穴位贴敷干预肩周炎临床疗效的Meta分析

Clinical efficacy of acupoint application in the intervention of periarthritis of shoulder:a Meta-analysis

目的:系统评价穴位贴敷干预肩周炎的临床疗效。方法:系统检索中国知网、万方数据库、维普数据库、中国生物医学文献数据库、PubMed、the Cochrane Library、EMbase、EBSCO中关于穴位贴敷干预肩周炎临床疗效的随机对照试验(RCT),检索时限为各数据库建库至2022年9月,对纳入的文献进行质量评价及数据提取,采用RevMan 5.4和StataSE 16.0软件进行Meta分析。结果:纳入文献9篇,样本量746例。Meta分析结果显示,试验组总有效率[OR=4.71,95%CI(2.66,8.35),P<0.01]、疼痛视觉模拟评分[MD=-1.02,95%CI(-1.16,-0.88),P<0.01]、肩关节功能评分[MD=6.61,95%CI(5.55,7.67),P<0.01]、日常生活活动能力评分[MD=4.17,95%CI(2.94,5.40),P<0.01]均优于对照组。结论:现有证据表明,穴位贴敷能够有效干预肩周炎的临床疗效,改善病人疼痛情况、肩关节功能、自理能力。但由于受纳入文献质量、样本量、研究中心的限制,仍需高质量、多中心的随机对照试验进一步验证。

Objective:Systematically evaluate the clinical efficacy of acupoint application intervention in scapulohumeral periarthritis.Methods:Randomized controlled trials(RCTs)on the clinical efficacy of acupoint application intervention in scapulohumeral periarthritis were systematically searched from CNKI,WanFang Database,VIP,CBM,PubMed,the Cochrane Library,EMbase,EBSCO.The retrieval time was from the inception to September 2022.The included literature was evaluated for quality and data extraction,and Meta-analysis was conducted using RevMan 5.4 and StataSE 16.0 software.Results:9 articles were included,with a sample size of 746 cases.The Meta-analysis results showed that the total effective rate of the acupoint application group(OR=4.71,95%CI 2.66-8.35,P<0.01),VAS(MD=―1.02,95%CI―1.16-―0.88,P<0.01),Constant-Murley Scale(CMS)score(MD=6.61,95%CI 5.55-7.67,P<0.01),and ADL(MD=4.17,95%CI 2.94-5.40,P<0.01)were all better than the control group.Conclusion:Current evidence suggests that acupoint application can effectively intervene in the clinical efficacy of shoulder periarthritis,improve patient′s pain,shoulder joint function,and self-care ability.However,due to limitations in the quality of included literature,sample size,and research centers,high-quality,multicenter randomized controlled trials are still needed for further validation.