| 针刀疗法治疗颈椎病的Meta分析 |
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Received:January 21, 2013
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| 期刊信息：《中国骨伤》2013年26卷，第11期，第935-939页 |
| DOI：10.3969/j.issn.1003-0034.2013.11.014 |
| 基金项目:2012年兰州市科技局社会发展计划项目资助(编号:2012-1-45) |
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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。 |
| [关键词]:颈椎病 针刀疗法 针刺疗法 牵引术 Meta分析 |
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| Meta-analysis of needle-knife treatment on cervical spondylosis |
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Abstract:
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 multi-center RCT studies was lacked,randomization method was not accurate enough,diagnostic criteria and efficacy evaluation were various,only four studies 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. |
| KEYWORDS:Cervical spondylosis Needle-knife therapy Acupuncture therapy Traction Meta-Analysis |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 阚丽丽,王海东,刘安国.针刀疗法治疗颈椎病的Meta分析[J].中国骨伤,2013,26(11):935~939 |
| 英文格式: | KAN Li-li,WANG Hai-dong,LIU An-guo.Meta-analysis of needle-knife treatment on cervical spondylosis[J].zhongguo gu shang / China J Orthop Trauma ,2013,26(11):935~939 |
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