针刀治疗肩周炎疗效的系统性评价

Systematic evaluation of therapeutic effect of acupotomy in treating periarthritis of shoulder

目的:运用Mate的方法评价针刀治疗肩周炎的价值。方法:电子数据库检索来源于CNKI、VIP和WANFANG DATA,收集2000年1月—2013年12月发表的有关针刀治疗肩周炎的随机对照试验,对所收集文献进行筛选并对其质量进行评价,采用Cochrane协作网提供的Review Manager 5软件进行统计分析。结果:共纳入3个RCT和3个CCT,包括518例患者,Mate分析结果显示针刀与针灸推拿治疗肩周炎疗效对比,综合结果优势比OR[95%CI]为5.27[2.22,12.53];针刀与局部封闭治疗肩周炎疗效对比,综合结果优势比OR[95%CI]为7.26[1.24,42.35]。针刀治疗肩周炎有效率高于对照组(针灸推拿或者局部封闭)。讨论:针刀治疗肩周炎疗效肯定,与使用针灸推拿或使用局部封闭治疗肩周炎对比,其有效率优势明显,但是由于纳入的文献量少,质量不高,样本量不够大,需要设计更完善的试验来进一步验证。

Objective： To use the Mate method to evaluate the value of needle knife treatment of periarthritis of shoulder. Methods： Searches of electronic databases from CNKI, VIP and WANFANG DATA, a randomized controlled trial of acupuncture knife treatment of periarthritis of shoulder were collected from 2000 January to 2013 December were selected and published, and evaluate the quality of the documents collected by the Cochrane collaboration, provided by Review Manager 5 software for statistical analysis. Results： 3 RCT and 3 CCT were included, including 518 patients, the Mate analysis results showed that the contrast effect of acupotomy and acupuncture massage for treatment of periarthritis of shoulder, the synthesis result advantage than OR[95%CI] 5.27[2.22, 12.53]. Comparison of therapeutic effects of needle knife therapy and local treatment of periarthritis of shoulder closed, comprehensive results advantage than OR[95%CI] 7.26[1.24, 42.35]. The needle knife treatment of periarthritis total efficiency is higher than that of the control group（acupuncture or local block）. Discussion： It is effective on the treatment of scapulohumeral periarthritis with acupuncture and massage knife, use or use local close cure scapulohumeral periarthritis of comparison, the efficiency is obvious advantages, but because of the volume of literature into less, low quality, the sample size is not large enough, thus need to the further improved.