针灸与针刀治疗筋膜炎疗效比较的Meta分析

Meta-analysis of Acupuncture versus Acupotomy for Myofascial pain

背景:针灸和针刀是治疗筋膜炎的常用疗法,但目前尚缺乏这两种疗法治疗筋膜炎有效性和安全性比较的系统性评价.目的:系统评价针灸与针刀治疗筋膜炎的有效性和安全性差异.方法:计算机检索PubMed(1966/2017)、Cochrane library(1993/2017)、中国知网CNKI(1979/2017)、维普数据库VIP(1989/2017)、万方数据库Wanfang(1990/2017),纳入针灸与针刀治疗筋膜炎比较的临床随机对照试验.数据由两名评价者按照Cochrane系统评价手册的要求单独提取,而后相互核对探讨,采用RevMan 5.3软件进行系统分析.结果与结论:6个临床随机对照试验被纳入,共407例筋膜炎患者.Meta分析显示:针刀组治疗筋膜炎的近期总有效率、治愈率均高于针灸组.结论:筋膜炎的临床治疗,针刀疗法优于针灸疗法.然纳入文献量少且质不高,尚需方法科学的大样本、多中心、高质量临床随机对照试验来进行进一步的验证.

Background:acupuncture and Acupotomy are widely used in the clinical treatment of myofascial pain in recent years.However,there remains no systematic review to assess the clinical effect.Objective:To professionally assess the different effects of acupuncture and Acupotomy for myofascial pain.Methods:Randomized controlled trials(RCTs)about acupotomy and acupuncture in the treatment of myofascial pain were retrieved from PubMed(1966 to 2017),Cochrane(1993 to 2017),CNKI(1979 to 2017),VIP(1989 to 2017)and Wanfang(1990 to 2017).Data were extracted and evaluated by two reviewers independently according to Cochrane Reviewers’Handbook,and then cross check data with each other.The Cochrane Collaboration’s RevMan 5.3 software was used for Meta-analysis.Results and conclusion:A total of 6 trials involving 407 patients were included.The Meta analysis showed that both curative rate and total e ffective rate of acupotomy for the treatment of myofascial pain were higher than those of acupuncture in short term.conclusion:Acupotomy is superior to the acupuncture in the treatment of myofascial pain.However,due to the low number and low quality of the included studies,more large sample and RCTs should be rigorously designed to verify the conclusion.