特殊针刺疗法治疗腰椎管狭窄症的Meta分析

Special Acupuncture Therapy in Lumbar Spinal Stenosis:A Meta-analysis

目的:评价特殊针刺疗法治疗腰椎管狭窄症的有效性。方法:通过计算机检索2009年1月-2013年1月中国知网、维普、万方数据库,纳入特殊针刺疗法治疗腰椎管狭窄症的随机和半随机对照试验,由两名研究者按照Cochrane Handbook标准对每个纳入试验进行质量评估。使用RevMan 5.0软件进行Meta分析。计算其合并相对危险度(relative risk RR)和95%置信区间(confidence interval CI)。结果:共纳入7个研究,合计799例患者。特殊针刺疗法与其他保守疗法或常规针刺疗法治疗腰椎管狭窄症相比,治愈率均优于对照组,差异有统计学意义(RR=1.86,95%可信区间[1.44,2.39],P<0.01;RR=1.75,95%可信区间[1.32,2.32],P<0.01);总有效率也优于对照组,差异有统计学差异(RR=1.08,95%可信区间[1.04,1.13],P<0.01;RR=1.07,95%可信区间[1.02,1.12],P<0.01)。结论:特殊针刺疗法治疗腰椎管狭窄症疗效较好。

Objective：To evaluate the effect of special acupuncture therapy in lumbar spinal stenosis.Methods：Data sources were came from retrieving CNKI,VIP and Wangfang data between 2009 and 2013.Two independent investigators reviewed studies including randomized and semi-randomized control trials according to Cochrane Handbook.Using RevMan 5.0,we calculated the relative risk（RR）and 95%confidence interval（CI）.Results：Seven studies involved 799 patients were identified.The recovery rate of special acupuncture therapy in lumbar spinal stenosis was higher than that of conservative therapy（RR = 1.86,95% CI[1.44,2.39],P〈0.00001）or routine acupuncture therapy（RR = 1.75,95% CI[1.32,2.32],P=0.0001）The total effective rate of special acupuncture therapy was also higher than the other groups（RR = 1.08,95% CI[1.04,1.13],P= 0.0002;RR = 1.07,95% CI[1.02,1.12],P=0.007）.Conclusion：Special acupuncture therapy in lumbar spinal stenosis is better than the other therapies.