小针刀与针刺治疗膝骨性关节炎临床疗效Meta分析
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摘要
[目的]运用Meta分析的方法评价小针刀治疗膝骨性关节炎的疗效。[方法]检索数据库为中国知网、万方,维普数据库和PubMed,收集建库至2017年10月发表的有关小针刀治疗膝骨性关节炎的随机对照试验(RCT),将收集到的文献进行筛选,并对其进行质量评价,采用Cochrane协作网发布的系统评价官方软件Review Manager 5.3软件进行统计分析。[结果]共纳入9个RCT,包括655例患者,Meta分析结果显示:小针刀治疗膝骨性关节炎的有效率高于针刺。[结论]小针刀治疗膝骨性关节炎疗效肯定,但因为纳入研究的文献数量较少,质量参差不齐,样本量有限,需要设计更完善的试验来进一步验证。
[Objective] To evaluate the efficacy of acupotomy for knee osteoarthrits(KOA) by Meta-analysis. [Methods] Randomized controlled trials about acupotomy treating KOA were indexed from CNKI,Wanfang Date,VIP and PubMed from the begining to October2017. The literature was screened and evaluated and Review Manager 5.3 software was used for analysis. [Results] The 9 RCT were included and there were 655 patients in total. Meta-analysis result showed that the effective rate of acupotomy therapy for KOA was higher than acupuncture. [Conclusion] The efficacy of acupotomy in the treatment of KOA was positive. However,because the number of literature included in the study was small,the quality was uneven and the sample size was limited,more perfect experiments need to be designed.
[Objective] To evaluate the efficacy of acupotomy for knee osteoarthrits(KOA) by Meta-analysis. [Methods] Randomized controlled trials about acupotomy treating KOA were indexed from CNKI,Wanfang Date,VIP and PubMed from the begining to October2017. The literature was screened and evaluated and Review Manager 5.3 software was used for analysis. [Results] The 9 RCT were included and there were 655 patients in total. Meta-analysis result showed that the effective rate of acupotomy therapy for KOA was higher than acupuncture. [Conclusion] The efficacy of acupotomy in the treatment of KOA was positive. However,because the number of literature included in the study was small,the quality was uneven and the sample size was limited,more perfect experiments need to be designed.
引文
[1]肖丽娜,王延冰.293例中老年膝骨性关节炎患者心理及社会支持调查分析研究[J].贵阳中医学院学报,2014,36(4):69-72.
[2] Fuller TE,Shaked Y. Factors associated with depression andsuicidal ideation among individuals with arthritis or rheumatism:findings from a representative community survey[J]. ArthritisRheum,2009,61(7):944-950.
[3]龚桂兰,李节,毛靖.中老年关节炎疼痛患者抑郁状况及影响因素的调查[J].中华护理杂志,2012,47(3):244-246.
[4]王亮,陈祁青,童培建,等.膝骨性关节炎早期诊断的研究进展[J].中国骨伤,2016,29(3):288-291.
[5] Bijlsma JWJ,Knahr K.Strategies for the prevention and managementof osteoarthritis of the hip and knee[J]. Best Pract Res ClinRheumatol,2007,21(1):59-76.
[6]金辉,王文波.关节腔内注射玻璃酸钠结合理筋手法治疗膝骨关节炎的短期疗效分析[J].中国医药导刊,2013,15(3):480-481.
[7] Zhang W,Moskowitz RW,Nuki G,等.国际骨关节炎研究学会髋与膝骨关节炎治疗指南———第二部分:基于循证和专家共识之治疗指南[J].国际骨科学杂志,2009,30(4):208-217.
[8] RutjesWS,Jüni P,da Costa BR,et al. Viscosupplementation forosteoarthritis of the knee:a systematic review and meta-analysis[J].Ann Intern Med,2012,157(3):180-191.
[9]尹利华,胡水荣,王安,等.针刀治疗膝骨关节炎40例疗效观察[J].中医药导报,2009,15(1):58-59.
[10]彭溶,温建民,梁朝.针刀治疗膝骨关节炎疗效评价[J].中医药临床杂志,2011,23(5):414-416.
[11]李少芳,林卓鹏,卢蓬,等.小针刀治疗膝关节骨关节炎临床研究[J].中医临床研究,2015,7(34):39-40.
[12] Ding Y,Wang Y X,Shi X,et al.Effect of ultrasound-guided acupo-tomy vs electro-acupuncture onknee osteoarthritis:a randomizedcontrolled study[J].J Tradit Chin Med,2016,36(4):444-449.
[13]孙立伟.针刀疗法治疗膝关节骨性关节炎临床研究[D].南宁:广西中医药大学,2013.
[14]常红,常英,刘亚彬,等.小针刀疗法对膝关节骨性关节炎患者肿瘤坏死因子-α及一氧化氮的影响[J].河北中医,2014,36(1):78-79,105.
