针灸对强直性脊柱炎临床治疗作用的Meta分析

A Meta-analysis of the Therapeutic Effect of Acupuncture and Moxibustion on Ankylosing Spondylitis

目的:分析针灸对强直性脊柱炎的临床治疗作用。方法:检索2015年1月以前中国知网(CNKI)、维普网(VIP)、万方数据库、Pub Med、the Cochrane library数据库采用针灸治疗强直性脊柱炎的相关文献;对纳入的文献采用Jadad评分量表进行评分,并用Cochrane提供的Rev Men 5.2软件制作森林图和漏斗图。结果:共检索到699篇,纳入14篇进行分析。针灸治疗强直性脊柱炎疗效优于单纯西药口服,差异有统计学意义(P<0.000 01);针灸+中药治疗强直性脊柱炎疗效优于常规西药口服,差异有统计学意义(P<0.000 1)。结论:针灸或针灸+中药能增强常规口服西药对强直性脊柱炎的治疗效果,但因纳入文献质量低且数量少,需要更多高质量文献去支持。

Objective：To analyze the clinical therapeutic effect of acupuncture and moxibustion on ankylosing spondylitis.Methods：Literature on the treatment of ankylosing spondylitis with acupuncture and moxibustion before January 2015 was retrieved from the resources of CNKI,VIP,Wanfang Database,Pub Med and the Cochrane library.Scores for the selected literature were made with Jadad rating scales and forest and funnel plots were made with Rev Men 5.2 proved by Cochrane.Results：14 of the retrieved 699 articles were used for analysis.The curative effect of treating ankylosing spondylitis with acupuncture and moxibustion was better than that with Western medicine alone,the difference being statistically significant（P〈0.000 01）;The curative effect of treating ankylosing spondylitis with acupuncture,moxibustion and traditional Chinese medicine was better than that with Western medicine,the difference being statistically significant（P〈0.000 1）.Conclusion：Either cupuncture and moxibustion or acupuncture,moxibustion together with traditional Chinese medicine can enhance the therapeutic effect of routine Western medicine on ankylosing spondylitis,needing more high quality literature to support it.