针灸治疗肩周炎有效性Meta分析

A Meta-Analysis of Acupuncture and Moxibustion Therapy for Scapulohumeral Periarthritis

目的:客观评价针灸治疗肩周炎的有效性及优越性。方法:检索各文献数据库创库至今所有针灸治疗本病的随机对照试验文献,采用Jadad量表进行文献质量评分,运用Revman 5.3辅以STATA 13.0软件对其有效率效应结局指标进行分析。结果:54篇文献符合纳入标准共累计5865例病例。温针、电针及普通针刺疗法治疗本病疗效分别优于对照组。针灸结合推拿治疗本病疗效分别优于封闭治疗、口服西药和单纯推拿,总有效率方面针灸治疗本病疗效优于对照组。结论:温针、电针、普通针刺治疗肩周炎疗效优于对照组,针灸结合推拿治疗本病优于封闭疗法、口服西药及单纯推拿,可综合推论针灸治疗本病具有良好疗效,尚需更多高质量的随机对照研究加强本结论。

Objective ：To evaluate the effectiveness and potential superiority of acupuncture and moxibustion therapy for scapulohumeral periarthritis. Method： To collect the clinical randomized controlled trials about the content what is acupuncture and moxibustion therapy for scapulohumeral periarthritis from various research literature database. Moreover, Jadad scale was used to assess the quality score of these research papers. Then, Revman 5.3 and STATA 13.0 softwares were used for Meta-analysis. Results： A total of 54 papers satisfied all the inclusion criteria, and 5865 patients were included. According to meta-analysis, it shows that the curative effect of Warming Needle treatment group, electroacupuncture treatment group and simple acupuncture treatment group are significantly superior to control groups. Furthermore, the curative effect of acupuncture combined with Tuina treatment group is significantly more effective than block therapy group, western medicine group and simple Tuina treatment group. Totally, Acupuncture and moxibustion therapy is superior to control group. Conclusion： Acupuncture and moxibustiou therapy is an effective measure for scapulohumeral periarthritis. More high quality research trials are needed to further confirm this consequence.