84年鼠女哪年财运最旺,857comvvv色九欧美激情|85PO_87国产精品欲av国产av资源

[1]姚冬,王欽楓,劉長(zhǎng)花,等.艾灸聯(lián)合推拿手法治療腰椎間盤(pán)突出癥有效性和安全性的Meta分析[J].中醫(yī)正骨,2024,36(01):43-49.
　YAO Dong,WANG Qinfeng,LIU Changhua,et al.Clinical outcomes and safety of moxibustion therapy combined with Tuina(推拿)therapy for treatment of lumbar disc herniation:a meta-analysis[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2024,36(01):43-49.
點(diǎn)擊復(fù)制

艾灸聯(lián)合推拿手法治療腰椎間盤(pán)突出癥有效性和安全性的Meta分析()
分享到：

《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第36卷
期數(shù):
2024年01期
頁(yè)碼:
43-49
欄目:
文獻(xiàn)研究
出版日期:
2024-01-20

文章信息/Info

Title:
Clinical outcomes and safety of moxibustion therapy combined with Tuina(推拿)therapy for treatment of lumbar disc herniation:a meta-analysis
作者:
姚冬1; 王欽楓2; 劉長(zhǎng)花1; 李泰標(biāo)1; 吳心虹1
1.廈門(mén)市第五醫(yī)院,福建 廈門(mén) 361101; 2.吉木薩爾縣中醫(yī)醫(yī)院,新疆 吉木薩爾 831700
Author(s):
YAO Dong1; WANG Qinfeng2; LIU Changhua1; LI Taibiao1; WU Xinhong1
1.The Fifth Hospital of Xiamen,Xiamen 361101,Fujian,China 2.Jmser Hospital of Traditional Chinese Medicine,Jmser 831700,Xinjiang,China
關(guān)鍵詞:
椎間盤(pán)移位;  腰椎;  灸法(中醫(yī));  推拿療法;  專(zhuān)題Meta分析;  有效性;  安全性
Keywords:
intervertebral disc displacement;  lumbar vertebrae;  moxibustion(TCM);  tui na therapy;  meta-analysis as topic;  efficacy;  safety
摘要:
目的:系統(tǒng)評(píng)價(jià)艾灸聯(lián)合推拿手法治療腰椎間盤(pán)突出癥(lumbar disc herniation,LDH)的有效性和安全性。方法:應(yīng)用計(jì)算機(jī)檢索PubMed、Cochrane Library、Embase、中國(guó)生物醫(yī)學(xué)文獻(xiàn)服務(wù)系統(tǒng)、中國(guó)知網(wǎng)、維普網(wǎng)、萬(wàn)方數(shù)據(jù)庫(kù),篩選艾灸聯(lián)合推拿手法治療LDH的隨機(jī)對(duì)照試驗(yàn),試驗(yàn)組采用艾灸聯(lián)合推拿手法治療,對(duì)照組采用單純推拿手法治療。采用Cochrane偏倚風(fēng)險(xiǎn)評(píng)估工具對(duì)納入研究的文獻(xiàn)進(jìn)行質(zhì)量評(píng)估,采用RevMan5.3軟件進(jìn)行Meta分析。結(jié)果:共檢索到852篇文獻(xiàn),通過(guò)逐層篩選最終納入12篇文獻(xiàn),均為中文文獻(xiàn)。Meta分析結(jié)果顯示,試驗(yàn)組臨床總有效率、日本骨科協(xié)會(huì)腰痛疾患療效評(píng)分均高于對(duì)照組[RR=1.18,95%CI(1.10,1.26),P=0.000; MD=3.77,95%CI(2.32,5.22),P=0.000],試驗(yàn)組疼痛視覺(jué)模擬量表評(píng)分、Oswestry功能障礙指數(shù)均低于對(duì)照組[MD=-1.53,95%CI(-1.93,-1.13),P=0.000; MD=-2.28,95%CI(-4.40,-0.16),P=0.040],2組不良反應(yīng)發(fā)生率的差異無(wú)統(tǒng)計(jì)學(xué)意義[OR=0.59,95%CI(0.08,4.58),P=0.620]。結(jié)論:現(xiàn)有的證據(jù)表明,艾灸聯(lián)合推拿手法治療LDH具有較好的臨床療效和安全性,療效優(yōu)于單純推拿手法治療。
Abstract:
Objective:To systematically review the clinical outcomes and safety of moxibustion therapy combined with Tuina(推拿,TN)therapy for treatment of lumbar disc herniation(LDH).Methods:All the randomized controlled trial(RCT)articles about moxibustion therapy combined with TN therapy for treatment of LDH included from database establishing to December 31,2022 were retrieved from the PubMed,Cochrane Library,Embase,Chinese Biomedical Literature Service System,China National Knowledge Internet,Vip Database and Wanfang Database through computer.The patients in experimental group were treated with moxibustion therapy and TN therapy,while the ones in control group with TN therapy alone.The methodological quality of researches in the included articles was evaluated by using Cochrane bias risk assessment tools,and then a Meta-analysis was conducted by using RevMan5.3 software.Results:Eight hundred and fifty-two articles were searched out.After screening,12 Chinese articles(1075 patients)were included in the final analysis,536 patients in experimental group and 539 ones in control group.The results of Meta-analysis revealed that the total clinical effective rate and Japanese Orthopaedic Association(JOA)low back pain efficacy score were higher,while the pain visual analogue scale(VAS)score and Oswestry disability index(ODI)were lower in experimental group compared to control group(RR=1.18,95%CI(1.10,1.26),P=0.000; MD=3.77,95%CI(2.32,5.22),P=0.000; MD=-1.53,95%CI(-1.93,-1.13),P=0.000; MD=-2.28,95%CI(-4.40,-0.16),P=0.040); Furthermore,there was no statistical difference in incidence rate of adverse reactions between the 2 groups(OR=0.59,95%CI(0.08,4.58),P=0.620).Conclusion:Available evidences suggest that moxibustion therapy combined with TN therapy has good clinical outcomes and safety in treatment of LDH,and it surpasses the monotherapy of TN therapy in clinical outcomes.

