摘要
目的评价针灸治疗颈椎病的远期疗效。方法收集针灸治疗颈椎病远期疗效的随机对照试验文献,对符合纳入标准的文献按改良后的Jadad计分表评价其质量,对纳入的试验作系统评价,同时按远期疗效指标的不同进行分层分析。结果符合纳入标准的文献共11篇,研究对象1 723例患者。Meta分析结果显示,针灸治疗组与对照组远期疗效痊愈率相比,OR为3.42,95%CI〔2.64,4.43〕,治疗组痊愈率优于对照组,差异有统计学意义(P<0.000 01)。针灸治疗组对比对照组复发率,OR为0.45,95%CI〔0.23,0.91〕,治疗组远期疗效优于对照组,差别有统计学意义(P=0.03);其中干预措施仅为单纯针刺的P=0.02,I2=67%,采用随机效应模型检验,其合并OR为0.52,95%CI〔0.19,1.44〕,差别无统计学意义(P=0.21)。结论针灸治疗颈椎病远期疗效优于对照组,但需要高质量、大样本、更规范疗效指标的研究进一步证明。
Objective To evaluate the effect of long-term treatment of acupuncture on cervical spondylosis. Methods The randomized control trials（RCT） literatures of long-term treatment effect of acupuncture on cervical spondylosis were collected which were met the in- clusion criteria, ranked quality of every literature basing on the modified Jadad score sheet, then applied systematic reviews, also conduced layer analysis depending on different long-term efficacy indexes. Results 1 723 patients and 11 literatures met the inclusion criteria were included. Compared with that of control group, OR of long-term efficacy rate of acupuncture treatment group was 3.42, 95% CI （2. 64, 4. 43）, the efficiency of treatment group was better than that of control group （P 〈0. 000 01 ） ; oR of recurrence rate was 0. 45, 95% CI （0. 23,0. 91 ） , P = 0. 03. Long-term efficacy of treatment group was better than that of control group, of which the simple acupuncture interventions in treatment group had no significant difference from that of control group [ P = 0. 02, 12 = 67%, using random effects model testing, the combined OR = 0. 52,95 % CI （0. 19,1.44） ]. Conclusions The long-term treatment effect of acupuncture on cervical spondylo- sis is better than that of control group, but need high-quality, large sample, and more formal index of efficacy study to prove in the future.
出处
《中国老年学杂志》
CAS
CSCD
北大核心
2011年第6期918-921,共4页
Chinese Journal of Gerontology
基金
国家"十一五"支撑计划项目(2006BAI12B04-1)
广东省科技计划项目(2009B030801287)
作者简介
第一作者：朱晓平（1977-），男，主治医师，主要从事针灸治疗痛症机制的研究。
通讯作者：符文彬（1963-），男，教授，博士生导师，主要从事针灸治疗痛症及抑郁相关病症的研究。
