CAJ | 학술논문

目的：运用 Meta 分析的方法分析在手法复位联合中药治疗良性阵发性位置性眩晕的疗效。方法：计算机检索Pubmed、Embase、Cochrane 图书馆（英文）和中国生物医学文献数据库（CBM）（中文），查找手法复位联合中药治疗 BPPV的临床研究，对纳入的所有文献进行严格方法学质量评价，并采用 Stata12.0软件进行 Meta 分析。结果：共6篇文献进入Meta 分析，总病例数为490例。Meta 分析显示手法复位联合中药治疗良性阵发性位置性眩晕的疗效明显优于单纯手法复位，具有统计学意义（P ＜0.05，RR[95％ CI]为1.12[1.05，1.19]）。结论：但仅以本篇 Meta 分析为基础，对于手法治疗良性阵发性位置性眩晕是否有必要加用中药治疗目前尚不能得出最终的结论，尚需开展多中心大样本量的高质量研究进一步证实。
목적：운용 Meta 분석적방법분석재수법복위연합중약치료량성진발성위치성현훈적료효。방법：계산궤검색Pubmed、Embase、Cochrane 도서관（영문）화중국생물의학문헌수거고（CBM）（중문），사조수법복위연합중약치료 BPPV적림상연구，대납입적소유문헌진행엄격방법학질량평개，병채용 Stata12.0연건진행 Meta 분석。결과：공6편문헌진입Meta 분석，총병례수위490례。Meta 분석현시수법복위연합중약치료량성진발성위치성현훈적료효명현우우단순수법복위，구유통계학의의（P ＜0.05，RR[95％ CI]위1.12[1.05，1.19]）。결론：단부이본편 Meta 분석위기출，대우수법치료량성진발성위치성현훈시부유필요가용중약치료목전상불능득출최종적결론，상수개전다중심대양본량적고질량연구진일보증실。
Objective:To evaluate the effectiveness of Chinese Materia Medica combined with canalith repositioning maneuver in treating benign paroxysmal positional vertigo (BPPV).Methods:Databases including Pubmed,Embase,Cochrane Library and CBMwere searched to collect case control studies on Chinese Materia Medica for benign paroxysmal positional vertigo.Quality e-valuation and meta-analysis by using Stata12.0 were performed.Results:A total of 8 grade-CRCTs including 648 cases were gath-ered.The results showed that the Chinese Materia Medica combined with canalith repositioning maneuver group was better than the only canalith repositioning maneuver group;P =<0.05,RR[95% CI]=1.12[1.05,1.19].Conclusion:Based on current evi-dence,compared with canalith repositioning maneuver,Chinese Materia Medica combined with canalith repositioning maneuver is better and safer for BPPV.