电针治疗糖尿病神经源性膀胱效果的Meta分析

Effect of electroacupuncture on diabetic neurogenic bladder:a Meta-analysis

目的:系统评价电针对糖尿病(DM)神经源性膀胱病人(DNB)的临床疗效。方法:计算机检索PubMed、the Cochrane Library、Science Direct、中国知网数据库、万方数据库、维普数据库中关于电针治疗糖尿病神经源性膀胱的随机对照试验,同时筛选并纳入文献的参考文献,对符合标准的文献应用RevMan 5.3软件进行Meta分析。结果:共纳入6篇文献,涉及404例病人。Meta分析结果显示,电针可以提高治疗糖尿病神经源性膀胱的总有效率[RR=1.63,95%CI(1.23,2.15),P=0.0006],降低膀胱残余尿量[SMD=-1.22,95%CI(-1.47,-0.97),P<0.00001];电针在改善最大膀胱容量、最大尿流率方面效果尚不明显。结论:现有证据证明,电针可以提高治疗糖尿病神经源性膀胱的总有效率,减少膀胱残余尿量。

Objective:To systematically evaluate the clinical effect of electroacupuncture on diabetic neurogenic bladder(DNB).Methods:Randomized controlled trials of electroacupuncture on the treatment of diabetic neurogenic bladder were retrieved from PubMed,the Cochrane Library,Science Direct,CNKI,WanFang Database and VIP.At the same time,references were screened and included in the literature,and Meta-analysis was performed on the literature that met the standards by RevMan 5.3 software.Results:A total of 6 articles were included,including 404 patients.Meta-analysis showed that electroacupuncture could improve the total effective rate in the treat ment of diabetic neurogenic bladder[RR=1.63,95%CI(1.23,2.15),P=0.0006]and reduce the residual urine volume of bladder[SMD=-1.22,95%CI(-1.47,-0.97),P<0.00001].The effect of electroacupuncture on the improvement of maximum bladder volume and maximum urine flow rate was not significant.Conclusion:Existing evidence shows that electroacupuncture can improve the total effective rate of diabetic neurogenic bladder and reduce bladder residual urine volume.