中华内分泌外科杂志
中華內分泌外科雜誌
중화내분비외과잡지
CHINESE JOURNAL OF ENDOCRINE SURGERY
2011年
6期
412-415
,共4页
针灸%辅助治疗%糖尿病足%Meta分析
針灸%輔助治療%糖尿病足%Meta分析
침구%보조치료%당뇨병족%Meta분석
Acupuncture%Adjuvant treatment%Diabetic foot%Meta-analysis
目的 探讨针灸辅助治疗糖尿病足(DF)的临床疗效及其安全性.方法 计算机检索MEDLINE、Embase、CENTRAL、SinoMed、VIP、CNKI和WANFANG数据库,并手工检索相关会议论文集及查阅检获所有文献的参考文献,全面收集针灸辅助治疗DF的临床随机或半随机对照试验,由2名评价者独立进行数据提取和质量评价后,采用RevMan 5.1软件进行Meta分析.结果 纳入7项研究共626例.7项研究均采用临床疗效为评价指标,Meta分析结果显示针灸辅助治疗DF能显著提高总有效率[RR=1.29,95％CI(1.20,1.38)；P＜0.01]和临床治愈率[RR=1.92,95％ CI( 1.60,2.30)；P ＜0.01].未见不良反应.结论 针灸辅助治疗DF安全有效；因原始研究的质量均较低,建议审慎选择使用；并严格按照CONSORT标准设计高质量、大样本的研究进一步论证.
目的 探討針灸輔助治療糖尿病足(DF)的臨床療效及其安全性.方法 計算機檢索MEDLINE、Embase、CENTRAL、SinoMed、VIP、CNKI和WANFANG數據庫,併手工檢索相關會議論文集及查閱檢穫所有文獻的參攷文獻,全麵收集針灸輔助治療DF的臨床隨機或半隨機對照試驗,由2名評價者獨立進行數據提取和質量評價後,採用RevMan 5.1軟件進行Meta分析.結果 納入7項研究共626例.7項研究均採用臨床療效為評價指標,Meta分析結果顯示針灸輔助治療DF能顯著提高總有效率[RR=1.29,95％CI(1.20,1.38)；P＜0.01]和臨床治愈率[RR=1.92,95％ CI( 1.60,2.30)；P ＜0.01].未見不良反應.結論 針灸輔助治療DF安全有效；因原始研究的質量均較低,建議審慎選擇使用；併嚴格按照CONSORT標準設計高質量、大樣本的研究進一步論證.
목적 탐토침구보조치료당뇨병족(DF)적림상료효급기안전성.방법 계산궤검색MEDLINE、Embase、CENTRAL、SinoMed、VIP、CNKI화WANFANG수거고,병수공검색상관회의논문집급사열검획소유문헌적삼고문헌,전면수집침구보조치료DF적림상수궤혹반수궤대조시험,유2명평개자독립진행수거제취화질량평개후,채용RevMan 5.1연건진행Meta분석.결과 납입7항연구공626례.7항연구균채용림상료효위평개지표,Meta분석결과현시침구보조치료DF능현저제고총유효솔[RR=1.29,95％CI(1.20,1.38)；P＜0.01]화림상치유솔[RR=1.92,95％ CI( 1.60,2.30)；P ＜0.01].미견불량반응.결론 침구보조치료DF안전유효；인원시연구적질량균교저,건의심신선택사용；병엄격안조CONSORT표준설계고질량、대양본적연구진일보론증.
Objective To evaluate the efficacy and safety of acupuncture as adjuvant treatment in the management of diabetic foot (DF).Methods We searched MEDLINE,Embase,CENTRAL,SinoMed,VIP,CNKI and WANFANG database.We also searched the bibliographies of retrieved articles and correlated proceedings and collected the literatures of DF of clinically randomized or quasi-randomized control trials of acupuncture as adjuvant treatment.After the data was extracted independently by 2 reviewers,we performed meta-analysis by using RevMan 5.1 software.Results Seven studies included 626 patients who met the inclusion criteria,and all employed clinical effects as evaluation indicator.Meta-analysis showed that acupuncture as adjuvant treatment could obviously improve the total effectiveness rate(RR =1.29,95％ CI:1.20,1.38,P ＜ 0.00001)and the recovery rate(RR =1.92,95％ CI:1.60,2.30,P ＜ 0.00001 ).No adverse reactions occured.Conclusions The limited current evidence shows that acupuncture as adjuvant treatment is safe and effective in the treatment of DF.Due to the poor quality of original studies,a prudent choice is suggested.Further studies with high quality and large samples according to CONSORT are also warrant.
