艾灸治疗小儿腹泻疗效的Meta分析
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摘要
目的评价艾灸治疗小儿腹泻的临床疗效。方法计算机检索中国知网全文数据库(CNKI)、万方数据库、中国生物医学文献数据库(CBM)、PubMed数据库、Cochrane图书馆和Google学术,搜集符合纳入及排除标准的文献,评价文献质量后采用RevMan 5.3软件分析数据。结果共纳入19篇文献,质量普遍偏低。6项研究比较了单纯艾灸与常规疗法治疗小儿腹泻的有效性,差异有统计学意义[OR=4.01,95%CI(2.01,7.99),P<0.0001];13项研究比较了艾灸联合其他疗法与常规疗法治疗小儿腹泻的有效性,差异有统计学意义[OR=4.56,95%CI(2.96,7.02),P<0.00001]。结论艾灸可有效缓解小儿腹泻相关症状,疗效显著。
Objective To evaluate the efficacy of moxibustion in the treatment of infantile diarrhea. Methods China National Knowledge Infrastructure(CNKI), WANFANG DATA, China Biology Medicine(CBM), PubMed, Cochrane Library and Google science were retrieved by the computer, and the articles meeting the inclusion and exclusion criteria were collected. The data were analyzed through RevMan 5.3 software after evaluation on the quality of articles. Results A total of 19 articles were included, and the quality was ususlly poor. Significant differences were shown regarding the efficacy between moxibustion alone and routine treatment [OR=4.01, 95%CI(2.01, 7.99), P<0.0001] in 6 studies, and between moxibustion combined with other therapies and routine treatment [OR=4.56, 95%CI(2.96, 7.02), P<0.00001] in 13 studies. Conclusion Moxibustion can effectively improve the symptoms of children with diarrhea.
Objective To evaluate the efficacy of moxibustion in the treatment of infantile diarrhea. Methods China National Knowledge Infrastructure(CNKI), WANFANG DATA, China Biology Medicine(CBM), PubMed, Cochrane Library and Google science were retrieved by the computer, and the articles meeting the inclusion and exclusion criteria were collected. The data were analyzed through RevMan 5.3 software after evaluation on the quality of articles. Results A total of 19 articles were included, and the quality was ususlly poor. Significant differences were shown regarding the efficacy between moxibustion alone and routine treatment [OR=4.01, 95%CI(2.01, 7.99), P<0.0001] in 6 studies, and between moxibustion combined with other therapies and routine treatment [OR=4.56, 95%CI(2.96, 7.02), P<0.00001] in 13 studies. Conclusion Moxibustion can effectively improve the symptoms of children with diarrhea.
引文
[1] 温旺启,秦亮.针刺治疗小儿腹泻[J].中国针灸,2013,33(9):773.
[2] 郭小兰.健脾止泻散对脾虚泄泻小鼠血清胃泌素、尿淀粉酶含量影响的实验研究[D].咸阳:陕西中医药大学,2006.
[3] 彭玉,冷丽,陈竹,等.推拿治疗婴幼儿急性腹泻病:多中心随机对照研究[J].中国针灸,2011,31(12):1116-1120.
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[7] 刘春华,石学娴.艾灸加中药贴敷神阙穴治疗小儿腹泻的临床观察与护理[J].内蒙古中医药,2016,35(8):119.
[8] 胡静雪,师建国.艾灸联合玉屏风散治疗小儿脾胃虚弱型泄泻38例[J].西部中医药,2017,30(2):84-86.
[9] 张玲璐.艾灸脾俞穴治疗小儿慢性腹泻疗效观察[J].上海针灸志,2016,35(6):697-699.
[10] 赵资源.补脾益气散配合艾灸神阙疗法在小儿腹泻中治疗效果及安全性[J].内蒙古中医药,2018,37(2):24-25.
[11] 李彦秋.思密达联合艾灸治疗小儿腹泻50例临床观察[J].云南中医中药杂志,2012,33(9):26.
[12] 杜伟.小儿腹泻应用止泻贴联合艾灸治疗的临床疗效[J].现代医学与健康研究电子杂志,2017,1(9):167
[13] 李永水.止泻贴联合艾灸治疗小儿腹泻的临床疗效探讨[J].光明中医,2017,32(7):928-929.
[14] 张兆国.止泻贴联合艾灸治疗小儿腹泻临床观察[J].内蒙古中医药,2016,35(4):83-84.
[15] 翟红敏,熊振芳,李圣洁,等.中西医结合治疗小儿腹泻的临床观察[J].湖北中医药大学学报,2016,18(6):79-81.
[16] 朱群雷.中药贴脐配合艾灸治疗小儿腹泻临床观察及护理体会[J].新中医,2015,47(8):289-291.
[17] 李琳.中医推拿与艾灸联合疗法治疗小儿腹泻的临床疗效观察[J].临床医药文献杂志 (电子版),2017,4(5):844.
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[19] WANG J Y,LIU W D,LIU C M.Clinical observation of infantile persisting diarrhea treated by spine-pinching manipulation plus moxibustion[J].Journal of Acupuncture and Tuina Science,2003,1(6):17-19.