參考文獻(xiàn)/References:

[1] JOAQUIM A F,BOTELHO R V,MUDO M L,et al.Lumbar herniated discendoscopic discectomy treatment[J].Rev Assoc Med Bras(1992),2018,64(5):397-407.
[2] 李土勝,丁宇,蔣強(qiáng),等.非手術(shù)治療與經(jīng)皮脊柱內(nèi)鏡手術(shù)治療老年腰椎間盤(pán)突出癥的療效比較[J].中國(guó)骨與關(guān)節(jié)損傷雜志,2023,38(9):912-916.
[3] 王行利.中西醫(yī)治療腰椎間盤(pán)突出癥研究進(jìn)展[J].臨床醫(yī)學(xué)研究與實(shí)踐,2020,5(4):194-195.
[4] 國(guó)家中醫(yī)藥管理局.中醫(yī)病證診斷療效標(biāo)準(zhǔn)[M].南京:南京大學(xué)出版社,1994:201.
[5] 中華中醫(yī)藥學(xué)會(huì)整脊分會(huì).中醫(yī)整脊常見(jiàn)病診療指南[M].北京:中國(guó)中醫(yī)藥出版社,2012:125-127.
[6] 周謀望,岳壽偉,何成奇,等.“腰椎間盤(pán)突出癥的康復(fù)治療”中國(guó)專(zhuān)家共識(shí)[J].中國(guó)康復(fù)醫(yī)學(xué)雜志,2017,32(2):129-135.
[7] 胥少汀,葛寶豐,徐印坎.實(shí)用骨科學(xué)[M].4版.北京:人民軍醫(yī)出版社,2012:1507-1540.
[8] 中華醫(yī)學(xué)會(huì)骨科學(xué)分會(huì)脊柱外科學(xué)組,中華醫(yī)學(xué)會(huì)骨科學(xué)分會(huì)骨科康復(fù)學(xué)組.腰椎間盤(pán)突出癥診療指南[J].中華骨科雜志,2020,40(8):477-487.
[9] 蔣協(xié)遠(yuǎn),王大偉.骨科臨床療效評(píng)價(jià)標(biāo)準(zhǔn)[M].北京:人民衛(wèi)生出版社,2005:123-124.
[10] KATO S,OSHIMA Y,OKA H,et al.Comparison of the Japanese Orthopaedic Association(JOA)score and modified JOA(mJOA)score for the assessment of cervical myelopathy:a multicenter observational study[J/OL].Plos One,2015,10(4):e0123022[2023-10-29].https://pubmed.ncbi.nlm.nih.gov/25837285/.
[11] BRODKE D S,GOZ V,LAWRENCE B D,et al.Oswestry dis-ability index:a psychometric analysis with 1,610 patients[J].Spine J,2017,17(3):321-327.
[12] HIGGINS J P,ALTMAN D G,GØTZSCHE P C,et al.The Cochrane collaboration's tool for assessing risk of bias in randomized trials[J].BMJ,2011,343:5928.
[13] 許振凱,方浩,石宇雄,等.艾灸聯(lián)合溫經(jīng)通絡(luò)推拿手法治療瘀血阻絡(luò)型腰椎間盤(pán)突出癥臨床研究[J].世界中醫(yī)藥,2018,13(1):170-174.
