针刀与针灸治疗颈型颈椎病疗效比较的meta分析.doc

针刀与针灸治疗颈型颈椎病疗效比较的Meta分析
方婷刘福水谢洪武周凡媛赵梅梅陈梅
江西中医药大学灸学院
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摘 要:
背景:针刀是治疗颈型颈椎病的常用疗法, 但目前对针刀与针灸治疗颈型颈椎病的疗效比较缺乏系统性评价。目的:评价针刀与针灸治疗颈型颈椎病的有效性和安全性差异。方法:计算机检索Pub Med (1966/2016) Cochrane library (1993/2016) 、KI (1979/2016) 、维普数据库VIP (1989/2016) 、万方数据库Wangfang (1990/2016) 中有关针刀治疗颈型颈椎病临床随机对照试验。数据由两名评价者按照Cochrane系统评价手册的要求单独提取, 而后相互核对探讨, 采用Rev Man 。结果:5个临床随机对照试验被纳入, 共444例颈型颈椎病患者。Meta分析显示:针刀组治疗颈型颈椎病的近期总有效率、治愈率和远期总有效率均高于针灸组。结论:颈型颈椎病的临床疗效, 针刀疗法优于针灸疗法。然纳入文献量少且质不高, 尚需方法科学的大样本、多中心、高质量临床随机对照试验来进行进一步的验证。
关键词:
颈型颈椎病; 针刀; 针灸; Meta分析; 循证医学;
作者简介:方婷(1990-) , 女, 江西弋阳人, 硕士研究生, 研究方向:针灸针刀的临床和基础研究。
作者简介:刘福水(1979-) , 男, 江西上饶人, 副教授, 博士, 研究方向:针灸针刀的临床和基础研究。
收稿日期:2017-05-08
基金:国家自然科学基金资助项目(81560792)
Meta-analysis of Acupotomy Versus Acupuncture for Neck Type Cervical Spondylosis
FANG Ting LIU Fushui XIE Hongwu ZHOU Fanyuan ZHAO Meimei CHEN Mei
School of Moxibustion, Jiangxi University of Traditional Chinese Medicine;
Abstract:
Background: Acupotomology has e monly-used therapy for the treatment of neck type cervical spondylosis ( NTCS) , but there are no systematic reviews of randomized clinical trials on acupotomology and acupuncture. Objective: To evaluate the therapeutic effect and safety acupotomology versus acupuncture for NTCS. Methods: Randomized controlled trials ( RCTs) about acupotomology in the treatment of NTCS were retrieved from Pub Med ( 1966 to 2016) , Cochrane ( 1993 to 2016) , CNKI ( 1979 to 2016) , VIP ( 1989 to 2016) and Wangfang ( 1990-2016) . The date was extracted and evaluated by two reviewers independently according to Cochrane Reviewers' Handbook, and then cross check the date with each other. The Cochrane Collaboration's Rev Man 5. 3 software was used for Meta-analysis. Results: Totally 5 RCTs involving 444 cases were included. The results of Meta-analysis showed that the total effect rate and cute rate for the short-term and the total effect rate for the long-term of t