腕踝针治疗癌性疼痛Meta分析

Meta-Analysis on Wrist-Ankle Acupuncture of Cancerous Pain

目的:分析腕踝针治疗癌性疼痛的疗效。方法:计算机检索1978年1月—2013年4月国内外权威医学期刊全文数据库。纳入腕踝针与西药对照或腕踝针结合西药与西药对照的随机和半随机对照试验,由2名评价者独立提取资料并交叉核对,而后按照Cochrane Handbook 5.1.0进行质量评估,并运用RevMan 5.1.6软件进行Meta分析。结果:共纳入5个研究,共395名患者,Meta分析结果显示腕踝针或腕踝针结合西药治疗癌性疼痛与西药治疗差异无统计学意义。结论:尚需更多大样本、高质量的随机对照试验来进一步证实腕踝针治疗癌性疼痛的疗效。

Objective ： To assess the effectiveness of the wrist-ankle acupuncture therapy for cancerous pain. Methods ： Through retrieval of authoritative medical journals of full-text database at home and abroad, randomized and quasi-randomized controlled clinical trials on treatment of cancerous pain with control study between wrist-ankle acupuncture therapy and western medicine or between wrist- ankle acupuncture combined with western medicine and western medicine alone were included. The test in quality assessment of each experiment was carried out by two researchers who abstracted date independently and checked over mutually, in accordance with the Cochrane Handbook 5.1.0 standard. And RevMan 5.1.6 software was adopted for the Meta-analysis. Results ： Five researches were included with a total of 395 patients. Meta-analysis showed that there was no significant difference between the effect of the wrist-ankle acupuncture or the wrist-ankle acupuncture combined with western medicine and western medication treatment alone in cancerous pain. Conclusion ： The effectiveness of the wrist- ankle acupuncture therapy for cancerous pain need more randomized controlled trials with large sample and high quality to confirm.