中国组织工程研究

中国组织工程研究 ›› 2012, Vol. 16 ›› Issue (44): 8235-8239.doi: 10.3969/j.issn.2095-4344.2012.44.013

• 骨与关节循证医学 evidence-based medicine of the bone and joint • 上一篇    下一篇

针刀与针灸治疗膝骨关节炎疗效比较的Meta分析

刘福水，金德忠，吴 翔   

  1. 江西中医学院，江西省南昌市 330004
  • 收稿日期:2012-01-02 修回日期:2012-03-28 出版日期:2012-10-28 发布日期:2013-04-07
  • 通讯作者: 吴翔，硕士，主任医师，江西中医学院，江西省南昌市 330004 jxwuxiang@yahoo.com
  • 作者简介:刘福水☆，男，1979年生，江西省广丰县人，汉族， 2012年北京中医药大学毕业，博士，讲师，主治医师，主要从事中医针灸临床和基础研究。 liufushui8@yahoo.com.cn

Acupotomy versus acupuncture for knee osteoarthritis: A Meta-analysis of randomized controlled trials

Liu Fu-shui, Jin De-zhong, Wu Xiang   

  1. Jiangxi University of Traditional Chinese Medicine, Nanchang 330004, Jiangxi Province, China
  • Received:2012-01-02 Revised:2012-03-28 Online:2012-10-28 Published:2013-04-07
  • Contact: Wu Xiang, Master, Chief physician, Jiangxi University of Traditional Chinese Medicine, Nanchang 330004, Jiangxi Province, China jxwuxiang@yahoo.com
  • About author:Liu Fu-shui☆, Doctor, Lecturer, Attending physician, Jiangxi University of Traditional Chinese Medicine, Nanchang 330004, Jiangxi Province, China liufushui8@yahoo.com.cn

PDF

784

被引次数

15

摘要：

背景：针刀和针灸是临床上治疗膝骨关节炎的常用疗法，但其临床疗效差异尚缺乏系统的评价。
目的：系统评价针刀与针灸治疗膝骨关节炎的疗效差异。
方法：计算机检索中国知网(CNKI)、维普数据库(VIP)、万方数据库(WANFANG DATA)、PubMed和Cochrane临床对照试验中心注册库(2011年第3期)，所有数据库检索时间从建库到2011-09-15。纳入治疗组采用针刀疗法、对照组采用针灸的随机对照试验，由两名评价者独立提取资料和评价文献质量后采用RevMan5.1软件进行Meta分析。
结果与结论：共纳入8个随机对照试验，涉及654例患者。Meta分析结果显示针刀治疗膝骨关节炎的近期总有效率和治愈率均优于针灸，其合并的OR值及95%CI分别为：OR=4.27，95%CI(2.32-7.85)；OR=3.01，95%CI (1.77-5.14)。针刀治疗膝骨关节炎近期疗效优于针灸。但纳入试验方法学质量不高，且均未报道不良事件，建议开展高质量的随机对照试验加以验证。

关键词: 针刀, 针灸, 膝骨关节炎, Meta分析, 系统评价

Abstract:

BACKGROUND: Acupotomy and acupuncture are widely used in the clinical treatment of knee osteoarthritis in recent years. However, there remains no systematic review to assess the clinical effect.
OBJECTIVE: To professionally assess the different effects of acupotomy versus acupuncture for knee osteoarthritis.
METHODS: A computer-based search was conducted on the CNKI database, VIP database, Wanfang database, PubMed database and Cochrane Central Register of Controlled Trials (Issue 3, 2011). The time limitation ran from the commencement of each database to September 15, 2011. Randomized controlled trials of acupotomy in the treatment group and acupuncture in the control group were included. Data were extracted and evaluated by two reviewers independently. RevMan5.1 software was used for Meta analysis after the literatures were evaluated.
RESULTS AND CONCLUSION: A total of 8 trials involving 654 patients were included. The Meta analysis showed that both curative rate and total effective rate of acupotomy for the treatment of knee osteoarthritis are higher than those of acupuncture in short term. It showed effects as follows respectively: OR=4.27, 95%CI (2.32-7.85); OR=3.01, 95%CI (1.77-5.14). Acupotomy is more effective than acupuncture in the treatment of knee osteoarthritis in short term. However, due to low quality of included studies and there are no reports on the adverse events, further well-designed randomized controlled trials with high quality are still needed to evaluate the beneficial effects of acupotomy.

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