摘要
目的:运用Meta分析的方法评价灸法治疗后循环缺血性眩晕的临床疗效与安全性。方法:分别检索中国知网、万方数据库、维普中文科技期刊数据库、中国生物医学文献数据库、The Cochrane Library、Pub Med、Embase、Web of Science数据库,查找国内外用灸法治疗后循环缺血性眩晕的随机对照试验,检索时间为从建库至2021年11月30日,由2位研究员根据纳入与排除标准独立筛选文献、提取资料和进行文献质量评价,采用Review Manager 5.4软件进行Meta分析。结果:纳入13个RCT,样本量940例,其中试验组472例,对照组468例。Meta分析结果显示,试验组在提高临床有效率[RR=1.19,95%CI(1.12,1.25),P<0.05]、改善基底动脉血流速度[MD=4.25,95%CI(3.60,4.89),P<0.05]、降低眩晕残障量表DHI评分[MD=-7.82,95%CI(-10.72,-4.93),P<0.05]、提升左侧椎动脉[MD=5.04,95%CI(1.63,8.45),P<0.05]和右侧椎动脉血流速度[MD=4.49,95%CI(2.70,6.27),P<0.05]方面优于对照组。结论:灸法有助于改善后循环缺血性眩晕患者的临床症状,提高椎-基底动脉系统血流速度,但远期疗效和安全性仍需进一步验证。
Objective : To evaluate the clinical effects of moxibustion in patients with posterior circulation ischemic vertigo(PCIV)by Meta-analysis. MMeetthhooddss : We searched CNKI, WanFang, VIP, CBM, The Cochrane Library, PubMed, Embase and Web of Science databases for randomized controlled trials(RCTs) of moxibustion on PCIV from inception to November 30, 2021. Two reviewers independently conducted the literature screening, data extraction and quality assessment. The clinical effective rate, vertebral-basilar artery blood flow velocity, the score of Dizziness Handicap Inventory(DHI) and adverse events were Meta analyzed using the software of Review Manager 5.4. RReessuullttss : A total of 13 articles with 940 patients were finally included, for 472 cases in the experimental group and 468 cases in the control group. Meta-analysis results showed that experimental group was superior to the control group in improving clinical effective rate[RR=1.19, 95%CI(1.12, 1.25), P<0.05], increasing basilar artery blood flow velocity[MD=4.25,95%CI(3.60, 4.89), P<0.05], reducing the DHI score of vertigo disorder scale[MD=-7.82, 95%CI(-10.72,-4.93), P<0.05], and increasing the left vertebral artery blood flow velocity[MD=5.04, 95%CI(1.63, 8.45), P<0.05] and the right vertebral artery blood flow velocity[MD=4.49, 95%CI(2.70, 6.27), P<0.05]. CCoonncclluussiioonn : The moxibustion helps to improve the clinical symptoms and the blood flow velocity of vertebral-basilar artery, however, the safety and long-term efficacy of moxibustion on PCIV needed the further verification.
作者
吴翠娟
刘芳
黄惠榕
肖彬新
余梦霞
仇志琴
WU Cui-juan;LIU Fang;HUANG Hui-rong;XIAO Bin-xin;YU Meng-xia;QIU Zhi-qin(School of Nursing,Fujian University of Traditional Chinese Medicine,Fuzhou Fujian 350122;People's Hospital Affiliated to Fujian University of Traditional Chinese Medicine,Fuzhou Fujian 350004)
出处
《按摩与康复医学》
2022年第15期73-80,共8页
Chinese Manipulation and Rehabilitation Medicine
关键词
后循环缺血
眩晕
艾灸
随机对照试验
META分析
Moxibustion
Posterior Circulation Ischemic
Vertigo
Randomized Controlled Trial
Meta-analysis
作者简介
吴翠娟(1992-),女,学士,硕士生在读,研究方向:康复护理研究;通讯作者:黄惠榕(1965-),女,学士,主任护师,研究方向:康复护理研究。
