针刺对延迟性肌肉酸痛治疗效果的meta分析
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摘要
运用meta分析系统定量评价针刺对延迟性肌肉酸痛(DOMS)的治疗效果.检索知网和PubMed等数据库,收集有关针刺治疗延迟性肌肉酸痛的随机对照实验,纳入10篇(18项研究)文献,涉及227名研究对象,文献质量为A级的3篇、B级5篇、C级2篇,运用RevMan 5.3软件进行meta分析.各指标合并效应量检验P值均小于0.05.结果显示:针刺能降低DOMS时血清肌酸激酶(CK)浓度,缓解肌肉酸痛感,加快肌肉力量恢复,针刺对DOMS具有确切疗效,但各治疗时间段效果差异不一致.
To systematically and quantitatively evaluate the therapeutic effect of acupuncture on delayed onset muscle soreness(DOMS) by meta-analysis,we collected the randomly controlled trials about acupuncture treatment of delayed muscle soreness from the databases,such as CNKI and PubMed.There are 10 articles(18 research projects) be included,involving 227 participants.The article quality is 3 for Grade A,5 for Grade B and 2 for Grade,meta-analyses were performed by using the software of RevMan 5.3.The P-values of the combined effect size tests of each index were less than 0.05.The results show that acupuncture can reduce serum CK concentration in DOMS,relieve muscle soreness and accelerate muscle strength recovery.Acupuncture has a definite effect on DOMS,but the effect of each treatment period is inconsistent.
To systematically and quantitatively evaluate the therapeutic effect of acupuncture on delayed onset muscle soreness(DOMS) by meta-analysis,we collected the randomly controlled trials about acupuncture treatment of delayed muscle soreness from the databases,such as CNKI and PubMed.There are 10 articles(18 research projects) be included,involving 227 participants.The article quality is 3 for Grade A,5 for Grade B and 2 for Grade,meta-analyses were performed by using the software of RevMan 5.3.The P-values of the combined effect size tests of each index were less than 0.05.The results show that acupuncture can reduce serum CK concentration in DOMS,relieve muscle soreness and accelerate muscle strength recovery.Acupuncture has a definite effect on DOMS,but the effect of each treatment period is inconsistent.
引文
[1] 王瑞元,周越.骨骼肌与运动[M].北京:人民体育出版社,2013:1-12.WANG Ruiyuan,ZHOU Yue.Skeletal Muscle and Sports[M].Beijing:People′s Sports Press,2013:1-12.
[2] LIN J G,YANG S H.Effects of Acupuncture on Exercise-induced Muscle Soreness and Serum Creatine Kinase Activity[J].The American Journal of Chinese Medicine,1999,27(3):299-305.doi:10.1142/S0192415X99000343.
[3] ITOH Kazunor,OCHI Hideki,KITAKOJI Hiroshi.Effects of Tender Point Acupuncture on Delayed Onset Muscle Soreness (DOMS)-a Pragmatic Trial[J].Chinese Medicine,2008,25(3):14-17.doi:10.1186/1749-8546-3-14.
[4] ITOH Kazunor,MINAKAWA Yoichi,KITAKOJI Hiroshi.Effect of Acupuncture Depth on Muscle Pain[J].Chinese Medicine,2011,6(1):1-5.doi:10.1186/1749-8546-6-24.
[5] KRISTA A.The Efficacy of Acupuncture Versus Non-penetrating Sham Acupuncture in Relieving Delayed Onset Muscle Soreness(DOMS) in Healthy Human Adults[D].Winnipeg:The University of Manitoba,2011.doi:http://hdl.handle.net/1993/4843.
[6] 何珂峻.灵龟八法针刺对台阶运动性疲劳恢复效果的观察[D].南宁:广西中医学院,2011.HE Kejun.Observation for the Effects of Lingguibafa Acupuncture on Step Sport Fatigue Relieving[D].Nanning:Guangxi Traditional Chinese Medical University,2011.
[7] 史赛君.针刺对田径运动后小腿三头肌DOMS的影响[J].综合医学,2016(1):204-205.SHI Saijun.Effect of Acupuncture on DOMS of Triceps After Track and Field Exercise[J].Comprehensive Medicine,2016(1):204-205.
[8] 唐虎.不同针刺方案治疗延迟性肌肉酸痛的作用研究[D].北京:首都体育学院,2009.TANG Hu.The Study of the Curative Effect of Different Acupuncture Schemes on Delayed Onset Muscle Soreness[D].Beijing:Capital University of Physical Education and Sports,2009.
[9] 王小迪,张保国,王安利.本体感神经肌肉易化牵伸与斜刺阿是穴治疗小腿三头肌延迟性肌肉酸痛症的效果比较[J].中国临床康复,2006,10(43):14-17.WANG Xiaodi,ZHANG Baoguo,WANG Anli.Proprioceptive Neuromuscular Facilitation Stretching Versus Puncturing Ashi Point for Delayed-onset Muscle Soreness in Triceps Surae[J].Chinese Journal of Clinical Rehabilitation,2006,10(43):14-17.doi:10.3321/j.issn:1673-8225.2006.43.004
[10] 向志勇,陈元武,郁时兵,等.针灸对运动性疲劳影响的实验观察[J].山东体育科技,1998,20(3):25-27,51.doi:10.14105/j.cnki.1009-9840.1998.03.010.XIANG Zhiyong,CHEN Yuanwu,YU Shibing,et al.Experimental Observation on the Effect of Acupuncture on Exercise Fatigue[J].Shandong Sports Science & Technology,1998,20(3):25-27,51.
