针刀加神经阻滞疗法与单纯神经阻滞疗法比较对跟痛症疗效的系统评价

目的 ：系统评价针刀加神经阻滞疗法与单纯神经阻滞疗法比较 对跟痛 症的疗效,了解针刀治疗跟痛症的现况、临床疗效的真实程度及 可应用性.方法 ：电子检索MEDLINE、CochraneLibrary、和中国生物医学数据库、EMBASE、CNKI、维普数据库、万方数据库等相关随机对照研究,由两名评价员独立评价文献质量、提取资料并交叉核对,而后采用RevMan 5.2软件进行Meta 分析.结果：6项研究中,5项研究均以有效率作为主要结局指 标,2项研究基于患者的疼痛评分,对同质性较强的研究进行 Meta 分析,显示针刀加神经阻滞组优于单纯神经阻滞组对跟骨痛的治疗疗效. 结论 ： 目前纳入的研究, 初步显示针刀加神经阻滞组治疗跟骨痛的在有效率、 改善患者疼痛方面均较单纯神经阻滞组占优.但由于纳入研究可选择的文章均为国内文献,而且存在选择性偏倚和测量性偏倚的高度可能性,结果的论证强度势必受到影响,因此,期待更多高质量的随机双盲对照试验提供高质量的证据.

0bjective：To evaluate the effects of acupotomy combined with nerve block therapy versus single nerve block therapy for treatment of Heel pains,investigate the s tatus of acupotomy therapy in the treatment of heel pains,the authenticityof clinical effects and the Applicability.Methods ：We searched for randomized controlled trials （RCTs） and quasi-RCTs in the following electronic databases： MEDLINE、CochraneLibrary、CBM、EMBASE、CNKI、VIPand WangFangData,etc. Quality assessment and data extraction were conducted by two review-ers independently. Disagreement was resolved through discussion. All data were analyzed by using RevMan 5.2 software.Results： Six studies,five studies were based on efficiency as the primary outcome,two studies based on Visual Analogue Scale （VAS） Pain Score,To strong homogeneity of meta analysis, show evidence of acupotomy combined with nerve block group is superior to that of simple nerve block group to the efficacy of the treatment of pain.Conclusion：：Currently included in the preliminary research shows Acupotomy combined with nerve block in the treatment of heel pain to improve symptoms higher than those of simple nerve block group. The former is more efficient than the latter.However, due to the high probability of bias and measurement bias in the study, it is bound to affect the outcomings of the demonstration intensity, and therefore, expect more high-quality randomized double blind controlled trial to provide high quality evidence.