[14] 楊潔.推拿配合雷火灸治療腎陽(yáng)虛型腰椎間盤(pán)突出癥[J].世界最新醫(yī)學(xué)信息文摘,2018,18(94):163-166.
[15] 田煥新.艾灸輔助治療瘀血阻絡(luò)型腰椎間盤(pán)突出癥的可行性及對(duì)患者疼痛程度的影響[J].海峽藥學(xué),2019,31(12):166-168.
[16] 毛躍霞,陳少華,胡天宏,等.雷火灸加推拿治療腎虛血瘀型腰椎間盤(pán)突出癥的療效觀察[J].按摩與康復(fù)醫(yī)學(xué),2019,10(5):17-18.
[17] 張?zhí)?許能貴.熱敏灸聯(lián)合推拿治療腰椎間盤(pán)突出癥臨床療效觀察[J].河北中醫(yī),2019,41(11):1729-1731.
[18] 劉康.上字灸穴灸法結(jié)合手法治療腰椎間盤(pán)突出癥(寒濕型)臨床療效研究[D].上海:上海中醫(yī)藥大學(xué),2019.
[19] 顧超輝.推拿聯(lián)合艾灸治療腰椎間盤(pán)突出癥的效果觀察[J].實(shí)用中醫(yī)內(nèi)科雜志,2019,33(11):91-93.
[20] 魏紹山.推拿手法聯(lián)合艾灸治療腰椎間盤(pán)突出癥效果分析[J].中西醫(yī)結(jié)合研究,2018,10(2):93-94.
[21] 魏禮紅,楊希,蒙霞,等.基于“脾胃論”運(yùn)用盒灸對(duì)寒濕型腰椎間盤(pán)突出癥的療效觀察[J].按摩與康復(fù)醫(yī)學(xué),2020,11(18):14-16.
[22] 公丕見(jiàn),戴文娟,于榮鑫.熱敏灸聯(lián)合推拿對(duì)腰椎間盤(pán)突出癥患者TXB2、PGE2水平及腰椎功能的影響[J].針灸臨床雜志,2020,36(11):17-21.
[23] 付叢,方正,鄭先偉.熱敏灸聯(lián)合正骨推拿治療腰椎間盤(pán)突出癥患者的療效分析[J].當(dāng)代醫(yī)學(xué),2021,27(20):37-39.
[24] 陳瀅瀅,華丹蕓.推拿聯(lián)合艾灸治療腰椎間盤(pán)突出癥的臨床觀察[J].中國(guó)中醫(yī)藥科技,2021,28(4):636-638.
[25] 叢林,李振華,石明鵬,等.腰椎間盤(pán)突出癥中醫(yī)綜合治療方案的臨床研究[J].吉林中醫(yī)藥,2021,41(4):485-487.
[26] 胡丹,鄧鵬,康明非,等.艾灸治療腰椎間盤(pán)突出癥單位灸時(shí)X施灸間隔多因素分析[J].中華中醫(yī)藥雜志,2018,33(2):733-736.
[27] 李玉榮,李文豪,李驥征,等.近30年國(guó)內(nèi)期刊文獻(xiàn)中推拿手法治療腰椎間盤(pán)突出癥的選穴規(guī)律探討[J].針灸臨床雜志,2018,34(12):46-51.
[28] 朱瑞春.長(zhǎng)蛇灸聯(lián)合推拿治療寒濕型腰椎間盤(pán)突出癥的臨床療效觀察及Meta分析[D].南昌:江西中醫(yī)藥大學(xué),2023.
[29] 張晶晶.腰椎間盤(pán)突出癥中西醫(yī)結(jié)合非手術(shù)治療方案臨床療效的回顧性分析[D].南寧:廣西中醫(yī)藥大學(xué),2023.
[30] 陳風(fēng)琴.艾灸治療慢性腰痛的系統(tǒng)評(píng)價(jià)及不同艾灸時(shí)長(zhǎng)對(duì)腰椎間盤(pán)突出癥療效比較的臨床試驗(yàn)研究[D].南京:南京中醫(yī)藥大學(xué),2022.

