[1]王永康,周 政,兑振华,等.针刀联合推拿治疗腰椎间盘突出症随机对照试验的Meta分析[J].医学信息官方网站,2022,35(15):99-103.[doi:10.3969/j.issn.1006-1959.2022.15.022]
　WANG Yong-kang,ZHOU Zheng,DUI Zhen-hua,et al.Meta-analysis of Randomized Controlled Trials of Needle Knife Combined with Massage in the Treatment of Lumbar Disc Herniation[J].Medical Information,2022,35(15):99-103.[doi:10.3969/j.issn.1006-1959.2022.15.022]
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针刀联合推拿治疗腰椎间盘突出症随机对照试验的Meta分析()
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《医学信息》官方网站[ISSN:1006-1959/CN:61-1278/R]

卷:
35卷
期数:
2022年15期
页码:
99-103
栏目:
论著
出版日期:
2022-08-01

文章信息/Info

Title:
Meta-analysis of Randomized Controlled Trials of Needle Knife Combined with Massage in the Treatment of Lumbar Disc Herniation
文章编号:
1006-1959（2022）15-0099-05
作者:
王永康; 周 政; 兑振华; 等
（天津中医药大学第二附属医院推拿科，天津 300250）
Author(s):
WANG Yong-kang; ZHOU Zheng; DUI Zhen-hua; et al.
(Department of Massage,the Second Affiliated Hospital of Tianjin University of Traditional Chinese Medicine,Tianjin 300250,China)
关键词:
针刀; 推拿; 腰椎间盘突出症
Keywords:
Needle knife; Massage; Lumbar disc herniation
分类号:
R681.5
DOI:
10.3969/j.issn.1006-1959.2022.15.022
文献标志码:
A
摘要:
目的 系统评价针刀联合推拿治疗腰椎间盘突出症的疗效。方法 计算机检索中国知网数据库（CNKI）、万方数据库（WanFang）、维普数据库（VIP）、PubMed、The Cochrane Library、Web of Science，检索时间限定为2010年1月1日-2020年12月30日，收集针刀联合推拿治疗腰椎间盘突出症的随机对照实验，采用RevMan5.3软件进行Meta分析，根据Cochrane偏倚风险评估工具对纳入文献进行质量评价。结果 纳入7篇随机对照试验，共750例患者，其中试验组375例，对照组375例。试验组总有效率[RR=1.18，95%CI（1.11，1.25），P＜0.000 01]高于对照组,M-JOA积分[MD=-6.10，95%CI（-8.15，-4.04），P＜0.000 01]和VAS评分[MD=-1.46，95%CI（-1.66，-1.25），P＜0.000 01]优于对照组，肿瘤坏死因子-α[MD=-0.29，95%CI（-0.33，-0.25），P＜0.000 01]和白介素-1β[MD=-0.09，95%CI（-0.11，-0.06），P＜0.000 01]低于对照组，差异有统计学意义（P＜0.05）。结论 针刀联合推拿治疗能更好地减轻腰椎间盘突出症的疼痛症状，改善M-JOA积分、致炎因子水平，提高临床疗效，但今后还需高质量研究来证实。
Abstract:
Objective To systematically evaluate the efficacy of needle knife combined with massage in the treatment of lumbar disc herniation.Methods The CNKI, WanFang, VIP, PubMed, The Cochrane Library, and Web of Science were searched by computer. The retrieval time was limited to January 1, 2010 – December 30, 2020. The randomized controlled trials of acupuncture and knife combined with massage in the treatment of lumbar disc herniation were collected. The RevMan5.3 software was used for Meta-analysis, and the quality of the included literature was evaluated according to the Cochrane bias risk assessment tool.Results Seven randomized controlled trials were included, with a total of 750 patients, including 375 patients in the experimental group and 375 patients in the control group. The total effective rate of the experimental group [RR=1.18, 95%CI(1.11,1.25), P<0.000 01] was higher than that of the control group, the M-JOA score [MD=-6.10, 95%CI(-8.15, -4.04), P<0.000 01] and VAS score [MD=-1.46,95%CI(-1.66, -1.25), P<0.000 01] were better than those of the control group, tumor necrosis factor-α[MD=-0.29, 95%CI(-0.33, -0.25), P<0.000 01] and interleukin-1β[MD=-0.09, 95%CI(-0.11, -0.06), P<0.000 01] were lower than those in the control group, and the difference was statistically significant(P<0.05).Conclusion Needle knife combined with massage therapy can better relieve the pain symptoms of lumbar disc herniation, improve the M-JOA score and the level of inflammatory factors, and improve the clinical efficacy. However, high-quality studies are needed to confirm it in the future.

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更新日期/Last Update: 1900-01-01