[20] 朱坤.探讨中医推拿与艾灸联合疗法治疗小儿腹泻的临床疗效[J].中医临床研究,2015,7(17):27-28.
[21] 黄智萍.中药穴位贴敷及艾灸治疗小儿腹泻的疗效及护理[J].当代护士,2015,7:73-74.
[22] 陈淑珍.药物铺灸疗法治疗小儿泄泻临床疗效观察[J].中医儿科杂志,2010,6(2):45-48.
[23] 王全权,宗芳,黄慧敏,等.推拿手法结合神阙灸治疗小儿腹泻疗效观察[J].中国中医急症,2016,25(10):1963-1965.
[24] 陈小波,罗娟娟.隔药灸与西药治疗小儿迁延性及慢性腹泻疗效对照观察[J].中国针灸,2013,33(2):113-116.
[25] 苏冬梅,李军祥,刘新平.通过肠道菌群变化探讨隔姜隔药灸治疗腹泻型肠易激综合征的疗效及机制[J].中国中西医结合消化杂志,2018,26(2):148-151.
[2] 郭小兰.健脾止泻散对脾虚泄泻小鼠血清胃泌素、尿淀粉酶含量影响的实验研究[D].咸阳:陕西中医药大学,2006.
[3] 彭玉,冷丽,陈竹,等.推拿治疗婴幼儿急性腹泻病:多中心随机对照研究[J].中国针灸,2011,31(12):1116-1120.
[4] RALSTON M E,DAY L T,SLUSHER T M,et al.Global paediatric advanced life support:improving child survival in limited-resource settings[J].Lancet,2013,381(9862):256-265.
[5] 胡皓夫.现代儿科治疗学[M].北京:人民军医出版社,1999:270.
[6] 唐英,尚清.艾灸法治疗小儿慢性腹泻20例[J].中医研究,2011,24(10):70-72.
[7] 刘春华,石学娴.艾灸加中药贴敷神阙穴治疗小儿腹泻的临床观察与护理[J].内蒙古中医药,2016,35(8):119.
[8] 胡静雪,师建国.艾灸联合玉屏风散治疗小儿脾胃虚弱型泄泻38例[J].西部中医药,2017,30(2):84-86.
[9] 张玲璐.艾灸脾俞穴治疗小儿慢性腹泻疗效观察[J].上海针灸志,2016,35(6):697-699.
[10] 赵资源.补脾益气散配合艾灸神阙疗法在小儿腹泻中治疗效果及安全性[J].内蒙古中医药,2018,37(2):24-25.
[11] 李彦秋.思密达联合艾灸治疗小儿腹泻50例临床观察[J].云南中医中药杂志,2012,33(9):26.
[12] 杜伟.小儿腹泻应用止泻贴联合艾灸治疗的临床疗效[J].现代医学与健康研究电子杂志,2017,1(9):167
[13] 李永水.止泻贴联合艾灸治疗小儿腹泻的临床疗效探讨[J].光明中医,2017,32(7):928-929.
[14] 张兆国.止泻贴联合艾灸治疗小儿腹泻临床观察[J].内蒙古中医药,2016,35(4):83-84.
[15] 翟红敏,熊振芳,李圣洁,等.中西医结合治疗小儿腹泻的临床观察[J].湖北中医药大学学报,2016,18(6):79-81.
[16] 朱群雷.中药贴脐配合艾灸治疗小儿腹泻临床观察及护理体会[J].新中医,2015,47(8):289-291.
[17] 李琳.中医推拿与艾灸联合疗法治疗小儿腹泻的临床疗效观察[J].临床医药文献杂志 (电子版),2017,4(5):844.
[18] 张现豪.温和灸治疗脾虚型小儿泄泻临床观察[D].长沙:湖南中医药大学,2011.
[19] WANG J Y,LIU W D,LIU C M.Clinical observation of infantile persisting diarrhea treated by spine-pinching manipulation plus moxibustion[J].Journal of Acupuncture and Tuina Science,2003,1(6):17-19.
[20] 朱坤.探讨中医推拿与艾灸联合疗法治疗小儿腹泻的临床疗效[J].中医临床研究,2015,7(17):27-28.
[21] 黄智萍.中药穴位贴敷及艾灸治疗小儿腹泻的疗效及护理[J].当代护士,2015,7:73-74.
[22] 陈淑珍.药物铺灸疗法治疗小儿泄泻临床疗效观察[J].中医儿科杂志,2010,6(2):45-48.
[23] 王全权,宗芳,黄慧敏,等.推拿手法结合神阙灸治疗小儿腹泻疗效观察[J].中国中医急症,2016,25(10):1963-1965.
[24] 陈小波,罗娟娟.隔药灸与西药治疗小儿迁延性及慢性腹泻疗效对照观察[J].中国针灸,2013,33(2):113-116.
[25] 苏冬梅,李军祥,刘新平.通过肠道菌群变化探讨隔姜隔药灸治疗腹泻型肠易激综合征的疗效及机制[J].中国中西医结合消化杂志,2018,26(2):148-151.