针灸配合推拿治疗腰椎间盘突出症的Meta分析

Meta-analysis of Acupuncture Combined With Massage in Treating Lumbar Disc Herniation

目的 通过研究针灸推拿综合疗法治疗腰椎间盘突出症(lumbardischerniation,LDH)的效果,为临床实践和决策提供依据。方法 运用循证医学的原理和方法,对2012年1月—2020年12月国内发表的针灸推拿综合疗法治疗腰椎间盘突出症的文献进行了Meta分析。结果 研究纳入15篇符合标准的文献,在观察组与对照组中有效数与总数分别为858/893(96.1%)、749/893(83.9%)。对15项研究结果进行异质性检验,结果 χ~2=6.06,P=0.96,纳入研究具有同质性。合并效应量OR=4.59,合并效应量OR的95%可信区间为(3.15~6.69)。经Z检验,Z=7.93,P <0.000 01。结论 针灸配合推拿治疗腰椎间盘突出症疗效显著优于针灸单独治疗方法。

Objective To provide evidence for clinical practice and decision-making by studying the effect of acupuncture and massage on lumbar disc herniation(LDH).Methods Based on the principles and methods of evidence-based medicine,this study made a Meta-analysis of the literatures published in recent years on acupuncture and massage therapy for lumbar disc herniation from January 2012 to December 2020.Results Fifteen articles were included in the study,and the valid number and total number were 858/893(96.1%) and 749/893(83.9%) in the observation group and the control group,respectively.The results of 15 studies were tested for heterogeneity,χ~2 =6.06,P =0.96,the included studies were homogeneous.The pooled effect size OR = 4.59,and the 95% confidence interval of pooled effect size OR was 3.15 to 6.69.After Z test,Z=7.93,P < 0.000 01.Conclusion Acupuncture combined with massage is significantly better than acupuncture alone in the treatment of lumbar disc herniation.