针刺治疗坐骨神经痛临床疗效的系统评价

Clinical efficacy on Acupuncture on Patients with Sciatica:A Systematic Review

目的:对针刺治疗坐骨神经痛的临床随机对照试验进行疗效评价,为针刺治疗坐骨神经痛的临床决策提供思路与参考。方法:通过计算机检索Pubmed、CNKI、万方、CBM、中国科技论文在线和Cochrane Library等数据库,共检索到相关文献878篇。运用Clear NPT评价方法对其进行系统评价,纳入其中19篇符合条件的的随机对照试验。结果:从最终纳入的19篇(2521例患者)文献中分析得出:目前国内外针刺治疗坐骨神经痛具有一定的临床疗效,但因整体文献质量较差而无法确切证实。结论:今后仍需更多的大样本、多中心、高质量的随机对照试验来进一步验证针刺治疗本痛症的的临床疗效。

Objective：To evaluate the clinical effect of sciatica with acupuncture and provide ideas and reference for making clinical decision. Methods ： The databases of Pubmed, CNKI, Wanfang, CBM, Science Paper Online and Cochrane Library were searched and 878 related articles were found. Clear NPT system was used to evaluate the quality of the included studies, 19 RCTs （2521 Participants）were finally selected to find out the clinical efficacy of acupuncture of sciatica at home and abroad. Results：A- nalysis obtained from the final literature included 19 pieces of paper（ 2521 Participants） ：The acupuncture treatment of sciatica at home and abroad has some clinical effect. But there is lack of strong evidence to confirm due to the incorporation comprehensive experimental quality limit. Conclusion ： Large sample, multi - center, high - quality trail RCTs are needed to conform the clinical efficacy of acupuncture therapy on sciatica.