拔罐治疗非特异型颈椎病患者颈椎功能障碍Meta分析

目的:探究拔罐治疗非特异型颈椎病患者颈椎功能障碍的临床疗效及不同拔罐方式、治疗时间应用的差异性。方法:计算机网络检索Pub Med、Embase、Web of science外文数据库及中国知网(CNKI)、维普全文(VIP)、万方、中国生物医学等中文数据库自建库起至2018年3月1日公开发表的关于拔罐治疗非特异型颈椎病涉及颈椎功能障碍指数(Neck Disability Index,NDI)的临床随机对照研究(RCT)。由2名研究员独立筛选文献并提取资料。采用Rev Man 5.3软件进行Meta分析。结果:共纳入7项研究、全部为RCT研究,采用固定效应模型合并效应量加权均数差(WMD)对文献进行分析,显示拔罐可以改善非特异型颈椎病患者的颈椎功能障碍,差异有统计学意义(P0.00001);联合拔罐与单纯火罐比较临床疗效差异无统计学意义(P=0.37);短期(≤4周)与长期( 4周)比较差异无统计学意义(P=0.27)。结论:拔罐可以显著改善非特异型颈椎病患者的颈椎功能障碍,疗效与拔罐方式、治疗时间无相关性。

Meta Analysis of Cupping for Cervical Dysfunction in Patients with Non-specific Cervical Spondylopathy

Objective:To investigate the clinical efficacy of cupping in the treatment of cervical dysfunction in patients with non-specific cervical spondylopathy and the differences in different cupping methods and treatment time. Methods:Pub Med,Embase,Web of science foreign language database and CNKI,VIP,Wanfang,Chinese biomedical databases etc. were searched by computer network from the establishment until March 1 st,2018 and found randomized controlled trials(RCTs) on cupping for non-specific cervical spondylopathy involving the neck disability index(NDI). Two researchers independently screened the literature and extracted the data. Meta analysis was performed by using Rev Man 5.3 software. Results:A total of 7 RCT studies were adopted and analyzed by using a fixed-effects model with weighted mean difference(WMD). The results showed that cupping can improve cervical dysfunction in patients with non-specific cervical spondylopathy with statistical significance(P< 0.00001). There was no statistical significance in clinical efficacy between mixed cupping and simple dry cupping(P= 0.37). There was statistical no significance between short-term (≤4 weeks) and long-term(> 4 weeks) treatment(P= 0.27). Conclusions:Cupping can significantly improve cervical dysfunction in patients with non-specific cervical spondylopathy. The efficacy is not related to cupping method and treatment time.