针灸治疗腰椎间盘突出症的系统分析

Systematic review of acupuncture for treating intervertebral disk displacement

目的:了解针灸治疗腰椎间盘突出症的临床研究现状,评价针灸治疗的疗效及能否向临床实践提供有可靠依据的治法和刺法。方法:采用循证医学和临床流行病学评价文献质量的原则和方法对针灸治疗腰椎间盘突出症的临床研究文献进行全面检索和方法学质量评价。结果:在实际检出的2 11篇文献中,经排除后纳入文献2 0 3篇,文献提供了针灸治疗腰椎间盘突出症有效39可靠依据及针灸治疗腰椎间盘突出症常用的穴位与方法。结论:针灸治疗腰椎间盘突出症最常用的治疗方法是体针、电针等,而且针灸的综合疗法优于羊纯针刺法。

Objective:To assess the current situation nad quality of the clinical randomized controlled trials relevant to Intervertebral Disk Displacement in acupuncture published in Chinese medical journals to provide scientific basis of systematic review (SR) of acupuncture for the Intervertebral Disk Displacement.Method:203 articles were obtained by electronic searching and hand searching,and investigated and evaluated according to the principle of EBM and the clinical researching standard of acupuncture.Results:There were 27 articles with randomized controlled trial among actually found 203 ones.At present RCT provide effective and reliable evidence and commonly used therapies and needing techniques for acupuncture treatment of Interertebral Disk Displacement.Conclusion:The acupuncture treatment and the integrative therapeutics with acupuncture is effect for Intervertebral Disk Displacement,and the latter is superior to the former.At the same time,the random control research of higher quality must be carried out for systematic evaluation of acupuncture and moxibustion treatment of Intervertebral Disk Displacement.