针灸治疗神经源性膀胱尿潴留临床疗效的Meta分析

Meta-Analysis on Clinical Study of Acupuncture Treatment on Neurogenic Bladder

目的:运用Meta分析方法比较针灸与其他常规方法治疗神经性膀胱尿潴留的临床疗效。方法:全面收集1994年1月至2014年5月针灸治疗神经源性膀胱尿潴留临床观察的文献,对针灸疗法与其他常规疗法的随机对照试验进行Meta分析。结果:共纳入合格文献29篇,分析并比较实验组与对照组的总有效率、膀胱残余尿量和最大膀胱容量。结果显示,组间临床总疗效、膀胱残余尿量及最大膀胱容量比较,差异均有统计学意义(P<0.05)。结论:现有证据表明,针灸治疗神经源性膀胱尿潴留能明显改善膀胱功能,较其他常规疗法效果好。受纳入研究文献的数量和质量限制,针灸治疗神经源性膀胱尿潴留的疗效和安全性需要更多高质量的随机双盲对照试验加以证实。

Objective： To compare the clinical curative effects of acupnocuwe and other traditional therapy. Methods： The clinical study of acupuncture for neurogenic bladder was collected from January 1994 to May 2014. The effect of acupuncture and other traditional therapy was compared and Meta-analysis was made. Results： The 29 studies were included, and the total efficiency, bladder residual urine volume and maximum bladder capacity of the two groups were analyzed amt compared. Metaanalysis revealed that the indexes in experimental group were better than the control group （P〈0.05）. Conclusion： The existed limited evidences suggested that acupuncture treatment of neurogenic bladder can significantly improve bladder capacity and residual urine volume and the total efficieney. More high-quality randomized, double-blind, placebo-controlled trials are needed to confirm the efficacy and safety of acupuncture treatment of neurogenie bladder.