[1]何丽慧,黄惠榕,吴翠娟,等.经筋推拿治疗颞下颌关节紊乱病临床疗效和安全性的Meta分析[J].医学信息,2023,36(11):60-66.[doi:10.3969/j.issn.1006-1959.2023.11.010]
　HE Li-hui,HUANG Hui-rong,WU Cui-juan,et al.Meta-analysis of Clinical Efficacy and Safety of Meridian Massage in the Treatment of Temporo-mandibular Disorders[J].Journal of Medical Information,2023,36(11):60-66.[doi:10.3969/j.issn.1006-1959.2023.11.010]
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经筋推拿治疗颞下颌关节紊乱病临床疗效和安全性的Meta分析()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
36卷
期数:
2023年11期
页码:
60-66
栏目:
医学数据科学
出版日期:
2023-06-01

文章信息/Info

Title:
Meta-analysis of Clinical Efficacy and Safety of Meridian Massage in the Treatment of Temporo-mandibular Disorders
文章编号:
1006-1959（2023）11-0060-07
作者:
何丽慧; 黄惠榕; 吴翠娟; 等
（1.福建中医药大学护理学院，福建 福州 350122；2.福建中医药大学附属人民医院护理部，福建 福州 350004）
Author(s):
HE Li-hui; HUANG Hui-rong; WU Cui-juan; et al.
(1.School of Nursing,Fujian University of Traditional Chinese Medicine,Fuzhou 350122,Fujian,China;2.Department of Nursing,People’s Hospital Affiliated to Fujian University of Traditional Chinese Medicine,Fuzhou 350004,Fujian,China)
关键词:
经筋推拿; 颞下颌关节紊乱病; 系统评价
Keywords:
Meridian massage; Temporo-mandibular disorders; Systematic reviews
分类号:
R782.6
DOI:
10.3969/j.issn.1006-1959.2023.11.010
文献标志码:
A
摘要:
目的 系统评价经筋推拿治疗颞下颌关节紊乱病的临床疗效和安全性。方法 检索PubMed、EMbase、Cochrane Library、中国期刊全文数据库（CNKI）、万方数据知识服务平台（Wanfang）、维普资讯中文期刊服务平台（VIP）、中国生物医学文献数据库（SinoMed）自建库至2022年7月30日关于经筋推拿治疗颞下颌关节紊乱病的临床随机对照试验（RCT），由2名研究者独立筛选、提取并评价纳入研究的偏倚风险后，采用RevMan5.3软件进行Meta分析。结果 共纳入13篇文献，1141例患者。Meta分析显示：①试验组总有效率优于对照组[Z=7.79，RR=1.21，95%CI（1.16，1.27），P＜0.000 01]；②试验组疼痛缓解程度优于对照组[Z=3.68，MD=-0.91，95%CI（-1.39，-0.42），P=0.0002]；③试验组最大主动开口度优于对照组[Z=5.71，MD=4.88，95%CI（3.20，6.56），P＜0.000 01]；④试验组Fricton指数[DI指数：Z=3.16，MD=-0.07，95%CI（-0.11，-0.02），P=0.002；PI指数：Z=2.13，MD=-0.04，95%CI（-0.07，-0.00），P=0.03；CMI指数：Z=4.62，MD=-0.05，95%CI（-0.08，-0.03），P＜0.000 01]优于对照组；⑤两组均未见不良反应。结论 经筋推拿有助于提升颞下颌关节紊乱病的治疗疗效、降低患者疼痛程度、改善张口度及颞下颌关节整体功能情况，且安全性较高。但受纳入研究数量和质量的限制，上述结论尚待更多高质量研究予以验证。
Abstract:
Objective To systematically evaluate the clinical efficacy and safety of meridian massage in the treatment of temporo-mandibular disorders.Methods PubMed, EMbase, The Cochrane Library, CNKI, Wanfang Data, VIP, SinoMed databases were searched for clinical randomized controlled trials (RCTs) on the treatment of temporo-mandibular disorders by meridian massage from the establishment of the database to July 30, 2022. After two researchers independently screened, extracted and evaluated the risk of bias of the included studies, Meta-analysis was performed using RevMan5.3 software.Results A total of 13 articles and 1141 patients were included. Meta-analysis showed that: ①the total effective rate of the experimental group was better than that of the control group[Z=7.79, RR=1.21, 95%CI(1.16, 1.27), P<0.000 01]; ②the degree of pain relief in the experimental group was better than that in the control group[Z=3.68, MD=-0.91, 95%CI(-1.39, -0.42), P=0.0002]; ③the maximum active opening degree of the experimental group was better than that of the control group[Z=5.71, MD=4.88, 95%CI(3.20, 6.56), P＜0.000 01]; ④Fricton index was better than the control group[DI index：Z=3.16, MD=-0.07, 95%CI(-0.11, -0.02), P=0.002；PI index：Z=2.13, MD=-0.04, 95%CI(-0.07, -0.00), P=0.03；CMI index：Z=4.62, MD=-0.05, 95%CI(-0.08, -0.03), P＜0.000 01]; ⑤no adverse reactions were found in both groups.Conclusion Meridian massage is helpful to improve the therapeutic effect of temporo-mandibular disorders, reduce the degree of pain, improve the degree of mouth opening and the overall function of temporo-mandibular joint, and has high safety. However, due to the limited quantity and quality of the included studies, the above conclusions need to be verified by more high-quality studies.

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更新日期/Last Update: 1900-01-01