针灸治疗粘连性肠梗阻疗效的Meta分析

Meta-analysis of the therapeutic effect of Acupuncture for adhesive ileus

目的:运用循证医学的方法,对针灸治疗粘连性肠梗阻的有效性进行系统评价。方法:通过检索相关文献,对符合标准的临床随机对照试验进行质量评价和Meta分析。结果:有16项研究符合标准,纳入人数共计1467人。对总体纳入资料进行异质性检验,结果P=0.27,说明同质性较好,故采用固定效应模型;合并效应量OR=5.10,95%CI为(3.63,7.17),菱形位于中央线的右侧,经Z检验,Z=9.41(P<0.00001),提示治疗组总有效率明显高于对照组,即针灸治疗粘连性肠梗阻的疗效优于西医常规疗法。结论:针灸治疗粘连性肠梗阻可能存在一定的优势,但尚需更多高质量的研究以增强证据强度。

Objective： To assess the therapeutic effect of acupuncture for adhesive ileus in terms of the evidence-based medicine skills.Methods： The coincident RCTs were searched in electronic database.Meanwhile,methodological quality and meta-analysis of the included trails were performed.Results： There were 16 RCTs and 1467 patients met the inclusion criteria.Test of homogeneity showed that there was no heterogeneous（P=0.27）,so the fixed effect model was used for statistical analysis.After combination OR= 5.10,95%CI（3.63,7.17）,and the rhombus was located at the right side of the medium line.After Z test,Z=9.41,P0.00001,the total effective rate in the treatment group was significantly higher than those of the control group.Conclusion： The acupuncture may have advantages in clinical efficacy for adhesive ileus,but studies of higher methodological quality were needed to make the evidence more aggressive.