温针灸治疗肩周炎临床疗效的Meta分析

Meta-analysis of Therapeutic Effect of Needle Warming Moxibustion for Scapulohumeral Periarthritis

【目的】运用循证医学的方法系统评价温针灸治疗肩周炎的临床疗效。【方法】检索中国知网期刊全文数据库(CNKI)、维普数据库(VIP)、万方数据库、中国生物医学数据库(CBM)及PubMed数据库,筛选采用温针灸治疗肩周炎的随机对照试验(RCT)文献,采用Rev Man 5.3软件对各研究的总有效率、视觉模拟量表(VAS)评分、肩关节功能评分改善情况进行Meta分析。【结果】共纳入23篇RCT文献,涉及2279例患者,其中试验组1194例,对照组1085例。Meta分析结果显示:试验组(温针灸治疗肩周炎)的临床总有效率、VAS评分及肩关节功能评分均优于对照组,差异有统计学意义(P<0.01)。【结论】温针灸治疗肩周炎疗效优于常规针刺、电针疗法。但因纳入研究样本量偏少、文献质量低,这一结论尚需更多高质量RCT进一步验证。

Objective To systematically evaluate the therapeutic effect of needle warming moxibustion for scapulohumeral periarthritis by Meta-analysis.Methods The randomized controlled trials(RCTs)on needle warming moxibustion in treating scapulohumeral periarthritis were retrieved from Chinese databases such as CKNI,VIP,Wanfang,CBM and English database PubMed.Meta-analysis of the total effective rate,visual analogue scale(VAS)score,shoulder joint function score in the RCTs was performed by Rev Man 5.3 software.Results A total of 23 RCTs literature involving 2279 patients were included,of which 1194 cases was in the experimental group and 1085 cases was in the control group.The Meta-analysis results showed that the clinical total effective rate,VAS score,and shoulder joint function score in the experimental group(needle warming moxibustion treatment for scapulohumeral periarthritis)were superior to those of the control group,and the differences were statistically significant(P<0.01).Conclusion The therapeutical effect of needle warming moxibustion for scapulohumeral periarthritis is superior to that of routine acupuncture and electro-acupuncture.However,due to the less sample size and low quality of literature,this conclusion has to be further verified by high-quality RCTs.