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[1]劉艷霞,徐創(chuàng)龍,楊景科,等.五禽戲鍛煉治療頸椎病有效性的Meta分析[J].中醫(yī)正骨,2023,35(04):23-27,42.
 LIU Yanxia,XU Chuanglong,YANG Jingke,et al.A Meta-analysis of the efficacy of five mimic animal boxing in the treatment of cervical spondylosis[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2023,35(04):23-27,42.
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五禽戲鍛煉治療頸椎病有效性的Meta分析()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第35卷
期數(shù):
2023年04期
頁碼:
23-27,42
欄目:
文獻(xiàn)研究
出版日期:
2023-04-20

文章信息/Info

Title:
A Meta-analysis of the efficacy of five mimic animal boxing in the treatment of cervical spondylosis
作者:
劉艷霞徐創(chuàng)龍楊景科伏炫蓉劉夢瑤
(寧夏回族自治區(qū)中醫(yī)醫(yī)院暨中醫(yī)研究院,寧夏 銀川 750021)
Author(s):
LIU YanxiaXU ChuanglongYANG JingkeFU XuanrongLIU Mengyao
Ningxia Chinese Medicine Research Center,Yinchuan 750021,Ningxia,China
關(guān)鍵詞:
頸椎病 五禽戲 專題Meta分析 有效性
Keywords:
cervical spondylosis five mimic animal boxing meta-analysis as topic efficacy
摘要:
目的:系統(tǒng)評價五禽戲鍛煉治療頸椎病的有效性。方法:以計算機(jī)檢索中國知網(wǎng)、維普網(wǎng)、萬方數(shù)據(jù)庫、中國生物醫(yī)學(xué)文獻(xiàn)服務(wù)系統(tǒng)、PubMed、Embase、Cochrane Library,篩選五禽戲鍛煉治療頸椎病的隨機(jī)對照試驗,檢索時限均為建庫至2022年8月。對照組采用常規(guī)非手術(shù)療法,試驗組單純采用五禽戲鍛煉或在對照組常規(guī)非手術(shù)療法的基礎(chǔ)上聯(lián)合五禽戲鍛煉。由2名研究人員獨(dú)立篩選文獻(xiàn)、提取資料并評價納入研究的方法學(xué)質(zhì)量后,采用RevMan5.4.1軟件進(jìn)行Meta分析。結(jié)果:共納入7項研究,涉及618例患者,試驗組308例、對照組310例。Meta分析結(jié)果顯示,試驗組治療頸椎病的總有效率高于對照組[RR=1.17,95%CI(1.07,1.27),P=0.000],治療后頸肩部疼痛視覺模擬量表評分和頸椎功能障礙指數(shù)降低的幅度均大于對照組[MD=-0.88,95%CI(-1.23,-0.52),P=0.000; MD=-5.08,95%CI(-6.30,-3.86),P=0.000],治療后頸椎各方向活動度增加的幅度均大于對照組[前屈:MD=4.93,95%CI(3.33,6.53),P=0.000; 后伸:MD=6.00,95%CI(1.80,10.19),P=0.005; 左旋:MD=8.09,95%CI(6.56,9.62),P=0.000; 右旋:MD=6.74,95%CI(5.18,8.31),P=0.000]。結(jié)論:現(xiàn)有證據(jù)表明,五禽戲鍛煉可有效減輕頸椎病患者的疼痛癥狀、增加頸椎活動度、改善頸椎功能,是治療頸椎病的有效方法。
Abstract:
Objective:To systematically evaluate the efficacy of five mimic animal boxing in the treatment of cervical spondylosis.Methods:The randomized controlled trials(RCTs)of five mimic animal boxing in the treatment of cervical spondylosis were retrieved from CNKI,VIP,Wanfang Data,SinoMed,PubMed,Embase,and Cochrane Library from database inception to August 2022.Conventional non-surgical therapy was employed in the control group,while five mimic animal boxing alone or in combination with conventional non-surgical therapy was used in the experimental group.After literature screening,data extraction,and methodological quality evaluation of the included RCTs were independently performed by two investigators,a Meta-analysis was conducted using RevMan 5.4.1 software.Results:Seven studies involving 618 patients were included,with 308 in the experimental group and 310 in the control group.As revealed by the results of the Meta-analysis,the overall effective rate of cervical spondylosis treatment in the experimental group was higher than that in the control group(RR=1.17,95%CI(1.07,1.27),P=0.000).The reduction in neck and shoulder pain visual analogue scale(VAS)scores and the Neck Disability Index(NDI)after treatment was greater in the experimental group than in the control group(MD=-0.88,95%CI(-1.23,-0.52),P=0.000; MD=-5.08,95%CI(-6.30,-3.86),P=0.000).The increase in cervical range of motion after treatment was greater in the experimental group than in the control group in all directions(anteflexion:MD=4.93,95%CI(3.33,6.53),P=0.000; retroflexion:MD=6.00,95%CI(1.80,10.19),P=0.005; left rotation:MD=8.09,95%CI(6.56,9.62),P=0.000; right rotation:MD=6.74,95%CI(5.18,8.31),P=0.000).Conclusion:The existing evidence suggests that practicing five mimic animal boxing can effectively alleviate the pain symptoms,increase cervical spine mobility,and improve cervical spine function in patients with cervical spondylosis.It is an effective method for treating cervical spondylosis.

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(收稿日期:2022-09-13 本文編輯:李曉樂)

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備注/Memo

備注/Memo:
基金項目:寧夏自然科學(xué)基金資助項目(2019AAC03268); 寧夏回族自治區(qū)衛(wèi)生健康委員會衛(wèi)生健康適宜技術(shù)推廣項目 通訊作者:徐創(chuàng)龍 E-mail:[email protected]
更新日期/Last Update: 1900-01-01