【摘要】：目的:探究浮針療法治療腰椎間盤突出癥的優(yōu)越性及其相關(guān)隨機(jī)對(duì)照臨床試驗(yàn)研究的現(xiàn)狀。方法:由2名系統(tǒng)評(píng)價(jià)員對(duì)關(guān)鍵詞提取進(jìn)行檢索,制定的檢索策略要求科學(xué)有效,計(jì)算機(jī)檢索的數(shù)據(jù)庫(kù)有維普中文科技期刊數(shù)據(jù)庫(kù)、中國(guó)知網(wǎng)、中國(guó)生物醫(yī)學(xué)文獻(xiàn)數(shù)據(jù)庫(kù)、萬(wàn)方會(huì)議論文數(shù)據(jù)庫(kù)、Pubmed數(shù)據(jù)庫(kù)、Cochrane Library。年限從1996年至2016年;納入的治療腰椎間盤突出癥的治療組全部以浮針療法或浮針為主要療法,治療腰椎間盤突出癥的對(duì)照組采用以針刺等其他療法的隨機(jī)對(duì)照臨床試驗(yàn),根據(jù)排除和納入的標(biāo)準(zhǔn),最終19篇文獻(xiàn)符合納入的標(biāo)準(zhǔn)。對(duì)納入文獻(xiàn)的風(fēng)險(xiǎn)治療評(píng)估用Cochrane偏倚評(píng)價(jià)表作為標(biāo)準(zhǔn),收集到的數(shù)據(jù)運(yùn)用Revman5.3軟件進(jìn)行分析。根據(jù)浮針療法結(jié)合的其他不同的外治療法作為亞組分析,VAS評(píng)分和治療的有效率作為觀察指標(biāo)分析。結(jié)果:參與本次研究共有1834名患者,均來(lái)自門診及住院部,患者年齡范圍在20~84歲之間,均符合腰椎間盤突出癥的診斷標(biāo)準(zhǔn),其中926名患者作為治療組,908名患者為對(duì)照組。結(jié)果顯示浮針療法作為治療組對(duì)腰椎間盤突出癥治療的臨床療效優(yōu)于非浮針療法作為對(duì)照組治療的臨床療效(OR=3.59,95%CI:2.56,5.02)。此外,本研究將單純浮針治療、浮針結(jié)合針刺治療、浮針結(jié)合牽引治療分成了3個(gè)亞組,三組臨床療效均優(yōu)于對(duì)照組。“單純浮針”亞組(OR=4.03,95%CI:2.51,6.47);“浮針結(jié)合針刺”亞組(OR=5.07,95%CI:1.99,12.92);“浮針結(jié)合牽引”亞組(OR=2.28,95%CI:1.13,4.61)。VAS評(píng)分(WMD=-1.21,95%CI-2.17,-0.25)說(shuō)明浮針在治療腰椎間盤突出癥的過(guò)程中,能夠降低患者的VAS評(píng)分。漏斗圖形左右對(duì)稱性良好,說(shuō)明本次研究的發(fā)表偏倚風(fēng)險(xiǎn)不大。結(jié)論:本研究表明浮針療法治療腰椎間盤突出癥臨床療效優(yōu)于其他療法;亞組結(jié)果表明單純浮針治療、浮針結(jié)合針刺治療、浮針結(jié)合牽引治療療效均優(yōu)于單純采用針刺和牽引的療效;浮針療法對(duì)腰椎間盤突出癥患者的VAS評(píng)分有明顯降低作用。浮針療法具有潛在優(yōu)勢(shì),需要更多的高質(zhì)量的隨機(jī)對(duì)照試驗(yàn)來(lái)進(jìn)一步的證明。
[Abstract]:Objective: to investigate the advantages of floating acupuncture therapy in the treatment of lumbar disc herniation and the current status of randomized controlled clinical trials. Methods: the key words were retrieved by two system evaluators, and the retrieval strategy was designed to be scientific and effective. The databases of computer retrieval included Weipu Chinese Science and Technology Journal Database, China knowledge Network and Chinese Biomedical Literature Database. Wanfang conference paper database, Pubmed database, Cochrane Library. Years from 1996 to 2016; All the treatment groups involved in the treatment of lumbar disc herniation were mainly treated with floating acupuncture or floating acupuncture. The control group for treatment of lumbar disc herniation was treated with randomized controlled clinical trials of acupuncture and other therapies, according to the criteria of exclusion and inclusion. The final 19 articles met the inclusion criteria. The collected data were analyzed by Revman5.3 software using the Cochrane bias evaluation table as the standard for the risk treatment evaluation included in the literature. According to floating acupuncture therapy combined with other different external therapy as subgroup analysis, VAS score and effective rate of treatment were analyzed as observation indicators. Results: a total of 1834 patients from outpatient and inpatient departments were involved in the study. The age range of the patients was between 20 and 84 years old. All patients were in accordance with the diagnostic criteria of lumbar disc herniation. 926 patients were used as treatment group and 908 patients as control group. The results showed that the clinical effect of floating acupuncture therapy on lumbar disc herniation was better than that of non-floating acupuncture therapy on lumbar disc herniation (OR=3.59,95%CI:2.56,5.02). In addition, the treatment of floating acupuncture, floating needle combined with traction treatment was divided into three subgroups. The clinical efficacy of the three groups was better than that of the control group. "floating acupuncture" subgroup (OR=4.03,95%CI:2.51,6.47), "floating acupuncture combined with acupuncture" subgroup (OR=5.07,95%CI:1.99,12.92); The "floating needle combined traction" subgroup (OR=2.28,95%CI:1.13,4.61). VAS score) showed that floating acupuncture could reduce the VAS score in the treatment of lumbar disc herniation. The good left and right symmetry of funnel patterns indicates that the risk of publication bias in this study is not significant. Conclusion: this study shows that floating acupuncture therapy is superior to other therapies in the treatment of lumbar disc herniation. The results of subgroup showed that the effect of floating acupuncture combined with acupuncture and floating acupuncture combined with traction was better than that of simple acupuncture and traction. The VAS score of patients with lumbar intervertebral disc herniation was significantly decreased by floating acupuncture. Floating-needle therapy has potential advantages and requires more high-quality randomized controlled trials to be further demonstrated.
【學(xué)位授予單位】：遼寧中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R246.9

