腹针治疗颈椎病有效性的系统评价

目的:评价腹针治疗颈椎病的临床有效性。方法:收集腹针治疗颈椎病的临床研究随机对照文献,计算机检索PubMed数据库、Medline数据库、CBM、CNKI、VIP数据库,筛选出符合纳入标准和排除标准的文献,采用Review Manager 5.0.24软件进行Meta分析。结果:共纳入10篇文献,共计患者1 104例。Meta分析结果显示,腹针治疗颈椎病效果和疗效优于常规针刺、电针和颈椎牵引。结论:腹针在治疗颈椎病方面有一定的优势,但由于纳入评价的文献质量普遍不高以及发表偏倚等因素,使本系统评价的证据强度不足,有待进一步进行大样本、高质量、多中心、方法学规范化的临床随机对照试验来证实。

Systematic review on effect of abdominal acupuncture for cervical spondylosis

Objective: To assess the clinical effect of abdominal acupuncture in the treatment for cervical spondylosis.Methods: Randomized controlled trials(RCTs) involving abdominal acupuncture for cervical spondylosis were identified from PubMed,Medline,CBM,CNKI,VIP electronic database,selected the trials which meet inclusion and exclusion criteria.Data statistical analyses were performed by Review Manager 5.0.24 software.Results: A total of 10 trials involving 1 104 patients were included.Meta analyses showed that compared with conventional acupuncture and electro-acupuncture the abdominal acupuncture showed abdominal acupuncture more effective than conventional acupuncture and electro-acupuncture;compared the abdominal acupuncture with the cervical vertebra traction,showed the effective rate of abdominal acupuncture was higher than the cervical vertebra traction.Conclusion: The Meta-analysis showed the abdominal acupuncture in the treatment for cervical spondylosis has advantages.However,the evidence is not strong enough because of some of the low-quality trials and publications bias.Large sample,high-quality,multicenter,rigorous designs trials of abdominal acupuncture for cervical spondylosis are needed to further assess the effect.