文献类型：期刊文献

中文题名：针灸治疗椎动脉型颈椎病随机对照临床研究文献的Meta分析

英文题名：A meta-analysis of randomized controlled clinical trials of acupuncture on vertebral artery type of cervical spondylosis

作者：孙润洁[1];田亮[1];朱博雯[1];秦晓光[1]

第一作者：孙润洁

机构：[1]甘肃中医药大学,甘肃兰州730000

第一机构：甘肃中医药大学

年份：2015

卷号：7

期号：32

起止页码：1

中文期刊名：中医临床研究

外文期刊名：Clinical Journal Of Chinese Medicine

语种：中文

中文关键词：针灸;椎动脉型颈椎病;随机对照试验;Meta分析

外文关键词：Acupuncture; Vertebral artery type of cervical spondylosis; Randomized controlled trials; A Meta-analysis

摘要：目的:评价针灸治疗椎动脉型颈椎病的有效性。方法:通过计算机检索2004年1月-2014年12月万方数据库、中国知网(CNKI)、维普全文数据库(VIP)、Pub Med数据库中关于针灸治疗椎动脉型颈椎病的随机对照临床研究文献,选择符合要求的随机对照试验(RCT)和临床对照试验(CCT),采用Rev Man5.3软件进行Meta分析。结果:共纳入19篇随机对照临床研究的文献,共1870例患者,Meta分析结果显示,针灸治疗椎动脉型颈椎病的总有效率与药物对照组相比,差异具有统计学意义[OR=4.90,95%CI(3.57,6.73),Z=9.84,P<0.00001]。结论:针灸治疗椎动脉型颈椎病疗效明显优于药物治疗,但由于RCT文献数量过少,特别是高质量、多中心、大样本的随机临床研究较少,且文献存在发表性偏倚,缺乏随机、盲法、不良反应、随访方面的报道,因此需要深入研究。
Objective： To assess efficacy of acupuncture on vertebral artery type of cervical spondylosis. Methods： Through searching for RCTs from January 2004 to December 2014 about acupuncture on vertebral artery type of cervical spondylosis in CSPD, CNKI, CSTJ and Pub Med, satisfactory RCT and CCT were selected; and A Meta-analysis was applied with Rev Man5.3. Results： There were a total of 19 the clinical RCT and 1870 cases in this study. The Meta-analysis showed that the efficacy of acupuncture treatment on vertebral artery type of cervical spondylosis had significant difference compared with the control group [OR=4.90,95%CI（3.57,6.73）, Z=9.84, P〈0.00001]. Conclusion： The therapeutic effect of acupuncture on cervical spondylosis is more obvious. But because the quantity of documents in RCT is not enough, especially less on high quality, multi-center, large sample randomized controlled trials,and some of the publications have faults which exist bias, lack of random, blinding, adverse reactions and follow-up reports. Therefore, it still needs to further research.