相似文獻(xiàn)/References:

[1]鄧紅軍.硫酸鈣骨水泥椎體成形聯(lián)合后路短節(jié)段椎弓根螺釘 內(nèi)固定治療創(chuàng)傷性胸腰椎骨折[J].中醫(yī)正骨,2015,27(10):35.
[2]張莉,秦丹霞,張細(xì)姣.腹針治療椎間盤(pán)源性腰痛[J].中醫(yī)正骨,2015,27(10):38.
[3]吳青坡,孫國(guó)紹,王林杰.后路椎管減壓聯(lián)合腰椎椎弓根釘動(dòng)態(tài)穩(wěn)定裝置內(nèi)固定 治療單節(jié)段腰椎退行性疾病[J].中醫(yī)正骨,2015,27(10):42.
[4]郭小偉,梅偉,潘玉林,等.一期后路病灶清除納米仿生骨椎體支撐體植骨融合 內(nèi)固定治療胸腰椎結(jié)核[J].中醫(yī)正骨,2015,27(07):66.
[5]孫廣江,崔海艦.絡(luò)病理論指導(dǎo)下應(yīng)用獨(dú)活寄生湯加減治療腰椎間盤(pán)突出癥[J].中醫(yī)正骨,2015,27(12):37.
　SUN Guangjiang,CUI Haijian.Clinical study on oral application of Duhuo Jisheng Tang Jiajian(獨(dú)活寄生湯加減)under the guidance of collaterals disease theory for treatment of lumbar disc herniation[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(01):37.
[6]阮朝陽(yáng),曾強(qiáng)華,朱群威.口服消栓口服液和甲鈷胺膠囊治療腰椎間盤(pán)突出癥 經(jīng)皮椎間孔鏡術(shù)后下肢殘留神經(jīng)癥狀[J].中醫(yī)正骨,2015,27(12):71.
[7]陳冠軍,陳揚(yáng),莊汝杰.可灌注骨水泥椎弓根螺釘系統(tǒng) 在老年腰椎疾患手術(shù)中的應(yīng)用[J].中醫(yī)正骨,2015,27(02):40.
[8]萬(wàn)宏波,馬海燕,蔣云霞,等.口服益氣化瘀湯聯(lián)合功能鍛煉治療腰椎退行性疾病 術(shù)后殘留腰腿痛的臨床研究[J].中醫(yī)正骨,2015,27(06):1.
　WAN Hongbo,MA Haiyan,JIANG Yunxia,et al.Clinical study on oral application of Yiqi Huayu Tang(益氣化瘀湯)combined with functional exercise for the treatment of postoperative residual lumbocrural pain in patients with lumbar degenerative disease[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(01):1.
[9]賀振年,康信勇,徐洪偉,等.骨盆矢狀位參數(shù)對(duì)退行性腰椎滑脫癥的影響[J].中醫(yī)正骨,2015,27(06):19.
　HE Zhennian,KANG Xinyong,XU Hongwei,et al.Effect of pelvic parameters in the sagittal plane on degenerative lumbar spondylolisthesis[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(01):19.
[10]李鵬,徐世濤,譚磊.椎旁肌間隙入路傷椎單側(cè)植骨內(nèi)固定治療 單節(jié)段胸腰椎骨折[J].中醫(yī)正骨,2015,27(06):43.
