摘要
目的:运用Meta分析方法评价中医针刺治疗慢性阻塞性肺疾病(COPD)稳定期的有效性。方法:通过中文和英文数据库检索从2018年1月至2021年10月针刺治疗稳定期COPD的随机对照实验。随后利用RevMan 5.4.1软件对纳入文献进行文献风险评估、质量评价、系统评价及统计学分析。结果:共纳入14篇随机对照实验文献,涉及1173名患者。Meta结果显示,中医针刺疗法干预后,观察组用力肺活量(FVC)(MD=0.52,P=0.0002)、第1秒用力呼气容积占比(FEV1 %)(MD=3.40,P=0.003)、FEV1/FVC(MD=2.57,P =0.003)、最大呼气流量(PEF)(SMD=0.82,P=0.003)、动脉血氧分压(PaO_(2))(MD=4.42,P=0.02)、6 min步行试验(6MWT)(SMD=2.91,P=0.01)、慢性阻塞性肺疾病评分(CAT)(MD=-1.67,P<0.00001)评分均优于对照组;动脉二氧化碳分压(PaCO_(2))(MD=-3.58,P<0.0001)低于对照组。结论:经分析中医针刺疗法治疗COPD稳定期具有较好的疗效,有效的提高了患者的肺功能,改善生存质量。
Objective To evaluate the efficacy of traditional Chinese medicine (TCM) acupuncture in the treatment of chronic obstructive pulmonary disease (COPD) in stable stage by Meta-analysis.Methods The Chinese and English databases were searched for randomized controlled trials of acupuncture in stable COPD from January 2018 to October 2021.Then,RevMan5.4.1 software was used to conduct literature risk assessment,quality evaluation,systematic review and statistical analysis on the included literature.Results A total of 14 randomized control experiment literature involving 1173 patients were included.Meta-results showed that after acupuncture intervention,forced vital capacity (FVC) (MD=0.52,P=0.0002),forced expiratory volume in one second (FEV1%) (MD=3.4,P=0.003),FEV1/FVC (MD=2.57,P=0.003),peak expiratory flow (PEF) (SMD=0.82,P=0.003),arterial partial pressure of oxygen (PaO_(2)) (MD=4.42,P=0.02),six minutes walk test (6MWT) (SMD=2.91,P=0.01),chronic obstructive pulmonary disease score (CAT) (MD=-1.67,P < 0.00001) were better than those of the control group.Arterial partial pressure of carbon dioxide (PaCO_(2)) (MD=-3.58,P < 0.0001) lower than that of the control group.Conclusion After analysis,acupuncture therapy of TCM has good curative effect in the treatment of stable COPD,which can effectively improve the lung function of patients and improve the quality of life.
作者
齐航
黄晓琪
QI Hang;HUANG Xiao-qi(Guangdong Provincial Hospital of Chinese Medicine,Guangdong Guangzhou 510006)
出处
《深圳中西医结合杂志》
2022年第14期21-24,I0002-I0005,共8页
Shenzhen Journal of Integrated Traditional Chinese and Western Medicine
作者简介
齐航,女,护师,主要研究方向是老年心血管疾病;通信作者:黄晓琪,E-mail:44361263@qq.com,Tel:13694263285。
