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电针治疗膝骨性关节炎疗效的系统评价
  • ISSN号:2096-0328
  • 期刊名称:《康复学报》
  • 时间:0
  • 分类:R684.3[医药卫生—骨科学;医药卫生—临床医学;医药卫生—外科学]
  • 作者机构:[1]福建中医药大学中西医结合研究院,福建福州350122, [2]福建中医药大学附属第二人民医院,福建福州350003
  • 相关基金:国家自然科学基金项目(81373719)
中文摘要:

目的:系统评价电针治疗膝骨性关节炎的疗效,为其临床应用提供循证依据。方法:以膝骨关节炎、电针等为关键词,检索Pub Med数据库、清华同方知网数据库(CNKI)、中文科技期刊数据库(维普/VIP)及万方数据知识服务系统(万方),收集2015年12月31日前发表的文献,采用Cochrane协作网提供的偏倚风险评估工具评价纳入文献的质量,运用Rev Man5.3软件对最终纳入文献进行Meta分析。结果:共纳入28篇文献。Meta分析结果显示,与西药比较,电针能明显降低WOMAC骨关节炎指数(MD=-5.41,P〈0.01),降低Lequesne总评分(MD=-1.79,P〈0.01),提高LKSS评分(MD=9.00,P〈0.01),缓解患者疼痛(MD=-0.39,P=0.30)。结论:电针能有效地缓解膝骨性关节炎患者的疼痛症状,改善病情。由于本研究纳入文献质量普遍不高且样本量较小,结果有待高质量、大样本临床随机试验进一步验证。

英文摘要:

Objective:To provide a reliable evidence-based evidence for clinical application of electroacupuncture (EA) on knee osteoarthritis, a systematic review was conducted. Methods:A literature search was performed in databases including Pubmed, CNKI, VIP and Wan Fang with "knee osteoarthritis" "electroacupuncture" which were selected as keywords to obtain the original research ar- ticles. The articles published before December 31,2015. The evaluation tool of bias risk was applied for quality assessment of eligible studies. The software of Review Manager 5.3 was used for qualitative analysis of literatures and meta-analysis. Results:A total of 28 studies were included. Compared with the Western medicine group ,the Western Ontario and McMaster University (WOMAC) score in the EA group was decreased (MD=-5.41 ,P〈0.01 ),the Lequesne score was decreased (MD=-l.79 ,P〈0.01 ),the LKSS score was increased (MD=9.00,P〈0.01) and the VAS score was reduce (MD=-0.39,P=0.30). Conclusion:Existing evi- dence suggested that EA could effectively relieve pain and improve symptoms of knee osteoarthritis in patients. However, larger-scale well-designed trials are needed to confirm the curative effect of EA.

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期刊信息
  • 《康复学报》
  • 主管单位:福建中医药大学
  • 主办单位:福建中医药大学 中国科技出版传媒集团有限公司(科技出版社)
  • 主编:陈立典
  • 地址:福建省福州市闽侯上街邱阳路1号
  • 邮编:350122
  • 邮箱:xb@fjtcm.edu.cn
  • 电话:0591-22861121
  • 国际标准刊号:ISSN:2096-0328
  • 国内统一刊号:ISSN:35-1329/R
  • 邮发代号:34-59
  • 获奖情况:
  • 全国中医药优秀期刊,福建省高等学校自然科学优秀学报评比二等奖,福建省优秀科技期刊
  • 国内外数据库收录:
  • 被引量:192