[11] 杨大为.针刺对网球专选课学生DOMS和RPE变化影响的研究[J].当代体育科技,2016,6(17):12-14.doi:10.1665/j.cnki.2095-2813.2016.17.012.YANG Dawei.Study on the Effect of Acupuncture on the Changes of DOMS and RPE of Tennis Students[J].Contemporary Sports Technology,2016,6(17):12-14.
[12] 吴志建,王竹影,宋彦李青.我国肥胖青少年运动减肥效果的meta分析[J].沈阳体育学院学报,2017,36(3):67-75,81.doi:10.3969/j.issn.1004-0560.2017.03.011WU Zhijian,WANG Zhuying,SONGYAN Liqing.Meta-analysis of Chinese Obese Adolescents Weight-losing Effect by Exercise[J].Journal of Shenyang Sport University,2017,36(3):67-75,81.
[13] 续畅,吴汀溪,宋婧,等.针灸应用于糖尿病周围神经病变的Meta分析及治疗策略[J].中国现代医生,2016,54(22):74-77.XU Chang,WU Tingxi,SONG Jing,et al.Meta-analysis and Treatment Strategy of Acupuncture in the Treatment of Diabetic Peripheral Neuropathy[J].China Modern Doctor,2016,54(22):74-77.
[14] 史曙生.穴位灸法对运动时机体血清CK,BLA及运动能力的影响[J].南京师大学报(自然科学版),2002,25(1):103-107.doi:10.3969/j.issn.1001-4616.2002.01.022.SHI Shusheng.Effect of Moxibustion on the Levels of Serum CK,BLA and Exercise Performance[J].Journal of Nanjing Normal University(Natural Science Edition),2002,25(1):103-107.
[15] 陈松.艾灸预处理预防延迟性肌肉酸痛症的临床观察[D].武汉:湖北中医药大学,2011.doi:10.7666/d.y1992145.CHEN Song.Clinical Observation of Moxibustion Pretreatment on Delayed-onset Muscle Soreness[D].Wuhan:Hubei University of Chinese Medicine,2011.
[16] 卢鼎厚,樊景禹,屈竹青,等.针刺和静力牵张对大负荷运动后骨骼肌粗丝结构变化影响的免疫电镜研究[J].体育科学,1993,46(1):47-50.LU Dinghou,FAN Jingyu,QU Zhuqing,et al.An Immuno-electron Microscopic Study of the Effect of Acupuncture and Static Stretch on the Structural Alteration of Thick Filament After Strenuous Exercise[J].China Sport Science,1993,46(1):47-50.
[17] 屈竹青,张均田,卢鼎厚,等.针刺正常骼肌及力竭肌对胞浆自由钙离子浓度的影响机制[J].北京体育大学学报,1994(2):36-41.doi:10.19582/j.cnki.11-3785/g8.1994.02.008.QU Zhuqing,ZHANG Juntian,LU Dinghou,et al.Mechanism of the Effect of Acupuncture on Cytosolic Ca2+Coneentartion in Normal and Exhausted Muscles[J].Journal of Beijing Sport University,1994(2):36-41.
[18] 刘鸣.系统评价meta-分析设计与实施方法[M].北京:人民卫生出版社,2011:123-127.LIU Ming.Systematic Evaluation Meta-analysis Design and Implementation Method[M].Beijing:People′s Health Press,2011:123-127.
[2] LIN J G,YANG S H.Effects of Acupuncture on Exercise-induced Muscle Soreness and Serum Creatine Kinase Activity[J].The American Journal of Chinese Medicine,1999,27(3):299-305.doi:10.1142/S0192415X99000343.
[3] ITOH Kazunor,OCHI Hideki,KITAKOJI Hiroshi.Effects of Tender Point Acupuncture on Delayed Onset Muscle Soreness (DOMS)-a Pragmatic Trial[J].Chinese Medicine,2008,25(3):14-17.doi:10.1186/1749-8546-3-14.
[4] ITOH Kazunor,MINAKAWA Yoichi,KITAKOJI Hiroshi.Effect of Acupuncture Depth on Muscle Pain[J].Chinese Medicine,2011,6(1):1-5.doi:10.1186/1749-8546-6-24.
[5] KRISTA A.The Efficacy of Acupuncture Versus Non-penetrating Sham Acupuncture in Relieving Delayed Onset Muscle Soreness(DOMS) in Healthy Human Adults[D].Winnipeg:The University of Manitoba,2011.doi:http://hdl.handle.net/1993/4843.
[6] 何珂峻.灵龟八法针刺对台阶运动性疲劳恢复效果的观察[D].南宁:广西中医学院,2011.HE Kejun.Observation for the Effects of Lingguibafa Acupuncture on Step Sport Fatigue Relieving[D].Nanning:Guangxi Traditional Chinese Medical University,2011.
