2012年03期 　論文類型：期刊論文

  更多相關(guān)文章： 針灸 針刀 肩關(guān)節(jié)周圍炎 系統(tǒng)評價 Meta分析 循證醫(yī)學(xué)

【摘要】：目的:系統(tǒng)評價針灸與針刀治療肩關(guān)節(jié)周圍炎的療效和安全性差異。方法:計算機檢索中國生物醫(yī)學(xué)文獻數(shù)據(jù)庫CBM(1978年—2010年)、中國知網(wǎng)CNKI(1979年—2010年)、維普數(shù)據(jù)庫VIP(1989年—2010年)、PubMed(1966年—2010年)和Cochrane Library(2010年第4期),輔以手工檢索相關(guān)期刊,納入針灸與針刀比較治療肩周炎的隨機對照試驗。由2名評價者按照Cochrane系統(tǒng)評價員手冊4.2.8的要求獨立提取資料并交叉核對,采用RevMan5.1軟件進行Meta分析。結(jié)果:共納入6個隨機對照試驗,包括570例患者,僅有1篇高質(zhì)量文獻。Meta分析結(jié)果:針刀組治療肩周炎總有效率明顯高于針灸組,OR=7.70,95%CI[2.58,22.99],Z=3.66,P0.01;針刀組治療肩周炎痊愈率明顯高于針灸組,OR=5.39,95%CI[3.48,8.32],Z=7.58,P0.01。結(jié)論:針刀治療肩周炎療效優(yōu)于針灸。但本研究納入試驗數(shù)有限且文獻質(zhì)量較低,需設(shè)計更嚴格的隨機對照試驗來進一步驗證上述結(jié)論。
[Abstract]:Objective: to evaluate the efficacy and safety of acupuncture and acupuncture in the treatment of periarthritis of shoulder. Methods: CBM (1978-2010) was searched by computer in Chinese biomedical literature database. CNKI (1979-2010), VIPB (1989-1989). PubMedand (1966-2010) and Cochrane Library (issue 4, 2010), supplemented by manual retrieval of relevant journals. A randomized controlled trial was conducted to compare acupuncture and acupuncture in the treatment of periarthritis of shoulder. The data were extracted and cross-checked by two evaluators according to the requirements of the Cochrane system evaluator's manual 4.2.8. Results: six randomized controlled trials were conducted, including 570 patients. Results of Meta-analysis: the total effective rate of acupuncture group in treating shoulder periarthritis was significantly higher than that in acupuncture group (7.7095 CI). [The cure rate of scapulohumeral periarthritis in the acupuncture group was significantly higher than that in the acupuncture group (OR 5.39 鹵95 CI). [Conclusion: acupuncture is superior to acupuncture in the treatment of periarthritis of shoulder, but the number of experiments involved in this study is limited and the quality of literature is low. Stricter randomized controlled trials need to be designed to further validate the above conclusions.
【作者單位】： 北京中醫(yī)藥大學(xué);江西中醫(yī)學(xué)院;山西中醫(yī)學(xué)院;
【基金】：國家重點基礎(chǔ)研究發(fā)展計劃(973計劃)(No.2006CB504508)~~
【分類號】：R246.9
【正文快照】： 肩關(guān)節(jié)周圍炎(frozen shoulder)是因肩關(guān)節(jié)周圍軟組織病變引起肩關(guān)節(jié)疼痛和活動受限的一種常見病和多發(fā)病,簡稱肩周炎,又稱凝結(jié)肩、凝肩癥等。因其好發(fā)于中老年人,尤其以50歲左右年齡組的發(fā)病率為最高,故又稱“五十肩”、“老年肩”。臨床上應(yīng)用針灸和針刀治療肩周炎較多,目

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相關(guān)期刊論文 前8條

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