推拿治疗椎动脉型颈椎病的国内文献系统评价

Systematic Assessment of Acupuncture for Treatment of Vertebral Artery Type of Cervical Spondylosis in Domestic Clinical Studies

目的:评价推拿治疗椎动脉型颈椎病(CSA)的有效性和安全性。方法:按照循证医学的要求,以推拿、椎动脉型颈椎病等为主题词,检索了国内相关医学数据库,以随机临床对照试验为纳入标准,治疗组以推拿为主,对照组以药物、针刺或其他保守疗法治疗为主,以椎动脉型颈椎病痊愈率及总有效率为测量指标,共纳入66篇文献,并对其中4篇文献采用RevMan4.2进行Meta分析。结果:4个研究总有效率合并RR=1.03,95%CI[0.94,1.14],—x=0.69,P>0.05;4个研究痊愈率合并RR=1.20,95%CI[0.98,1.46],—x=1.78,P>0.05,差异无显著统计学意义。结论:表明推拿与针刺或牵引相比在治疗椎动脉型颈椎病上疗效相当。

Objective：Assess the effective and security of CSA.Method：According to the Evidence based medicine,using the descriptor like Tuina,CSA and so on to retrieval the domestic medical data base.Select the RCT researches.The treatment group mainly uses Tuina,the control group mainly uses herds and acupuncture or other conservative therapy.The index is according to the recovery of CSA and effective rate in total.66 researches were involved;four of them used Revman4.2 to do Meta analysis.Result：The four researches’ effective rate in total are RR=1.03,95%CI[0.94,1.14],x =0.69,P〉0.05;the four recovery’s effective rate is RR=1.20,95%CI[0.98,1.46],x =1.78,P〉0.05,without obvious statistical significance.Conclusion：This means the Tuina,acupuncture and traction therapy have no advantage on treat CSA when compared each other.