针刺治疗呃逆疗效的系统评价

Systematic review of treating hiccups in acupuncture

目的:系统评价针刺在治疗呃逆中的疗效,为针刺在呃逆治疗中的应用提供依据。方法:检索针刺治疗呃逆的随机对照试验研究的文献,对其进行Meta分析。结果:共纳入包括547名受试者在内的随机对照试验8个,Jadad评分2个2分,6个为1分,且所有研究均处于C级,质量不高。针刺疗法与非针刺疗法相比,总体疗效合并OR=10.45,95%CI[6.28-17.39];漏斗图显示研究存在一定的发表偏倚。结论:现有临床研究证据表明针刺疗法在治疗呃逆存在一定的优势,未见明显不良反应的报道,但由于纳入研究数量有限,且质量不高,影响了本次评价的效度,中医临床科研的质量有待提高。

Objective：To evaluate the effect of treating hiccups in acupuncture,providing the basis for the application of acupuncture in the treatment of hiccups.Methods：Randomized controlled trials（RCTs）involving acupuncture on Hiccups were identified,doing Meta-analysis.Result：8 randomized controlled trials involving 547 patients in them,According to the Jadad scoring method,in the 8 RCTs,2 studies scored 2 points,the remaining studies all scored 1 point,and all the 8 RCTs got C,the quality is not high.In the Meta-analysis,comparing the acupuncture treatment with none acupuncture treatment,merging the total rate OR=10.45,95%CI [6.28-17.39];The funnel plot shows that there was significant publication bias in cure rate.Conclusion：Existing clinical studies evidence seem to show an encouraging superiority in treating hiccups in acupuncture,no serious adverse events were reported in the included studies.Due to the limited number of studies,and the quality was not high,affecting the validity of this evaluation,the quality of TCM clinical research needs to be improved.