现代中西医结合杂志
現代中西醫結閤雜誌
현대중서의결합잡지
MODERN JOURNAL OF INTEGRATED TRADITIONAL CHINESE AND WESTERN MEDICINE
2015年
25期
2753-2755,2850
,共4页
针灸%天枢穴%慢性腹泻%系统评价%随机对照试验
針灸%天樞穴%慢性腹瀉%繫統評價%隨機對照試驗
침구%천추혈%만성복사%계통평개%수궤대조시험
acupuncture%Tianshu (ST25)%diarrhea%systematic review%randomized controlled trial
目的:系统评价针灸天枢穴治疗慢性腹泻的有效性和安全性。方法电子检索PubMed、EMBASE、Cochrane Library 、日本国立情报研究所(CiNii)、中国生物医学文献数据库( CBM )、CNKI、WanFang数据库截止2014年12月的针灸天枢穴治疗慢性腹泻的随机对照试验,并对纳入的试验进行Meta分析。结果共纳入4篇文献计403例患者,结果表明针灸天枢穴较旁开针灸非经非穴点缓解慢性腹泻疗效更好[RR=1.80,95%CI(1.51,2.13),P<0.01],针灸天枢穴疗效也优于大横穴[RR=1.429,5%CI(1.10,1.82),P<0.01],但与针灸足三里穴疗效比较差异无统计学意义[RR=1.08,95%CI(0.91,1.28),P =0.39],4篇研究均未提及不良反应。结论针灸天枢穴治疗慢性腹泻有效,并且是相对特异性效应,但证据等级较低。针灸天枢穴治疗慢性腹泻的疗效和安全性还需要更多的高质量随机对照试验和长期的随访研究进一步证实。
目的:繫統評價針灸天樞穴治療慢性腹瀉的有效性和安全性。方法電子檢索PubMed、EMBASE、Cochrane Library 、日本國立情報研究所(CiNii)、中國生物醫學文獻數據庫( CBM )、CNKI、WanFang數據庫截止2014年12月的針灸天樞穴治療慢性腹瀉的隨機對照試驗,併對納入的試驗進行Meta分析。結果共納入4篇文獻計403例患者,結果錶明針灸天樞穴較徬開針灸非經非穴點緩解慢性腹瀉療效更好[RR=1.80,95%CI(1.51,2.13),P<0.01],針灸天樞穴療效也優于大橫穴[RR=1.429,5%CI(1.10,1.82),P<0.01],但與針灸足三裏穴療效比較差異無統計學意義[RR=1.08,95%CI(0.91,1.28),P =0.39],4篇研究均未提及不良反應。結論針灸天樞穴治療慢性腹瀉有效,併且是相對特異性效應,但證據等級較低。針灸天樞穴治療慢性腹瀉的療效和安全性還需要更多的高質量隨機對照試驗和長期的隨訪研究進一步證實。
목적:계통평개침구천추혈치료만성복사적유효성화안전성。방법전자검색PubMed、EMBASE、Cochrane Library 、일본국립정보연구소(CiNii)、중국생물의학문헌수거고( CBM )、CNKI、WanFang수거고절지2014년12월적침구천추혈치료만성복사적수궤대조시험,병대납입적시험진행Meta분석。결과공납입4편문헌계403례환자,결과표명침구천추혈교방개침구비경비혈점완해만성복사료효경호[RR=1.80,95%CI(1.51,2.13),P<0.01],침구천추혈료효야우우대횡혈[RR=1.429,5%CI(1.10,1.82),P<0.01],단여침구족삼리혈료효비교차이무통계학의의[RR=1.08,95%CI(0.91,1.28),P =0.39],4편연구균미제급불량반응。결론침구천추혈치료만성복사유효,병차시상대특이성효응,단증거등급교저。침구천추혈치료만성복사적료효화안전성환수요경다적고질량수궤대조시험화장기적수방연구진일보증실。
Abtsract:Object vie It is to assess the therapeutic effect and safety of acupuncture ST 25 treatment for chronic diarrhea with a systematic review.Methods We searched PubMed, EMBASE, Cochrane Library, Citation Information by National In-stitute of Informatics ( CiNii ) , Chinese Biomedical Literature Database ( CBM ) , Wan -Fang Database , China National Knowledge Infrastructure (CNKI), and from their inception to December 2014.All randomized controlled trials related with acupuncture Tianshu (ST25) for chronic diarrhea were included and meta -analysis would be performed.Results Altogether 4 studies were included, including 403 patients.The result showed that acupuncture Tianshu (ST25) had better effect in global assessment than non -acupuncture points[RR=1.80, 95%CI(1.51,2.13), P<0.01], and Daheng (SP15)[RR=1.18, 95%CI(1.01,1.39), P<0.01], however there was no difference in the curative effect between Tianshu (ST25) and Tzu-sanli (ST36)[RR=1.08, 95%CI(0.91,1.28),P=0.39], 4 studies had not mentioned adverse effect .Conclusion Acu-puncture Tianshu ST25 is effect to chronic diarrhea and the it is based on specificity of acupuncture effect , however the degree of evidence is low , more high quality randomized controlled trials related to acupuncture Tianshu ST 25 for chronic diarrhea and long terms follow-up are needed.