单纯针刀治疗腰椎间盘突出症的Meta分析

Meta-analysis of Simple Needle Knife on Lumbar Disc Herniation Cases

目的对国内公开发表的针刀对腰椎间盘突出症治疗疗效相关文献进行Meta分析,评价针刀相比于其他传统疗法是否具有更好的疗效。方法全面检索2010年1月至2019年3月中国知网(CNKI)、维普(VIP)、万方等数据库关于单纯针刀治疗腰椎间盘突出症疗效的文献,筛选后进行Meta分析。为减少干扰因素,从大量的文献中,筛选出单纯运用针刀与其他传统疗法治疗腰椎间盘突出症的文献,按照Cochrane系统评价方法对纳入的方法学质量研究就行评价,用Revman5.3软件进行统计分析。结果最终纳入文献8篇,共1329例患者,其中治疗组665例,对照组664例。经Meta分析,8项研究具有同质性(Chi^2=4.40,df=7,P=0.73>0.1),采用固定效应模型进行分析计算、合并效应量。OR合并后Z=9.32,P<0.00001,表明单纯针刀组疗效优于其他传统治疗组。结论单纯针刀治疗腰椎间盘突出症的疗效优于针灸、理疗、推拿、电针、牵引等传统疗法。

Objective:To evaluate the effect of needle knife on LDH with the meta-analysis of the published literature on its therapeutic effect. Methods:A comprehensive search of the literatures on therapeutic effect of needle knife on LDH from January 2010 to March 2019 in CNKI,VIP,Wanfang Data and other databases to select and make a meta-analysis. In order to reduce the interference factors,from a large number of literature,we selected the simple use of needle knife and other traditional therapy for LDH for mate-analysis. According to the Cochrane system evaluation method,the included methodological qualities study were evaluated,Data and the statistical analyses were carried out with Revman 5.3 software. Results:8 articles were included with 1 329 patients,665 cases in the treatment group and 664 cases in the control group. According to the meta-analysis,8 studies were homogenous(Chi^2=4.40,df=7,P = 0.73>0.1),and the fixed effect model was used for analysis and calculation. After OR combined,Z = 9.32,P < 0.00001,indicating that the effect of the simple needle knife group was superior to other traditional treatment groups. Conclusion:The clinical effect of simple needle knife on LDH is better than other traditional therapies,such as acupuncture,physiotherapy,massage,electroacupuncture and traction.