目的将在腰部的圆盘形成疝(LDH ) 的处理估计热敏感的艾灸的功效和安全。方法使随机化在 LDH 的处理包含热敏感的艾灸的控制试用( RCT )从中国生物医药文学数据库( 197820011 )被检索, Weipu 数据库( 19892011 ), Wanfang 数字杂志( 19982011 ),中国知识因特网( 19792011 ), PubMed ( 19662011 ), EMBASE ( 19802011 ),和 Cochrane 图书馆(第 1 期, 2011 )。从繁体中文药的江西大学的图书馆的相关杂志的手搜索也为数据的收集被采用。数据被二个评论家与一种特殊设计的抽取形式独立地提取并且评估。Cochrane 合作的加快人 5.0.20 软件被用于数据分析。包含 580 个病人的 6 试用全部的结果 A 被包括。当时,元分析证明在热敏感的艾灸组的全部的有效性率是显著地不同的与常规艾灸相比[RR=1.19, 95% CI [1.06, 1.33 )] 并且 diclofenac 钠[RR=1.47, 95% CI [1.17, 1.85 )] ,但是类似于针灸的。在热敏感的艾灸组的痊愈率是显著地不同的什么时候与常规艾灸相比[RR=1.58, 95% CI (1.04, 2.40 )] 并且 diclofenac 钠[RR=1.91, 95% CI (1.01, 3.60 )] ,但是与针灸的类似。以日本整形外科的协会分数,重要差别在主观索引,客观索引,和日常生活 subscales 被注意。二试用报导在治疗的持续时间上没有不利事件。结论与常规艾灸,针灸,和 diclofenac 钠相比,在 LDH 的治疗的热敏感的艾灸在功效是优异的。进一步大规模的试用被要求在这疾病的治疗定义热敏感的艾灸的角色。
OBJECTIVE:To assess the efficacy and safety of heat-sensitive moxibustion in the treatment of lumbar disc herniation(LDH).METHODS:Randomized controlled trials(RCTs) involving heat-sensitive moxibustion in the treatment of LDH were retrieved from the Chinese Biological Medical Literature database(1978-20011),Weipu database(1989-2011),Wanfang digital journal(1998-2011),China National Knowledge Internet(1979-2011),PubMed(1966-2011),EMBASE(1980-2011),and Cochrane Library(Issue 1,2011).Hand-search of the relevant journals from the Library of Jiangxi University of Traditional Chinese Medicine was also adopted for the collection of data.Data were extracted and evaluated by two reviewers independently with a specially designed extraction form.The Cochrane Collaboration’s RevMan 5.0.20 software was used for data analyses.RESULTS:A total of 6 trials involving 580 patients were included.Meta-analysis showed that the total effectiveness rate in the heat-sensitive moxibustion group was significantly different when compared with conventional moxibustion [RR=1.19,95% CI [1.06,1.33)] and diclofenac sodium [RR=1.47,95% CI [1.17,1.85)],but similar to that of acupuncture.The cure rate in the heat-sensitive moxibustion group was significantly different when compared with conventional moxibustion [RR=1.58,95% CI(1.04,2.40)] and diclofenac sodium [RR=1.91,95% CI(1.01,3.60)],but similar with that of acupuncture.In terms of the Japanese Orthopaedic Association scores,significant differences were noted in subjective indices,objective indices,and daily life subscales.Two trials reported that there were no adverse events over the duration of treatment.CONCLUSION:Compared with conventional moxibustion,acupuncture,and diclofenac sodium,heat-sensitive moxibustion in the treatment of LDH is superior in efficacy.Further large-scale trials are required to define the role of heat-sensitive moxibustion in the treatment of this disease.