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中国人民解放军总医院老年心血管病研究所
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中华老年多器官疾病杂志编辑委员会
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创刊人 王士雯
总编辑 范利
副总编辑 陈韵岱
执行主编 叶大训
编辑部主任 王雪萍
ISSN 1671-5403
CN 11-4786
创刊时间 2002年
出版周期 月刊
邮发代号 82-408
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郑德莎,吉兆华,陈燕峰,史晓娟,苏向妮,尼春萍.康复护理结合针灸理疗治疗腰椎间盘突出症临床疗效的Meta分析[J].中华老年多器官疾病杂志,2019,18(10):732~737
康复护理结合针灸理疗治疗腰椎间盘突出症临床疗效的Meta分析
A Meta-analysis of clinical efficacy of rehabilitation care combined with acupuncture in treating of lumbar disc herniation
投稿时间:2019-03-26  
DOI:10.11915/j.issn.1671-5403.2019.10.159
中文关键词:  康复护理;针灸理疗;腰椎间盘突出症;Meta分析
英文关键词:rehabilitation care; acupuncture; lumbar disc herniation; meta-analysis This work was supported by the Military Medicine Innovative Program
基金项目:军事医学创新工程项目(18CZX021);陕西省国际合作项目(2015KW-041)
作者单位E-mail
郑德莎 空军军医大学护理系,西安 710032  
吉兆华 空军军医大学预防系,西安 710032  
陈燕峰 空军军医大学护理系,西安 710032  
史晓娟 空军军医大学 第一附属医院骨科,西安 710032  
苏向妮 空军军医大学护理系,西安 710032  
尼春萍 空军军医大学护理系,西安 710032 pingchunni@163.com 
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中文摘要:
      目的 比较康复护理结合针灸理疗与单一疗法治疗腰椎间盘突出症(LDH)的临床疗效,为康复护理结合针灸理疗治疗LDH的临床应用提供循证医学证据。方法 采用Cochrane系统评价方法,检索中国知网数据库(CNKI)、维普数据库(VIP)、中国生物医学文献数据库(CBM)、PubMed、Cochrane Library数据库中关于报道康复护理结合针灸理疗治疗LDH临床疗效的相关文献,检索时限从建库至2019年2月,由2名研究员按照纳入与排除标准独立筛选文献、提取资料并采用Comprehensive Meta Analysis V2软件进行Meta分析。结果 共纳入16项随机对照研究,共计1504例患者。采用固定效应模型进行Meta分析。结果显示:与单一疗法相比,康复护理结合针灸理疗治疗LDH的总有效率及治愈率均有提高,差异有统计学意义(RR总有效率=1.197, 95%CI 1.151~1.245, P<0.001;RR治愈率=1.347, 95%CI 1.225~1.541, P<0.001);Egger检验及Begg检验提示无明显发表偏倚。结论 康复护理结合针灸理疗治疗LDH的疗效确切,可以显著提高患者生活质量,值得临床推广应用。
英文摘要:
      Objective To compare the clinical efficacy of rehabilitation care combined with acupuncture and monotherapy with moxibustion in treating lumbar disc herniation (LDH) with a view of providing evidence for clinical application of acupuncture combined with rehabilitation care for LDH. Methods The Cochrane systematic review was used to search for and retrieve the literature on the clinical efficacy of rehabilitation care combined with acupuncture and moxibustion for LDH in the databases of CNKI, VIP, SinoMed, PubMed and Cochrane Library as of February 2019. The literature was screened and the data were extracted independently by 2 researchers according to the inclusion and exclusion criteria. A meta-analysis was conducted using Comprehensive Meta-Analysis V2. Results A total of 16 randomized controlled studies were included, involving 1504 patients. The meta-analysis with fixed effect model showed that, compared with monotherapy, rehabilitation care combined with acupuncture resulted in a higher total effective rate and cure rate for LDH, the difference being statistically significant (RR total effective rate =1.197,5%CI 1.151-1.245, P<0.001; RR cure rate =1.347,5%CI 1.225-1.541, P<0.001). Egger test and Begg test suggested no significant publication bias. Conclusion Rehabilitation care combined with acupuncture has definite efficacy for LDH and can significantly improve the quality of life of the patients. It is worthy of clinical application.
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