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[1]郭凱云,陳東林.溫針灸治療膝骨關(guān)節(jié)炎的系統(tǒng)評(píng)價(jià)[J].中醫(yī)正骨,2018,30(07):17-20.
　GUO Kaiyun,CHEN Donglin.Efficacy of needle warming therapy for treatment of knee osteoarthritis:a systematic review[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2018,30(07):17-20.
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溫針灸治療膝骨關(guān)節(jié)炎的系統(tǒng)評(píng)價(jià)()
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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07期
頁(yè)碼:
17-20
欄目:
文獻(xiàn)研究
出版日期:
2018-07-20

文章信息/Info

Title:
Efficacy of needle warming therapy for treatment of knee osteoarthritis:a systematic review
作者:
郭凱云; 陳東林
(浙江中醫(yī)藥大學(xué),浙江 杭州 310053)
Author(s):
GUO Kaiyun; CHEN Donglin
Zhejiang Chinese Medical University,Hangzhou 310053,Zhejiang,China
關(guān)鍵詞:
骨關(guān)節(jié)炎; 膝;  溫針療法;  Meta分析;  系統(tǒng)評(píng)價(jià)
Keywords:
osteoarthritis; knee;  needle warming therapy;  meta-analysis;  systematic review
摘要:
目的:評(píng)價(jià)溫針灸治療膝骨關(guān)節(jié)炎(knee osteoarthritis,KOA)的臨床療效。方法:應(yīng)用計(jì)算機(jī)檢索PubMed、The Cochrane Library、CBM、CNKI、WanFang Data、VIP數(shù)據(jù)庫(kù)建庫(kù)至2017年10月收錄的所有溫針灸(溫針灸組)和口服西藥(西藥組)治療KOA的隨機(jī)對(duì)照研究文獻(xiàn)。由2位研究者獨(dú)立篩選文獻(xiàn)、提取資料,依據(jù)Cochrane Handbook5.1.0進(jìn)行文獻(xiàn)方法學(xué)質(zhì)量評(píng)價(jià)后,采用RevMan5.3軟件進(jìn)行Meta分析。結(jié)果:初檢共檢索出266篇文獻(xiàn),經(jīng)篩選后最終納入11篇文獻(xiàn),均為中文文獻(xiàn)。Meta分析結(jié)果顯示,溫針灸組的總有效率高于西藥組[OR=4.54,95%CI(3.02,6.82)]; 溫針灸組治療后的西安大略和麥克馬斯特大學(xué)骨關(guān)節(jié)炎指數(shù)總分小于西藥組[MD=-0.68,95%CI(-1.02,-0.35)]。利用總有效率進(jìn)行發(fā)表偏倚分析,漏斗圖顯示分布不對(duì)稱,存在一定的發(fā)表偏倚。結(jié)論:溫針灸是治療KOA的有效方法,其療效優(yōu)于單純口服西藥。但仍需開展多中心、大樣本、高質(zhì)量的隨機(jī)對(duì)照試驗(yàn)加以證實(shí)。
Abstract:
Objective:To evaluate the clinical curative effect of needle warming therapy in the treatment of knee osteoarthritis(KOA).Methods:All the randomized controlled trial(RCT)articles about needle warming therapy(needle warming therapy group)versus oral application of western medicine therapy(western medicine therapy group)for treatment of KOA included from database establishing to October 2017 were retrieved from PubMed,The Cochrane Library,CBM,China national knowledge internet,WanFang Data and VIP Database through computer.The articles were screened and the information was extracted independently by two searchers.The methodological quality of research 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:Two hundred and sixty-six articles were searched out.After screening,11 Chinese articles were included in the final analysis.The results of Meta-analysis demonstrated that the total effective rate was higher and the posttreatment Western Ontario and Mc-Master Universities(WOMAC)osteoarthritis index scores were lower in needle warming therapy group compared to western medicine therapy group(OR=4.54,95%CI(3.02,6.82); MD=-0.68,95%CI(-1.02,-0.35)).According to the total effective rate,the asymmetrical funnel plot demonstrated that there was publication bias.Conclusion:Needle warming therapy is an effective method for treatment of KOA,and it surpasses the monotherapy of oral application of western medicines in the clinical curative effect.However,its clinical curative effect need to be further verified by multi-center,large sample,high-quality RCTs.

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更新日期/Last Update: 2018-11-30