"冬病夏治"穴位贴敷疗法治疗儿童哮喘随机对照试验的系统综述

目的 系统地评价"冬病夏治"穴位贴敷疗法治疗儿童哮喘的疗效和安全性.方法 系统全面地检索国内外相关数据库,检索日期截止到2017年2月,纳入"冬病夏治"穴位贴敷联合糖皮质激素与糖皮质激素比较的随机对照试验.对纳入的试验进行方法学质量评价,对疗效进行综合分析.结果 共计纳入3项研究,146名儿童哮喘患者,纳入研究中"冬病夏治"穴位贴敷的药物成分及穴位各不相同.纳入的研究方法学质量较差.研究结果显示,"冬病夏治"穴位贴敷在降低哮喘急性发作次数、改善哮喘患儿症状、提高肺功能等方面可能存在优势.结论 与糖皮质激素治疗相比,"冬病夏治"穴位贴敷疗法在治疗儿童哮喘可能存在优势.

"Treating winter diseases in summer" acupoint application therapy for the treatment of asthma in children:a systematic review of randomized controlled trials

Objective To systematically evaluate the curative effect and safety of "treating winter diseases in summer" acupoint application therapy for asthma in children.Methods The domestic and international databases were retrieved till Feb 2017.The randomized controlled trials about treatment of "treating winter diseases in summer" acupoint application therapy for children with asthma were identified.The methodology quality of included trials was assessed.Results A total of 3 RCT involving 146 patients were included.The compositions of Chinese medicines and acupuncture points used were quite diverse,which inhibited us to conduct meta-analysis.The methodological quality of included RCT was generally lower.The results showed that "treating winter diseases in summer" acupoint application therapy might have advantage in reducing asthma acute attack times and improving clinical symptoms and respiratory function.Conclusion "treating winter diseases in summer" acupoint sticking therapy for asthma in children may have some advantages,however,due to the lack of a number of trials and poor methodology quality,the claimed benefits of "treating winter diseases in summer" acupoint sticking therapy for for children with asthma are inconclusive;more rigorous studies are warranted to support clinical practice.