摘要
目的评价中医特色技术项目大面积隔物灸(火龙灸、督灸、铺灸等)改善腰痛患者疼痛及腰椎功能的效果。方法检索PubMed、EMBASE、Clinicalkey、Web of Science、VIP、WanFang Data、CNKI和CBM数据库资源,收集建库至2022年6月大面积隔物灸改善腰痛患者疼痛及腰椎功能的随机对照试验,采用RevMan 5.4软件进行统计处理。结果共纳入文献27篇。meta分析显示,采用大面积隔物灸法的治疗组与采用非大面积隔物灸法的对照组相比,视觉模拟评分法(VAS)评分、日本骨科协会(JOA)评分、Oswestry功能障碍指数(ODI)评分差异均有统计学意义(MD=-1.64,95%CI:-2.00~-1.29,P<0.00001;SMD=1.55,95%CI:1.15~1.95,P<0.00001;SMD=-2.19,95%CI:-3.22~-1.17,P<0.00001)。漏斗图分析显示,纳入的文献可能存在潜在发表偏倚。结论大面积隔物灸对腰痛患者疼痛及腰椎功能的改善有显著疗效,值得广泛使用,但本研究纳入的原始文献质量不高,今后尚需开展更高质量的临床研究加以验证。
Objective To evaluate the effect of large-area separated moxibustion(dragon moxibustion,supervised moxibustion,spread moxibustion,etc.)on pain relief in patients with low back pain.Methods The resources of PubMed,EMBASE,Cochrane Library,Clinicakey,SinoMed,VIP,WanFang,and CNKI were searched from the establishment of the databases to June 2022,and the randomized controlled trials of large-area separated moxibustion on pain improvement in patients with low back pain were collected.The results were statistically analyzed by RevMan 5.4 software.Results A total of 27 literatures were included.Meta-analysis showed that compared with the control group with non-large area separated moxibustion,the treatment group with large area separated moxibustion could reduce the patients'pain[MD=-1.64,95%CI(-2.00,-1.29),P<0.00001],improve the lumbar neurological function[SMD=1.55,95%CI(1.15,1.95),P<0.00001],and improve the lumbar dysfunction[SMD=-2.19,95%CI(-3.22,-1.17),P<0.00001].Funnel graph analysis showed that the included literatures might have potential publication bias.Conclusions Large area separated moxibustion has significant effects on the improvement of pain and lumbar function in patients with low back pain,and is worthy of wide application.However,the quality of the original literatures included in this study is not high,and it needs to be verified by higher quality clinical research in the future.
作者
徐健莹
刘宇
陈莉佳
关丽娟
Xu Jianying;Liu Yu;Chen Lijia;Guan Lijuan(Fangcun Classic Department of Traditional Chinese Medicine,The Second Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangzhou 510370,China)
出处
《国际医药卫生导报》
2024年第18期3051-3057,共7页
International Medicine and Health Guidance News
基金
国家中医药管理局制订中医经典病房建设指南(GZY-YZS-2018-27)
广东省中医院中医药科学技术研究专项(YN2019HL05)。
关键词
隔物灸
腰痛
疼痛
META分析
Separated moxibustion
Lumbago
Pain
Meta analysis
作者简介
通信作者:刘宇,Email:13560222516@139.com。
