摘要
目的系统评价热敏灸及其综合疗法用于颈型颈椎病的临床效果,为热敏灸治疗颈型颈椎病提供更好的证据来源。方法收集国内外各大数据库热敏灸及其综合疗法用于颈型颈椎病的随机对照试验(RCT),通过Revman 5.3软件进行Meta分析,按照GRADE标准对结局指标进行证据质量评价。结果纳入9篇文献共855例患者,Meta分析结果提示:热敏灸及其综合疗法组在提高总有效率(RR=1.19,P<0.01)和治愈率(RR=1.73,P<0.01)、降低视觉模拟量表(VAS)评分(SMD=-0.73,P<0.01)、简化McGill疼痛问卷(SF-MPQ)评分(SMD=-1.28,P<0.05)以及NPQ颈痛量表评分(SMD=-0.81,P<0.05)方面都优于对照组;GRADE证据等级评价提示:前三者为低质量证据,后二者为极低质量证据。结论热敏灸及其综合疗法用于颈型颈椎病在提高临床效果、镇痛以及改善患者生活质量方面更具优势。
Objective To systematically evaluate the clinical efficacy of heat-sensitive moxibustion and its comprehensive therapy in the treatment of cervical spondylosis of neck type.Methods Randomized controlled trials of heat-sensitive moxibustion and compre-hensive therapy in the treatment of cervical spondylosis were collected from major databases at home and abroad.Meta-analysis was performed by Revman 5.3 software,and the quality of evidence was evaluated according to GRADE standards.Results A total of 855 patients were included in 9 literatures.The results of Meta-analysis showed that heat-sensitive moxibustion and its comprehensive therapy can improve the total effective rate(RR=1.19,P<0.01)and cure rate(RR=1.73,P<0.01),and reduce the VAS score(MD=-0.73,P<0.01)and SF-MPQ score(SMD=-1.28,P<0.05)and NPQ score(SMD=-0.81,P<0.05)were better than the control group.GRADE evidence evaluation indicates that the first three are of low quality evidence,and the last two are of very low quality evidence.Conclusion Heat-sensitive moxibustion and comprehensive therapy for cervical spondylosis have more advantages in improving clini-cal efficacy,analgesia and quality of life.
作者
周佳佳
邓秀红
易媛媛
雷丽芳
ZHOU Jiajia;DENG Xiuhong;YI Yuanyuan;LEI Lifang(Department of Acupuncture and MOXIbustion,Guangdong Province Hospital of Traditional Chinese Medicine,Guangdong Province,Guangzhou 510120,China)
出处
《中国中医药现代远程教育》
2024年第7期107-110,共4页
Chinese Medicine Modern Distance Education of China
基金
广东省中医院院内护理专项项目【No.YN2016HL05】。
关键词
颈型颈椎病
热敏灸
META分析
GRADE评价
cervical spondylosis of neck type
heat-sensitive moxibustion
Meta analysis
GRADE evaluation
