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[1]丁興,許金海,葉潔,等.導(dǎo)引功法治療腰椎間盤突出癥臨床療效的Meta分析[J].中醫(yī)正骨,2021,33(09):32-37.
　DING Xing,XU Jinhai,YE Jie,et al.Clinical efficacy of Chinese Daoyin therapy in treatment of lumbar disc herniation:a meta-analysis[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2021,33(09):32-37.
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導(dǎo)引功法治療腰椎間盤突出癥臨床療效的Meta分析()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第33卷
期數(shù):
2021年09期
頁(yè)碼:
32-37
欄目:
文獻(xiàn)研究
出版日期:
2021-09-20

文章信息/Info

Title:
Clinical efficacy of Chinese Daoyin therapy in treatment of lumbar disc herniation:a meta-analysis
作者:
丁興; 許金海; 葉潔; 馬俊明; 莫文
(上海中醫(yī)藥大學(xué)附屬龍華醫(yī)院,上海 200032)
Author(s):
DING Xing; XU Jinhai; YE Jie; MA Junming; MO Wen
Longhua Hospital Shanghai University of Traditional Chinese Medicine,Shanghai 200032,China
關(guān)鍵詞:
椎間盤移位;  腰椎;  導(dǎo)引;  Meta分析;  系統(tǒng)評(píng)價(jià)
Keywords:
intervertebral disc displacement;  lumbar vertebrae;  physical &;  breathing exercises;  meta analysis;  systematic review
摘要:
目的:系統(tǒng)評(píng)價(jià)導(dǎo)引功法治療腰椎間盤突出癥的臨床療效。方法:應(yīng)用計(jì)算機(jī)檢索中國(guó)知網(wǎng)、萬(wàn)方數(shù)據(jù)庫(kù)、維普網(wǎng)、中國(guó)生物醫(yī)學(xué)文獻(xiàn)數(shù)據(jù)庫(kù)、PubMed、Cochrane Library、Clinical trials.gov2010年1月至2020年1月收錄的對(duì)比導(dǎo)引功法(包括傳統(tǒng)功法、太極、飛燕、八段錦、易筋經(jīng)或五禽戲)聯(lián)合常規(guī)理療、口服藥物、推拿、牽引、針灸或薰洗(試驗(yàn)組)和單純常規(guī)理療、口服藥物、推拿、牽引、針灸或薰洗(對(duì)照組)治療腰椎間盤突出癥的隨機(jī)對(duì)照臨床研究文獻(xiàn)。由2名研究者根據(jù)納入、排除標(biāo)準(zhǔn)獨(dú)立進(jìn)行文獻(xiàn)篩選和數(shù)據(jù)提取,采用Cochrane偏倚風(fēng)險(xiǎn)評(píng)估工具和改良Jadad評(píng)分量表對(duì)納入文獻(xiàn)進(jìn)行質(zhì)量評(píng)價(jià),采用RevMan5.3軟件進(jìn)行Meta分析。結(jié)果:共檢索出432篇文獻(xiàn),經(jīng)逐層篩選后,最終納入10篇文獻(xiàn),共涉及1130例腰椎間盤突出癥患者,其中試驗(yàn)組565例、對(duì)照組565例。Meta分析結(jié)果顯示,試驗(yàn)組治療總有效率、日本骨科學(xué)會(huì)腰痛評(píng)分均高于對(duì)照組[I2=41%,P=0.160,RR=1.16,95%CI(1.08,1.24); I2=96%,P=0.000,SMD=2.20,95%CI(0.94,3.46)],腰部疼痛視覺模擬量表評(píng)分、Oswestry功能障礙指數(shù)評(píng)分均低于對(duì)照組[I2=98%,P=0.000,SMD=-1.41,95%CI(-2.57,-0.24); I2=37%,P=0.210,SMD=-0.59,95%CI(-0.93,-0.24)]。結(jié)論:現(xiàn)有證據(jù)表明,在常規(guī)治療的基礎(chǔ)上采用導(dǎo)引功法治療腰椎間盤突出癥,能緩解腰部疼痛,改善腰椎功能,療效確切。
Abstract:
Objective:To systematically review the clinical curative effects of Chinese Daoyin(DY)therapy(physical&breathing exercises)in treatment of lumbar disc herniation(LDH).Methods:All the randomized controlled trial(RCT)articles about Chinese DY therapy(including traditional Chinese exercises,Tai Chi(太極),Feiyan(飛燕),Baduanjin(八段錦),Yijinjing(易筋經(jīng))or five mimic-animal boxing(五禽戲)exercises)combined with conventional physiotherapy,oral application of drugs,TUINA,traction therapy,acupuncture or steaming washing therapy(experimental group)versus conventional physiotherapy,oral application of drugs,TUINA,traction therapy,acupuncture or steaming washing therapy alone(control group)for treatment of LDH included from January 2010 to January 2020 were retrieved from China national knowledge internet,WanFang Database,Vip Database,Chinese biomedical literature database,PubMed,Cochrane Library and Clinical trials.gov through computer.The articles were screened and the information was extracted independently by two researchers according to the inclusion and exclusion criteria.The methodological quality of research in the articles was evaluated by using Cochrane bias risk assessment tools and modified Jadad scale,and a Meta-analysis was conducted by using RevMan5.3 software.Results:Four hundred and thirty-two articles were searched out.After screening,10 articles(1130 patients)were included in the final analysis,565 patients in experimental group and 565 patients in control group.The results of Meta-analysis revealed that the total effective rate and Japanese Orthopedic Associations(JOA)low back pain scores were higher,while the low back pain visual analogue scale(VAS)scores and Oswestry disability index(ODI)scores were lower in experimental group compared to control group(I2=41%,P=0.160,RR=1.16,95%CI(1.08,1.24); I2=96%,P=0.000,SMD=2.20,95%CI(0.94,3.46); I2=98%,P=0.000,SMD=-1.41,95%CI(-2.57,-0.24); I2=37%,P=0.210,SMD=-0.59,95%CI(-0.93,-0.24)).Conclusion:Available evidences suggest that the combination therapy of conventional treatment and Chinese DY therapy can relieve low back pain and improve lumbar function with reliable curative effects in treatment of LDH.

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備注/Memo

備注/Memo:
基金項(xiàng)目:上海市科學(xué)技術(shù)委員會(huì)科研計(jì)劃項(xiàng)目(18401903200)
通訊作者:莫文 E-mail:[email protected]
更新日期/Last Update: 1900-01-01