[11]徐幫杰,楊楠,白偉杰,等.坐位定點(diǎn)旋轉(zhuǎn)整復(fù)法治療腰椎間盤(pán)突出癥的療效觀察[J].中醫(yī)正骨,2015,27(11):17.
　XU Bangjie,YANG Nan,BAI Weijie,et al.Observation on the curative effect of fixed-point rotational reduction in sitting position in the treatment of lumbar disc herniation[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(01):17.
[12]白春曉,賈育松,孫旗,等.中醫(yī)藥在腰椎間盤(pán)突出癥圍手術(shù)期應(yīng)用的研究進(jìn)展[J].中醫(yī)正骨,2015,27(11):65.
[13]王少純,周英杰.郭維淮教授運(yùn)用活血益氣通經(jīng)湯治療腰椎間盤(pán)突出癥的經(jīng)驗(yàn)[J].中醫(yī)正骨,2015,27(11):75.
[14]蘇洪,張雪林.患側(cè)下肢牽引配合腰椎斜扳法治療 極外側(cè)型腰椎間盤(pán)突出癥[J].中醫(yī)正骨,2015,27(10):40.
[15]謝冬群,黃中梁,葉金麗.加強(qiáng)隔附子餅灸治療腎陽(yáng)虛型腰椎間盤(pán)突出癥的 臨床研究[J].中醫(yī)正骨,2015,27(09):18.
　XIE Dongqun,HUANG Zhongliang,YE Jinli.Clinical study on intensive aconite root cake separated moxibustion in the treatment of kidney-yang-deficiency-type lumbar disc herniation[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(01):18.
[16]沈海良,錢(qián)萬(wàn)鋒,周驍棟.針刀松解聯(lián)合局部封閉與口服中藥治療腰椎間盤(pán)突出癥[J].中醫(yī)正骨,2015,27(09):46.
[17]王仁燦,黃炎洪,潘偉江,等.45°肩踝懸吊牽引下撞擊腰椎療法治療L5S1椎間盤(pán)突出癥[J].中醫(yī)正骨,2015,27(08):51.
[18]任博文,楊豪.口服桂葛萆薢湯加減配合功能鍛煉治療 寒濕型腰椎間盤(pán)突出癥[J].中醫(yī)正骨,2015,27(08):53.
[19]丁曉醫(yī),周子靜.射頻熱凝聯(lián)合臭氧注射治療腰椎間盤(pán)突出癥的護(hù)理[J].中醫(yī)正骨,2015,27(12):81.
[20]仇湘中,蔣盛昶,張信成,等.紅外熱成像圖在腰椎間盤(pán)突出癥證候療效評(píng)定中的應(yīng)用[J].中醫(yī)正骨,2015,27(02):17.
　QIU Xiangzhong,JIANG Shengchang,ZHANG Xincheng,et al.Application of infrared thermal imaging to curative effect evaluation of SYMPTOM COMPLEX for patients with lumbar disc herniation[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(01):17.

備注/Memo

備注/Memo:
基金項(xiàng)目:福建省衛(wèi)生健康青年科研課題(2020QNB065); 廈門(mén)市扶持中醫(yī)藥發(fā)展專(zhuān)項(xiàng)項(xiàng)目(XWZY-2023-0511)
通訊作者:王欽楓 E-mail:[email protected]
更新日期/Last Update: 1900-01-01