中药熨烫治疗神经根型颈椎病效果的Meta分析

Efficacy of traditional Chinese medicine ironing in the treatment of cervical spondylotic radiculopathy:a Meta-analysis

目的 系统评价中药熨烫治疗神经根型颈椎病的临床疗效。方法 在知网、Cochrane Library、PubMed等国内外数据库检索中药熨烫治疗神经根型颈椎病的随机对照试验,检索时间范围为建库至2023年3月。应用RevMan 5.4进行Meta分析,从总有效率、缓解疼痛、改善颈椎症状、提高生活质量等四方面评价中药熨烫治疗神经根型颈椎病的疗效。结果 纳入的随机对照试验共10篇,涉及835例患者。Meta分析结果显示,试验组治疗的总有效率高于对照组[RR=1.17,95%CI(1.11,1.23),P<0.001],疼痛改善优于对照组[疼痛视觉模拟评分法评分,MD=-1.26,95%CI(-1.67,-0.86),P<0.001],颈椎症状改善也优于对照组[田中靖久颈椎病症状评分,MD=3.03,95%CI(2.39,3.67);颈椎功能障碍指数量表评分,MD=-12,95%CI(-21.46,-2.53),均P<0.001],生活质量高于对照组[健康调查简表评分,MD=12.90,95%CI(10.25,15.55),P<0.001]。结论 中药熨烫治疗能有效地治疗神经根型颈椎病。

Objective To systematically review the clinical efficacy of traditional Chinese medicine ironing in the treatment of cervical spondylotic radiculopathy.Methods Random controlled trials of traditional Chinese medicine ironing in the treatment of cervical spondylotic radiculopathy from the establishment of the database to March 2023 were retrieved in domestic and overseas databases,such as CNKI,Cochrane Library,and PubMed.RevMan 5.4 was used for a Meta-analysis,which aimed to review the efficacy of traditional Chinese medicine ironing in the treatment of cervical spondylotic radiculopathy in four terms,including the total effective rate,pain relief,and improvement of cervical spine symptoms and quality of life.Results A total of 10 random controlled trials involving 835 patients were included.The Meta-analysis results showed that the total therapeutic effective rate of the study group was higher than that of the control group[RR=1.17,95%CI(1.11,1.23),P<0.001],pain improvement was better than that of the control group[pain visual analogue scale score,MD=-1.26,95%CI(-1.67,-0.86),P<0.001],the improvement of cervical spine symptoms was also better than that of the control group[Tanaka Yasushi cervical spondylitis symptom scale score,MD=3.03,95%CI(2.39,3.67);Neck Disability Index score,MD=-12,95%CI(-21.46,-2.53);all P<0.001],and quality of life was better than that of the control group[the MOS 36-item short-form of health survey score,MD=12.90,95%CI(10.25,15.55),P<0.001].Conclusion Traditional Chinese medicine ironing can effectively treat cervical spondylotic radiculopathy.