董氏奇穴治疗颈肩臂痛临床疗效的Meta分析

A Meta-analysis of treating neck,shoulder and arm pain by Dong's acupuncture

目的:评价董氏奇穴治疗颈肩臂痛的疗效。方法:计算机检索PubMed、中国知网数据库、万方数据知识服务平台、维普中文科技期刊数据库,全面搜集董氏奇穴治疗颈肩臂痛的临床随机对照实验,按Cochrane协作网发布的RevMan 5.0软件对多个研究结果的总体效应进行Meta分析。结果:共纳入8个实验(730例患者),其中有7个实验对有效率进行了评定,提示董氏奇穴的疗效优于对照组[OR=2.97,95%CI(1.58,5.57),Z=3.39,P=0.0007];有5项实验对患者采用了VAS评分,提示董氏奇穴改善颈肩臂痛患者的VAS评分优于对照组[WMD=0.79,95%CI(-1.51,0.07),Z=2.15,P=0.03]。结论:董氏奇穴治疗颈肩臂痛的疗效及对患者VAS评分的改善均优于普通针刺,但由于实验方法学质量较低,还不能做到充分肯定,需要高质量的实验进一步证实。

Objective:To evaluate clinical effects of Dong's acupuncture on neck and shoulder pain.Methods:Comprehensiverandomized controlled trials of treating neck,shoulder and arm pain by Dong's acupuncture were searched in PubMed,CNKI,WanfangData and VIP.A Meta-analysis of the overall effects of multiple studies was executed by the RevMan5.0software which published bythe Cochrane collaboration network.Results:8trials(730patients)were included in the study.7of these trials evaluated the efficacy,suggesting that clinical efficacy of Dong's acupuncture were better than that in the control group.5of these trials had VAS score,suggestingthat Dong's acupuncture on improving the VAS scores of the patients were better.Conclusion:Dong's acupuncture on neck,shoulder andpain could improve VAS scores of the patients,better than ordinary acupuncture.However,due to the low quality of experimental method,it can not be fully affirmed and need to be confirmed by high quality experiment.