[15]熊应宗.针刀治疗膝骨性关节炎的临床研究[D].合肥:安徽中医药大学,2014.
[16]袁青宝.针刀松解治疗膝关节骨性关节炎气滞血瘀证的临床研究[D].济南:山东中医药大学,2016.
[17]王兴昌.小针刀治疗膝骨性关节炎50例[J].西部中医药,2017,30(8):139-141.
[18]刘宗亮.膝关节骨关节炎发病机理研究及针刀治疗疗效探讨[J].中外医疗,2017,36(20):33-34,37.
[19]陈后煌,邵翔,叶蕻芝,等.独活寄生汤对脂多糖诱导的大鼠软骨细胞炎症模型IL-1β、TNF-α表达的影响[J].中华老年骨科与康复电子杂志,2017,3(2):77-84
[20]朱定钰,吴明霞.小针刀治疗膝骨关节炎临床疗效观察及机制研究[J].中国卫生标准管理,2017,8(15):86-88.
[21]牛爱春,吴建民,李宁.针刀治疗膝骨关节炎机理研究进展[J].亚太传统医药,2016,12(7):76-78.
[2] Fuller TE,Shaked Y. Factors associated with depression andsuicidal ideation among individuals with arthritis or rheumatism:findings from a representative community survey[J]. ArthritisRheum,2009,61(7):944-950.
[3]龚桂兰,李节,毛靖.中老年关节炎疼痛患者抑郁状况及影响因素的调查[J].中华护理杂志,2012,47(3):244-246.
[4]王亮,陈祁青,童培建,等.膝骨性关节炎早期诊断的研究进展[J].中国骨伤,2016,29(3):288-291.
[5] Bijlsma JWJ,Knahr K.Strategies for the prevention and managementof osteoarthritis of the hip and knee[J]. Best Pract Res ClinRheumatol,2007,21(1):59-76.
[6]金辉,王文波.关节腔内注射玻璃酸钠结合理筋手法治疗膝骨关节炎的短期疗效分析[J].中国医药导刊,2013,15(3):480-481.
[7] Zhang W,Moskowitz RW,Nuki G,等.国际骨关节炎研究学会髋与膝骨关节炎治疗指南———第二部分:基于循证和专家共识之治疗指南[J].国际骨科学杂志,2009,30(4):208-217.
[8] RutjesWS,Jüni P,da Costa BR,et al. Viscosupplementation forosteoarthritis of the knee:a systematic review and meta-analysis[J].Ann Intern Med,2012,157(3):180-191.
[9]尹利华,胡水荣,王安,等.针刀治疗膝骨关节炎40例疗效观察[J].中医药导报,2009,15(1):58-59.
[10]彭溶,温建民,梁朝.针刀治疗膝骨关节炎疗效评价[J].中医药临床杂志,2011,23(5):414-416.
[11]李少芳,林卓鹏,卢蓬,等.小针刀治疗膝关节骨关节炎临床研究[J].中医临床研究,2015,7(34):39-40.
[12] Ding Y,Wang Y X,Shi X,et al.Effect of ultrasound-guided acupo-tomy vs electro-acupuncture onknee osteoarthritis:a randomizedcontrolled study[J].J Tradit Chin Med,2016,36(4):444-449.
[13]孙立伟.针刀疗法治疗膝关节骨性关节炎临床研究[D].南宁:广西中医药大学,2013.
[14]常红,常英,刘亚彬,等.小针刀疗法对膝关节骨性关节炎患者肿瘤坏死因子-α及一氧化氮的影响[J].河北中医,2014,36(1):78-79,105.
[15]熊应宗.针刀治疗膝骨性关节炎的临床研究[D].合肥:安徽中医药大学,2014.
[16]袁青宝.针刀松解治疗膝关节骨性关节炎气滞血瘀证的临床研究[D].济南:山东中医药大学,2016.
[17]王兴昌.小针刀治疗膝骨性关节炎50例[J].西部中医药,2017,30(8):139-141.
[18]刘宗亮.膝关节骨关节炎发病机理研究及针刀治疗疗效探讨[J].中外医疗,2017,36(20):33-34,37.
[19]陈后煌,邵翔,叶蕻芝,等.独活寄生汤对脂多糖诱导的大鼠软骨细胞炎症模型IL-1β、TNF-α表达的影响[J].中华老年骨科与康复电子杂志,2017,3(2):77-84
[20]朱定钰,吴明霞.小针刀治疗膝骨关节炎临床疗效观察及机制研究[J].中国卫生标准管理,2017,8(15):86-88.
[21]牛爱春,吴建民,李宁.针刀治疗膝骨关节炎机理研究进展[J].亚太传统医药,2016,12(7):76-78.