文献类型：期刊文献

中文题名：针刀疗法治疗颈椎病的Meta分析

英文题名：Meta analysis of needle knife treatment on cervical spondylosis

作者：阚丽丽[1];王海东[2];刘安国[1]

第一作者：阚丽丽

机构：[1]甘肃中医学院中医医疗系;[2]甘肃省中医院风湿骨病科

第一机构：甘肃中医药大学中医临床学院

年份：2013

期号：11

起止页码：935

中文期刊名：中国骨伤

外文期刊名：China Journal of Orthopaedics and Traumatology

收录：CSTPCD;;Scopus;PubMed

基金：2012年兰州市科技局社会发展计划项目资助(编号:2012-1-45)~~

语种：中文

中文关键词：颈椎病;针刀疗法;针刺疗法;牵引术;Meta分析

外文关键词：Cervical spondylosis ; Needle-knife therapy ; Acupuncture therapy ; Traction ; Meta-Analysis

摘要：目的:对针刀疗法治疗颈椎病的相关随机对照试验文献进行质量评价,并比较其疗效的优越性。方法:计算机检索2000年至2012年中国知网(CNKI),万方数据库(WF)数据库中有关针刀治疗颈椎病的临床随机对照试验文献。采用Review Manager 5.1软件进行Meta分析评价疗效,比较优越性。结果:共纳入临床随机对照试验文献13篇,涉及患者共1 419名。纳入的研究方法学质量评价普遍偏低,主要表现在:缺乏大样本、多中心RCT研究;文献随机分组方法不够准确;纳入标准、诊断标准及疗效评价标准类型繁多;仅少数文献对远期疗效进行了评估,大多数文献未提到不良事件的发生及脱落情况;所有研究均未使用盲法。Meta分析结果显示:与针刺疗法比较,合并后效应指标[RR=0.19,95%CI(0.15,0.24),P<0.00001];与牵引疗法比较,合并后效应指标[RR=1.30,95%CI(1.18,1.42),P<0.00001]。结论:针刀疗法与常规针刺疗法比较,针刀治疗颈椎病的疗效优于针刺疗法;与牵引疗法比较,由于样本量较小,发表偏倚明显,针刀疗法相比牵引疗法的优越性还有待于今后大样本的荟萃分析。
Objective ： To assess the efficacy of cervical spondylosis by needle-knife treatment according to the correlated literature of RCT, to compare advantages of needle-knife treatment. Methods： Randomized Controlled Trials about needle-knife treatment of cervical spondylosis were indexed from Chinese HowNet （CNKI） and Wanfang （WF） from 2000 to 2012, then were analyzed the efficacy by Review Manager 5.1 software. Results： A total of 13 RCT literatures and 1 419 patients were included. The methods of included studies were poor in quality evaluation because of large sample and muhi-center RCT studies was lacked, randomization method was not accurate enough, diagnostic criteria and efficacy evaluation were various, only four stud- ies described long-term efficacy, most of the literature didn＇t describe the adverse event and fall off, all studies did not use the blind method. The Meta analysis outcome showed overall efficiency of needle-knife therapy was better than acupuncture and traction. Needle-knife therapy compared with Acupuncture, the total RR=0.19,95% confidence interval was （0.15,0.24）, P〈 0.000 01. Compared with traction therapy the total RR= 1.30,95% confidence interval was （1.18,1.42）, P〈0.000 01. Conclusion：Compared with acupuncture therapy, the overall effectiveness of needle-knife therapy is higher; compared with traction therapy, although, needle-knife therapy has a high overall effectiveness, but because of the loss of total sample size, the outcome can not be entirely sure. But its superiority of efficacy is need for large sample,muti-centure,accurate method,high quality RCT researches to confirm.