Objective： To provide an evidence-based overview regarding the efficacy of Ashi points stimulation for the treatment of shoulder pain. Methods： A comprehensive search [PubMed, Chinese Biomedical Literature Database,...Objective： To provide an evidence-based overview regarding the efficacy of Ashi points stimulation for the treatment of shoulder pain. Methods： A comprehensive search [PubMed, Chinese Biomedical Literature Database, China National Knowledge Infrastructure （CNKI）, Chongqing Weipu Database for Chinese Technical Periodicals （VIP） and Wanfang Database] was conducted to identify randomized or quasi-randomized controlled trials that evaluated the effectiveness of Ashi points stimulation for shoulder pain compared with conventional treatment. The methodological quality of the included studies was assessed using the Cochrane risk of bias tool. RevMan 5.0 was used for data synthesis. Results： Nine trials were included. Seven studies assessed the effectiveness of Ashi points stimulation on response rate compared with conventional acupuncture. Their results suggested significant effect in favour of Ashi points stimulation [odds ratio （OR）： 5.89, 95% confidence interval （CI）： 2.97 to 11.67, P〈0.01, heterogeneity： x 2=3.81, P=0.70, 12=0% ]. One trial compared Ashi points stimulation with drug therapy. The result showed there was a significantly greater recovery rate in group of Ashi points stimulation （OR： 9.58, 95% CI： 2.69 to 34.12）. One trial compared comprehensive treatment on the myofascial trigger points （MTrPs） with no treatment and the result was in favor of MTrPs. Conclusions： Ashi points stimulation might be superior to conventional acupuncture, drug therapy and no treatment for shoulder pain. However, due to the low methodological quality of included studies, a firm conclusion could not be reached until further studies of high quality are available.展开更多
目的:系统评价临床常用中医外治法治疗偏头痛的效果。方法:以临床常用的针刺、拔罐、推拿、耳穴压豆、刺血等中医外治法及“偏头痛”为关键词,检索CNKI数据库、CBM数据库、VIP数据库、万方数据库、Pub Med数据库、Web of Science数据库...目的:系统评价临床常用中医外治法治疗偏头痛的效果。方法:以临床常用的针刺、拔罐、推拿、耳穴压豆、刺血等中医外治法及“偏头痛”为关键词,检索CNKI数据库、CBM数据库、VIP数据库、万方数据库、Pub Med数据库、Web of Science数据库中偏头痛的随机对照试验并进行分析。提取相关文献原始数据,比较中医外治与单用西药治疗偏头痛的疗效,利用漏斗图对文献发表偏倚进行评估。结果:检索到1474篇相关文献,最终纳入17篇。运用固定效应模型对总效应值进行合并分析,漏斗图显示左右基本对称,提示发表偏倚较小。Meta分析表明,中医外治法治疗偏头痛的疗效高于单纯西药(I2<50%、P<0.01)。在VAS量表中纳入的7篇文献进行针刺与刺血的亚组分析,刺血疗法的效应量(-0.43,Z=2.86,P<0.05),针刺疗法的效应量(-1.38,Z=8.69,P<0.05),意味着针刺与刺血疗法可显著缓解偏头痛,且针刺疗法效果优于刺血疗法;偏头痛大脑前动脉(ACA)血流速度的分析中纳入3篇文献(I2<50%,P<0.01),中医外治法比单纯西药治疗能更大程度地降低ACA血流速度,缓解头痛。结论:针刺、推拿、拔罐、耳穴压豆、刺血治疗偏头痛的有效性优于单纯西药,中西医结合治疗能提高偏头痛防治效果。展开更多
基金Supported by the National Natural Science Foundation of China(No.81303028)
文摘Objective： To provide an evidence-based overview regarding the efficacy of Ashi points stimulation for the treatment of shoulder pain. Methods： A comprehensive search [PubMed, Chinese Biomedical Literature Database, China National Knowledge Infrastructure （CNKI）, Chongqing Weipu Database for Chinese Technical Periodicals （VIP） and Wanfang Database] was conducted to identify randomized or quasi-randomized controlled trials that evaluated the effectiveness of Ashi points stimulation for shoulder pain compared with conventional treatment. The methodological quality of the included studies was assessed using the Cochrane risk of bias tool. RevMan 5.0 was used for data synthesis. Results： Nine trials were included. Seven studies assessed the effectiveness of Ashi points stimulation on response rate compared with conventional acupuncture. Their results suggested significant effect in favour of Ashi points stimulation [odds ratio （OR）： 5.89, 95% confidence interval （CI）： 2.97 to 11.67, P〈0.01, heterogeneity： x 2=3.81, P=0.70, 12=0% ]. One trial compared Ashi points stimulation with drug therapy. The result showed there was a significantly greater recovery rate in group of Ashi points stimulation （OR： 9.58, 95% CI： 2.69 to 34.12）. One trial compared comprehensive treatment on the myofascial trigger points （MTrPs） with no treatment and the result was in favor of MTrPs. Conclusions： Ashi points stimulation might be superior to conventional acupuncture, drug therapy and no treatment for shoulder pain. However, due to the low methodological quality of included studies, a firm conclusion could not be reached until further studies of high quality are available.
文摘目的:系统评价临床常用中医外治法治疗偏头痛的效果。方法:以临床常用的针刺、拔罐、推拿、耳穴压豆、刺血等中医外治法及“偏头痛”为关键词,检索CNKI数据库、CBM数据库、VIP数据库、万方数据库、Pub Med数据库、Web of Science数据库中偏头痛的随机对照试验并进行分析。提取相关文献原始数据,比较中医外治与单用西药治疗偏头痛的疗效,利用漏斗图对文献发表偏倚进行评估。结果:检索到1474篇相关文献,最终纳入17篇。运用固定效应模型对总效应值进行合并分析,漏斗图显示左右基本对称,提示发表偏倚较小。Meta分析表明,中医外治法治疗偏头痛的疗效高于单纯西药(I2<50%、P<0.01)。在VAS量表中纳入的7篇文献进行针刺与刺血的亚组分析,刺血疗法的效应量(-0.43,Z=2.86,P<0.05),针刺疗法的效应量(-1.38,Z=8.69,P<0.05),意味着针刺与刺血疗法可显著缓解偏头痛,且针刺疗法效果优于刺血疗法;偏头痛大脑前动脉(ACA)血流速度的分析中纳入3篇文献(I2<50%,P<0.01),中医外治法比单纯西药治疗能更大程度地降低ACA血流速度,缓解头痛。结论:针刺、推拿、拔罐、耳穴压豆、刺血治疗偏头痛的有效性优于单纯西药,中西医结合治疗能提高偏头痛防治效果。