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 張建明;;浮針療法分期治療第三腰椎橫突綜合征療效觀察[J];山西中醫(yī);2016年11期

2 秦赫;侯德才;;浮針脛前肌再灌注手法治療腰椎間盤突出癥療效觀察[J];按摩與康復(fù)醫(yī)學(xué);2016年21期

3 李新偉;杜嘉;譚克平;沈亞芳;;浮針療法治療項(xiàng)背肌筋膜炎臨床療效評(píng)價(jià)[J];上海針灸雜志;2016年10期

4 吳麗麗;趙輝;呂彬;;浮針療法治療帶狀皰疹后遺神經(jīng)痛臨床研究[J];湖北中醫(yī)雜志;2016年10期

5 薛利鳳;苗玉新;;浮針治療結(jié)節(jié)性甲狀腺腫伴發(fā)頸前不適癥狀的效果分析[J];中國(guó)地方病防治雜志;2016年06期

6 李惠芳;;浮針療法治療膝關(guān)節(jié)骨性關(guān)節(jié)炎[J];中國(guó)民間療法;2016年06期

7 王英杰;丘文靜;;浮針聯(lián)合PPDO微創(chuàng)埋線治療腰椎間盤突出癥的療效觀察[J];中醫(yī)藥導(dǎo)報(bào);2016年08期

8 蘇藝;于世超;孫永強(qiáng);;浮針治療腰背肌筋膜炎臨床觀察[J];風(fēng)濕病與關(guān)節(jié)炎;2016年04期

9 李妍;姚嘯生;;中西醫(yī)治療腰椎間盤突出癥研究概況[J];遼寧中醫(yī)藥大學(xué)學(xué)報(bào);2016年04期

10 田春紅;苑奇志;;痛經(jīng)通過(guò)浮針治療的效果觀察[J];基層醫(yī)學(xué)論壇;2016年08期

相關(guān)博士學(xué)位論文 前1條

1 吳豐儒;解毒化瘀類方劑治療慢性盆腔炎療效的系統(tǒng)評(píng)價(jià)與Meta分析研究[D];廣州中醫(yī)藥大學(xué);2013年

，

本文編號(hào)：2323323