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[1]張星賀,郭太品,馮慧超,等.推拿改善椎動脈型頸椎病患者基底動脈平均血流速度的系統(tǒng)評價[J].中醫(yī)正骨,2018,30(03):33-38.
　ZHANG Xinghe,GUO Taipin,FENG Huichao,et al.Efficacy of manipulation therapy in improving mean blood flow velocity of basilar artery in patients with vertebral-artery-type cervical spondylopathy:a systematic review[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2018,30(03):33-38.
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推拿改善椎動脈型頸椎病患者基底動脈平均血流速度的系統(tǒng)評價()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第30卷
期數(shù):
2018年03期
頁碼:
33-38
欄目:
頸椎疾患
出版日期:
2018-03-20

文章信息/Info

Title:
Efficacy of manipulation therapy in improving mean blood flow velocity of basilar artery in patients with vertebral-artery-type cervical spondylopathy:a systematic review
作者:
張星賀1; 郭太品2; 馮慧超1; 曾豊婷1; 井夫杰1
1.山東中醫(yī)藥大學,山東 濟南 250355; 2.云南中醫(yī)學院,云南 昆明 650500
Author(s):
ZHANG Xinghe1; GUO Taipin2; FENG Huichao1; ZENG Liting1; JING Fujie1
1.Shandong University of Traditional Chinese Medicine,Jinan 250355,Shandong,China 2.Yunnan College of Traditional Chinese Medicine,Kunming 650500,Yunnan,China
關(guān)鍵詞:
推拿; 脊柱;  頸椎病;  基底動脈;  血流速度;  Meta分析;  系統(tǒng)評價
Keywords:
Keywords manipulation; spinal;  cervical spondylosis;  basilar artery;  blood flow velocity;  meta-analysis;  systematic review
摘要:
目的:評價推拿改善椎動脈型頸椎病患者基底動脈平均血流速度的療效。方法:應(yīng)用計算機檢索Cochrane Library、PubMed、CNKI、WanFang Data、VIP建庫至2017年8月收錄的所有推拿治療椎動脈型頸椎病,且評價指標中包括基底動脈平均血流速度變化量的隨機對照研究文獻。由2位研究者獨立篩選文獻、提取資料,依據(jù)Cochrane Handbook5.1.0進行文獻方法學質(zhì)量評價后,采用RevMan5.3軟件進行Meta分析。結(jié)果:最初共檢索出3696篇文獻,經(jīng)篩選后最終納入9篇文獻,均為中文文獻,共涉及997例患者。Meta分析結(jié)果顯示,推拿與藥物靜脈滴注、口服藥物、小針刀在改善椎動脈型頸椎病患者基底動脈平均血流速度方面比較,差異均無統(tǒng)計學意義[MD=0.10,95%CI(-6.56,6.76); MD=4.55,95%CI(-1.26,10.37); MD=-0.12,95%CI(-3.10,2.86)]。推拿改善椎動脈型頸椎病患者基底動脈平均血流速度的效果優(yōu)于牽引和電針[MD=4.81,95%CI(1.17,8.45); MD=4.61,95%CI(2.33,6.89)]。結(jié)論:推拿改善椎動脈型頸椎病患者基底動脈平均血流速度的效果優(yōu)于牽引和電針療法,與藥物治療及小針刀治療相比無明顯優(yōu)勢。
Abstract:
ABSTRACT Objective:To evaluate the curative effect of manipulation therapy in improving mean blood flow velocity of basilar artery in patients with vertebral-artery-type cervical spondylopathy(VACS).Methods:All randomized controlled trial(RCT)articles about manipulation therapy for treatment of VACS included from database establishing to August 2017,in which mean blood flow velocity of basilar artery was used as one of the evaluation indexes,were retrieved from Cochrane Library,Pubmed,China national knowledge internet,WanFang Data and VIP Database of Chinese journal through computer.The articles were screened and the information was extracted independently by two searchers.The methodological quality of researches in the articles was evaluated according to Cochrane Handbook 5.1.0 and a Meta-analysis was conducted by using RevMan 5.3 software.Results:Three thousand six hundred and ninety-six articles were searched out.After screening,9 Chinese articles(997 patients)were included in the final analysis.The results of Meta-analysis demonstrated that there was no statistical difference in improving mean blood flow velocity of basilar artery between manipulation and intravenous drug injection,between manipulation and oral application of drugs and between manipulation and small-needle-knife therapy in patients with VACS(MD=0.10,95%CI(-6.56,6.76); MD=4.55,95%CI(-1.26,10.37); MD=-0.12,95%CI(-3.10,2.86)).The curative effect of manipulation is better than that of cervical traction and electroacupuncture in improving mean blood flow velocity of basilar artery in patients with VACS(MD=4.81,95%CI(1.17,8.45); MD=4.61,95%CI(2.33,6.89)).Conclusion:Manipulation therapy is superior to cervical traction and electroacupuncture and has no obvious superiority over drug therapy and small-needle-knife therapy in improving mean blood flow velocity of basilar artery in patients with VACS.

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備注/Memo

備注/Memo:
基金項目:山東省科技發(fā)展計劃項目(2013G0021807); 山東省高等學校科技計劃項目(J12LK13) 通訊作者:井夫杰 E-mail:[email protected]
更新日期/Last Update: 2018-08-02