[7] 史赛君.针刺对田径运动后小腿三头肌DOMS的影响[J].综合医学,2016(1):204-205.SHI Saijun.Effect of Acupuncture on DOMS of Triceps After Track and Field Exercise[J].Comprehensive Medicine,2016(1):204-205.
[8] 唐虎.不同针刺方案治疗延迟性肌肉酸痛的作用研究[D].北京:首都体育学院,2009.TANG Hu.The Study of the Curative Effect of Different Acupuncture Schemes on Delayed Onset Muscle Soreness[D].Beijing:Capital University of Physical Education and Sports,2009.
[9] 王小迪,张保国,王安利.本体感神经肌肉易化牵伸与斜刺阿是穴治疗小腿三头肌延迟性肌肉酸痛症的效果比较[J].中国临床康复,2006,10(43):14-17.WANG Xiaodi,ZHANG Baoguo,WANG Anli.Proprioceptive Neuromuscular Facilitation Stretching Versus Puncturing Ashi Point for Delayed-onset Muscle Soreness in Triceps Surae[J].Chinese Journal of Clinical Rehabilitation,2006,10(43):14-17.doi:10.3321/j.issn:1673-8225.2006.43.004
[10] 向志勇,陈元武,郁时兵,等.针灸对运动性疲劳影响的实验观察[J].山东体育科技,1998,20(3):25-27,51.doi:10.14105/j.cnki.1009-9840.1998.03.010.XIANG Zhiyong,CHEN Yuanwu,YU Shibing,et al.Experimental Observation on the Effect of Acupuncture on Exercise Fatigue[J].Shandong Sports Science & Technology,1998,20(3):25-27,51.
[11] 杨大为.针刺对网球专选课学生DOMS和RPE变化影响的研究[J].当代体育科技,2016,6(17):12-14.doi:10.1665/j.cnki.2095-2813.2016.17.012.YANG Dawei.Study on the Effect of Acupuncture on the Changes of DOMS and RPE of Tennis Students[J].Contemporary Sports Technology,2016,6(17):12-14.
[12] 吴志建,王竹影,宋彦李青.我国肥胖青少年运动减肥效果的meta分析[J].沈阳体育学院学报,2017,36(3):67-75,81.doi:10.3969/j.issn.1004-0560.2017.03.011WU Zhijian,WANG Zhuying,SONGYAN Liqing.Meta-analysis of Chinese Obese Adolescents Weight-losing Effect by Exercise[J].Journal of Shenyang Sport University,2017,36(3):67-75,81.
[13] 续畅,吴汀溪,宋婧,等.针灸应用于糖尿病周围神经病变的Meta分析及治疗策略[J].中国现代医生,2016,54(22):74-77.XU Chang,WU Tingxi,SONG Jing,et al.Meta-analysis and Treatment Strategy of Acupuncture in the Treatment of Diabetic Peripheral Neuropathy[J].China Modern Doctor,2016,54(22):74-77.
[14] 史曙生.穴位灸法对运动时机体血清CK,BLA及运动能力的影响[J].南京师大学报(自然科学版),2002,25(1):103-107.doi:10.3969/j.issn.1001-4616.2002.01.022.SHI Shusheng.Effect of Moxibustion on the Levels of Serum CK,BLA and Exercise Performance[J].Journal of Nanjing Normal University(Natural Science Edition),2002,25(1):103-107.
[15] 陈松.艾灸预处理预防延迟性肌肉酸痛症的临床观察[D].武汉:湖北中医药大学,2011.doi:10.7666/d.y1992145.CHEN Song.Clinical Observation of Moxibustion Pretreatment on Delayed-onset Muscle Soreness[D].Wuhan:Hubei University of Chinese Medicine,2011.
[16] 卢鼎厚,樊景禹,屈竹青,等.针刺和静力牵张对大负荷运动后骨骼肌粗丝结构变化影响的免疫电镜研究[J].体育科学,1993,46(1):47-50.LU Dinghou,FAN Jingyu,QU Zhuqing,et al.An Immuno-electron Microscopic Study of the Effect of Acupuncture and Static Stretch on the Structural Alteration of Thick Filament After Strenuous Exercise[J].China Sport Science,1993,46(1):47-50.
[17] 屈竹青,张均田,卢鼎厚,等.针刺正常骼肌及力竭肌对胞浆自由钙离子浓度的影响机制[J].北京体育大学学报,1994(2):36-41.doi:10.19582/j.cnki.11-3785/g8.1994.02.008.QU Zhuqing,ZHANG Juntian,LU Dinghou,et al.Mechanism of the Effect of Acupuncture on Cytosolic Ca2+Coneentartion in Normal and Exhausted Muscles[J].Journal of Beijing Sport University,1994(2):36-41.
[18] 刘鸣.系统评价meta-分析设计与实施方法[M].北京:人民卫生出版社,2011:123-127.LIU Ming.Systematic Evaluation Meta-analysis Design and Implementation Method[M].Beijing:People′s Health Press,2011:123-127.