| 手法与牵引治疗腰椎间盘突出症的Meta分析 |
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Received:August 08, 2013
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| 作者 | Author | 单位 | Unit | E-Mail |
| 卜江慧 |
BU Jiang-hui |
上海中医药大学附属岳阳中西医结合医院 上海市中医药研究院推拿研究所, 上海 200437 |
Yueyang Hospital of Integrated Traditional Chinese and Western Medicine Affiliated to Shanghai University of Traditional Chinese Medicine
Institute of Massage, Academy of Traditional Chinese Medicine, Shanghai 200437, China |
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| 孔令军 |
KONG Ling-jun |
上海中医药大学附属岳阳中西医结合医院 上海市中医药研究院推拿研究所, 上海 200437 |
Yueyang Hospital of Integrated Traditional Chinese and Western Medicine Affiliated to Shanghai University of Traditional Chinese Medicine
Institute of Massage, Academy of Traditional Chinese Medicine, Shanghai 200437, China |
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| 郭朝卿 |
GUO Chao-qing |
上海中医药大学附属岳阳中西医结合医院 上海市中医药研究院推拿研究所, 上海 200437 |
Yueyang Hospital of Integrated Traditional Chinese and Western Medicine Affiliated to Shanghai University of Traditional Chinese Medicine
Institute of Massage, Academy of Traditional Chinese Medicine, Shanghai 200437, China |
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| 杨小存 |
YANG Xiao-cun |
上海中医药大学附属岳阳中西医结合医院 上海市中医药研究院推拿研究所, 上海 200437 |
Yueyang Hospital of Integrated Traditional Chinese and Western Medicine Affiliated to Shanghai University of Traditional Chinese Medicine
Institute of Massage, Academy of Traditional Chinese Medicine, Shanghai 200437, China |
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| 程英武 |
CHENG Ying-wu |
上海中医药大学附属岳阳中西医结合医院 上海市中医药研究院推拿研究所, 上海 200437 |
Yueyang Hospital of Integrated Traditional Chinese and Western Medicine Affiliated to Shanghai University of Traditional Chinese Medicine
Institute of Massage, Academy of Traditional Chinese Medicine, Shanghai 200437, China |
bujianghui@sina.com |
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| 期刊信息：《中国骨伤》2014年27卷，第5期，第409-414页 |
| DOI：10.3969/j.issn.1003-0034.2014.05.014 |
| 基金项目:国家自然科学基金面上项目（编号：81273869；81072891）；中国中医药管理局重点学科推拿学（编号：ZK0901TN007）；国家临床重点专科建设项目经费资助（编号：AB83070002012016）；上海市教委青年优秀教师培养计划（编号：ZZszy12050） |
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目的：评价手法与牵引治疗腰椎间盘突出症的有效性及目前此类随机临床试验（RCT）研究的现状。
方法：计算机检索中国期刊全文数据库（CNKI）、维普期刊数据库医药卫生辑（VIP）、万方数据库、PubMed、OVID及手工检索共收集文献2 874篇，纳入17篇。用Jadad量表予以质量评价，以RevMan 5.0软件进行Meta分析。
结果：纳入的17篇文献，经Meta分析其有效率合并效应量RR=1.10，95%CI[1.06，1.14]；痊愈率合并效应量RR=1.36，95%CI[1.21，1.52].VAS评分合并效应量RR=1.37，95%CI[1.28，1.45]；JOA评分合并效应量RR=4.75，95%CI[4.40，5.09].
结论：手法治疗腰椎间盘突出症的随机对照试验整体质量偏低，不支持手法治疗腰椎间盘突出症疗效优于牵引的结论。 |
| [关键词]:手法 牵引术 Meta分析 椎间盘移位 |
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| Effectiveness of manual therapy and traction for lumbar disc herniation：a meta-analysis |
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Abstract:
Objective: To evaluate the effectiveness of manual therapy and traction for lumbar disc herniation and analyze the current status of this kind of randomized clinical trial(RCT).
Methods: Database of CNKI,VIP,WANFANG,PubMed and OVID were searched. Some relevant journals were manually retrieved. A total of 2 874 literatures on manual therapy and traction for lumbar disc herniation were collected,of which 17 articles met the inclusion criteria. The Jadad score scale was used to evaluate the quality,and RevMan5.0 was used for meta-analysis of literatures.
Results: The results of the meta-analysis of all trials involved were as followed:the combined effect of the effective rate was RR=1.10,95%CI[1.06,1.14],the combined effect of the cure rate was RR=1.36,95%CI[1.21,1.52],the combined effect of the VAS was RR=1.37,95%CI[1.28,1.45],the combined effect of the JOA was RR=4.75,95%CI[4.40,5.09].
Conclusion: The overall quality of the current RCT researches about manual therapy for lumbar disc herniation was lower,and did not support the conclusion that manual therapy was more effective than traction for lumbar disc herniation. |
| KEYWORDS:Manipulation Traction Meta-analysis Intervertebral disk displacement |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 卜江慧,孔令军,郭朝卿,杨小存,程英武.手法与牵引治疗腰椎间盘突出症的Meta分析[J].中国骨伤,2014,27(5):409~414 |
| 英文格式: | BU Jiang-hui,KONG Ling-jun,GUO Chao-qing,YANG Xiao-cun,CHENG Ying-wu.Effectiveness of manual therapy and traction for lumbar disc herniation：a meta-analysis[J].zhongguo gu shang / China J Orthop Trauma ,2014,27(5):409~414 |
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