针灸治疗肠易激综合征的临床证据

目的:通过对针灸治疗肠易激综合征相关文献的整理评价,提炼出高质量的临床证据,以便于临床医师做出科学的决策。方法:全面检索相关文献,按照循证医学5级标准从高到低选出能够回答对应临床问题的证据,并采用RevMan5.0统计结局指标。结果:有1项A级证据证明针灸治疗肠易激综合征有效;4项B级证据显示针灸与常规西药(得舒特、培菲康等)相比可能有治疗优势;1项B级证据(得舒特)、1项C级证据(美常安)显示针灸结合西药可能有增效之功;1项C级证据显示针灸配合其他疗法(如心理疗法等)可能有效,1项C级证据证明不同刺灸法之间疗效可能有差异。结论:针灸治疗肠易激综合征的疗效可能优于西药,若配合其他西药治疗可达增效之功,但仍需更多的大样本多中心的临床试验或系统评价/Meta分析证明。

Clinical Evidence of Acupuncture Therapy for Irritable Bowel Syndrome

Objective:To evaluate the clinical studies of acupuncture for treatment of irritable bowel syndrome and collect the high quality evidence for clinical decision-making reference.Methods:The documents of clinical study were comprehensively retrieved.According to criterion of evidence-based medicine,the evidence from high to low level was selected to answer corresponding clinical questions and RevMan 5.0 was used to analyze the final indicator.Results:There was only one Level-A evidence showed the effectiveness of acupuncture for irritable bowel syndrome.Besides four Level-B evidence showed respectively that acupuncture might be superior to Dicetel and Bifid Triple Viable Capsule Powder.Moreover,a Level-B evidence(Dicetel) and a Level-C evidence(Lived Combined B.Subtilis And E.Faecium Enteric-Coated Capsules) showed that acupuncture combined with western medicine was superior to western medicine alone.Finally a level-C evidence proved that acupuncture with psychological may be effective,a level-C evidence proved that different acupuncture and moxibustion methods may have dissimilar effects.Conclusion:Acupuncture for irritable bowel syndrome has a probably positive effect.What’s more,acupuncture combined with western medicine can strengthen the curative effect.However,this conclusion should be proved by clinical trial of randomized controlled double blind studies or systematic reviews and Meta-analyses.