针灸结合牵引治疗腰间盘突出症的Meta分析

Traction Combined with Acupuncture and Moxibustion for Lumbar Intervertebral Disc Herniation: A Meta-analysis

目的:应用Meta分析系统评价针灸疗法结合牵引治疗腰间盘突出症的疗效。方法:检索国内外有关针灸疗法结合牵引治疗腰间盘突出症随机对照试验的中英文文献,筛选合格研究,应用改良Jadad量表评分法进行质量评价,运用异质性检验、Meta分析、漏斗图分析、敏感性分析等方法统计相关数据。结果:最终纳入10项研究,共1310例患者,文献研究质量均较低。9项研究的Meta分析结果显示,针灸疗法结合牵引治疗腰间盘突出症疗效优于牵引组,差异有统计学意义[RR=1.19,95%CI(1.14,1.25)]。结论:针灸疗法结合牵引对腰间盘突出症有一定疗效,但由于现有文献质量较低,尚需设计合理、远期随访的随机对照试验加以证实。

Objective：To determine the efficacy of traction combined with acupuncture and moxibustion in the treatment of lumbar intervertebral disc herniation （ LIDH ） by performing a Meta-analysis of randomized con-trolled clinical trials.Methods：Retrieve the literatures on the randomized controlled trials of traction combined with acupuncture and moxibustion for the treatment of LIDH.Screen the qualified trials.The revised Jadad score was used to evaluate the quality.The relative data were statistically analyzed by the difference examination, Metaanalysis, funnel diagram analysis and sensitivity analysis, etc.Results：Ten RCTs involving 1310 patients met the inclusion criteria.Ten trials were of low quality.The Meta analysis of nine trials showed that traction combined with acup-moxi was superior in total efficient rate with RR=1.19, 95%CI（1.14,1.25）.Conclu-sion：Traction combined with acupuncture and moxibustion has a certain curative effect on LIDH.Because the quality of present researches is relatively low, these results await verification with reasonable design and long-term follow-up randomized control trials.