针灸与药物治疗类风湿性关节炎的Meta分析

Meta Analysis of Acupuncture and Medicine in Treating Rheumatoid Arthritis

目的:评价针灸疗法对比药物(中药与西药)治疗类风湿性关节炎的效果。方法:检索中国期刊全文数据库(CNKI)、中国生物医学文献数据库(CBM)、维普中文科技期刊数据库(VIP)、中国医学会数字化期刊库,纳入针灸疗法对比药物治疗类风湿性关节炎的随机对照试验。采用Rev Man 5.0软件进行数据分析。结果:共纳入10条文献。Meta分析结果显示针灸疗法与药物治疗比较,在治愈率[OR=2.14,95%CI(1.65,2.78)]和总有效率[OR=3.20,95%CI(2.23,4.59)]方面比较具有统计学差异。结论:目前国内研究显示针灸疗法在治愈率和总有效率方面优于药物治疗。

Objective： To compare clinical effects of acupuncture therapy and medicine（western medicine and herbs） in treating rheumatoid arthritis（RA）. Methods： CNKI, CBM, VIP and digital periodical database of Chinese medical association were searched, and randomized controlled trials about acupuncture therapy compared with medicine in treating RA were included. Data analysis was performed by Rev Man 5.0 software. Results： Ten pieces of articles were included. Meta analysis results showed that the difference had statistical meaning in cure rate[OR=2.14, 95% CI（1.65, 2.78） ]and total effective rate [OR 3.20, 95% CI（2.23, 4.59）]in the comparison between acupuncture therapy and medicine in treating RA. Conclusion： Domestic studies revealed us that cure rate and total effective rate of acupuncture therapy are superior to these of medicine.