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[1]劉建航,陳道云,黃勇,等.手法治療頸源性頭痛臨床療效的Meta分析[J].中醫(yī)正骨,2016,28(01):28-30.
　LIU Jianhang,CHEN Daoyun,HUANG Yong,et al.A meta analysis on the clinical curative effect of manipulation on cervical headache[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2016,28(01):28-30.
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手法治療頸源性頭痛臨床療效的Meta分析()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第28卷
期數(shù):
2016年01期
頁(yè)碼:
28-30
欄目:
文獻(xiàn)研究
出版日期:
2016-01-20

文章信息/Info

Title:
A meta analysis on the clinical curative effect of manipulation on cervical headache
作者:
劉建航; 陳道云; 黃勇; 徐志為; 李錦威
廣西中醫(yī)藥大學(xué)附屬瑞康醫(yī)院,廣西 南寧 530011
Author(s):
LIU Jianhang; CHEN Daoyun; HUANG Yong; XU Zhiwei; LI Jinwei
Ruikang Hospital Affiliated to Guangxi University of Traditional Chinese Medicine,Nanning 530011,Guangxi,China
關(guān)鍵詞:
頸椎;  頸源性頭痛;  推拿; 脊柱;  Meta分析
Keywords:
cervical vertebrae;  cervical headache;  manipulation; spinal;  meta-analysis
摘要:
目的:評(píng)價(jià)手法治療頸源性頭痛的臨床療效。方法:以“頭痛”與“頸源性”與“手法”與“隨機(jī)對(duì)照”為中文檢索詞,以headache AND cervical AND manipulation AND randomized controlled為英文檢索詞,通過(guò)計(jì)算機(jī)在中國(guó)知網(wǎng)、中國(guó)生物醫(yī)學(xué)文獻(xiàn)數(shù)據(jù)庫(kù)、萬(wàn)方學(xué)術(shù)期刊數(shù)據(jù)庫(kù)、維普中文期刊數(shù)據(jù)庫(kù)及PubMed數(shù)據(jù)庫(kù)檢索2005年1月至2015年10月所有的相關(guān)文獻(xiàn)。利用Revman 5.2統(tǒng)計(jì)軟件進(jìn)行統(tǒng)計(jì)分析。結(jié)果:共檢索出文獻(xiàn)120篇,經(jīng)過(guò)篩選最終納入7篇隨機(jī)對(duì)照臨床試驗(yàn)文獻(xiàn),共涉及561例患者,均為中文文獻(xiàn)。漏斗圖顯示不存在發(fā)表偏倚。納入的7篇文獻(xiàn)均最終進(jìn)行了2組間顯效率的比較,各研究結(jié)果之間具有同質(zhì)性(I2=0%,P=0.630)。手法組的顯效率高于對(duì)照組(藥物、牽引、中頻電療、低周波),差異具有統(tǒng)計(jì)學(xué)意義[Z=7.430,P=0.000; OR=4.140,95%CI(2.85,6.02)]。結(jié)論:手法治療頸源性頭痛的療效優(yōu)于藥物、牽引、中頻電療和低周波治療。
Abstract:
Objective:To evaluate the clinical curative effect of manipulation on cervical headache.Methods:The logical combination of headache,cervical, manipulation and randomized controlled were chosen as index terms.All the relevant literatures included from January 2005 to October 2015 were retrieved from China national knowledge internet,Chinese biomedical literature database,Wanfang Database,Vip Database of Chinese journal and Pubmed database through computer.Statistical analysis was conducted by using Revman 5.2 software.Results:One hundred and twenty literatures were searched out.After screening,7 Chinese literatures(randomized controlled clinical trials,561 patients)were included in the final analysis.The funnel plot demonstrated that there was no publication bias.The excellent rate were compared between the 2 groups in all of the 7 literatures and there was homogeneity within the results of different trials(I2=0%,P=0.630).The excellent rate of manipulation group was higher than that of control group,in which drug therapy,traction,medium-frequency electrotherapy or low frequency current therapy was used(Z=7.430,P=0.000; OR=4.140,95%CI(2.85,6.02)).Conclusion:The manipulative therapy surpasses drug therapy,traction,medium-frequency electrotherapy and low frequency current therapy in the curative effect in the treatment of cervical headache.

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備注/Memo

備注/Memo:
基金項(xiàng)目:廣西壯族自治區(qū)中醫(yī)藥科技專項(xiàng)課題(GZSY14-03、GZZY13-27); 廣西壯族自治區(qū)教育廳科研項(xiàng)目(201204LX202)
通訊作者:陳道云 E-mail:[email protected]
更新日期/Last Update: 2016-02-29