小针刀配合局部封闭治疗跟痛症Meta分析

Small-needle-knife Therapy Combined with Block Therapy in Treating Calcaneodynia:A Meta-analysis

目的:系统评价小针刀配合局部封闭治疗跟痛症的临床疗效。方法:全面检索维普中文科技期刊数据库(VIP)、万方数字化期刊全文数据库(WangFang Data)、中国期刊全文数据库(CNKI)、中国生物医学文献数据库(CBM)以及美国国立医学图书馆(Pubmed),检索时限为各数据库建库时间至2019年7月,查找小针刀配合局部封闭治疗跟痛症的随机对照试验,按照Cochrane系统评价方法进行文献方法学质量评价,采用Revman5.3软件进行Meta分析。结果:纳入8个随机对照试验,共计973例患者。Meta分析结果显示:与对照组相比,小针刀配合局部封闭治疗治疗跟痛症具有更好的临床疗效,其近期疗效率(OR=5.15,95%CI[3.03-8.75],P<0.00001)及远期疗效率(OR=2.16,95%CI[0.88-5.30],P=0.09)优于对照组,且差异具有统计学意义。结论:小针刀配合局部封闭治疗跟痛症临床疗效确切,能提高近期及远期的疗效,改善症状,缓解疼痛。但目前纳入文献质量偏低,要进一步指导临床治疗,仍需要大量严谨的科研试验设计,通过进行多中心、随机对照、双盲及大样本等高质量试验来进一步证实。

Objective:To systematically evaluate the clinical efficacy of small needle knife combined with local closure in the treatment of heel pain.Methods:Comprehensive search of VIP Chinese Science and Technology Journal Database(VIP),Wanfang Digital Journal Full-text Database(WanFang Data),Chinese Journal Full-text Database(CNKI),Chinese Biomedical Literature Database(CBM)and National Medical Library(Pubmed),The search time limit is from the time of the establishment of each database to July 2019.Find a randomized controlled trial of small needle knife combined with local closure to treat heel pain.According to the Cochrane system evaluation method,the methodological quality of the literature is evaluated,and Revman5.3 software is used for Meta analysis..Results:Eight randomized controlled trials were included,with a total of 973 patients.Meta analysis results show that:compared with the control group,the small needle knife combined with local closure treatment has better clinical efficacy in the treatment of heel pain,and its short-term efficacy rate(OR=5.15,95%CI[3.03-8.75],P<0.00001)And long-term efficacy rate(OR=2.16,95%CI[0.88-5.30],P=0.09)is better than the control group,and the difference is statistically significant.Conclusion:The clinical effect of small needle knife combined with local closure treatment for heel pain is definite,which can improve the short-term and long-term efficacy,improve symptoms and relieve pain.However,the current quality of the included literature is low.To further guide clinical treatment,a large number of rigorous scientific research design is still needed,which is further confirmed by conducting high-quality trials such as multi-center,randomized control,double-blind,and large samples.