中国组织工程研究第16卷第9期2012–02–26出版ChineseJournalofTissueEngineeringResearchFebruary26,2012Vol.16,No.9P.O.Box1200,Shenyang110004cn.zglckf.com16221SchoolofAcupuncture-MoxibustionandTuina,BeijingUniversityofChineseMedicine,Beijing100029,China;2JiangxiUniversityofTraditionalChineseMedicine,Nanchang330004,JiangxiProvince,ChinaLiuFu-shui,Studyingfor☆doctorate,Lecturer,Attendingphysician,SchoolofAcupuncture-MoxibustionandTuina,BeijingUniversityofChineseMedicine,Beijing100029,China;JiangxiUniversityofTraditionalChineseMedicine,Nanchang330004,JiangxiProvince,Chinaliufushui8@yahoo.com.cnCorrespondenceto:GuoChang-qing,Professor,Doctoralsupervisor,SchoolofAcupuncture-MoxibustionandTuina,BeijingUniversityofChineseMedicine,Beijing100029,Chinaguochangqing66@163.comSupportedby:NationalKeyBasicResearchDevelopmentProgram(973Program,No.2006CB504508*Received:2011-08-15Accepted:2011-10-20针刀与针灸治疗颈椎病疗效比较的Meta分析*☆刘福水1,2,张义1,钟鼎文1,郭长青1Meta-analysisofacupotomologyversusacupunctureforcervicalspondylopathyLiuFu-shui1,2,ZhangYi1,ZhongDing-wen1,GuoChang-qing1AbstractBACKGROUND:Thoughacupotomologyandacupuncturearecommonlyusedtotreatcervicalspondylopathy,therearenosystematicreviewsofrandomizedclinicaltrialsonit.OBJECTIVE:Toevaluatethetherapeuticeffectandsafetyofacupotomologyversusacupunctureforcervicalspondylopathy.METHODS:Randomizedcontrolledtrials(RCTsofacupotomologyversusacupunctureinthetreatmentofcervicalspondylopathywereretrievedfromCBM(1978to2010,CNKI(1979to2010,VIP(1989to2010,PubMed(1966to2010,andCochraneLibrary(Issue4,2010.Andsomerelevantjournalsweremanuallysearched.DatawereextractedandevaluatedbytworeviewersindependentlyaccordingtoCochraneReviewers’Handbook(5.0.TheCochraneCollaboration’sRevMan5.1softwarewasusedformeta-analyses.RESULTSANDCONCLUSION:Totally10RCTsinvolving1085caseswereincluded.Theresultsofmeta-analysesshowedthatthetotaleffectrateandcureratebothatshort-termandlong-termoftheacupotomologyforcervicalspondylopathywerehigherthantheacupuncture,andimprovementofsymptomscoresoftheacupotomologygroupforcervicalspondylopathywassuperiorthantheacupuncturegroup.Acupotomologyissuperiortoacupunctureinthetreatmentofcervicalspondylopathy.However,duetolowqualityofincludedstudies,rigorouslydesignedRCTsareneededtoconfirmtheaboveconclusions.LiuFS,ZhangY,ZhongDW,GuoCQ.Meta-analysisofacupotomologyversusacupunctureforcervicalspondylopathy.ZhongguoZuzhiGongchengYanjiu.2012;16(9:1622-1625.[http://www.crter.cnhttp://en.zglckf.com]摘要背景:针刀和针灸是治疗颈椎病的常用疗法,但目前尚缺乏这两种方法治疗颈椎病疗效比较的系统评价。目的:系统评价针刀与针灸治疗颈椎病的疗效和安全性差异。方法:计算机检索中国生物医学文献数据库CBM(1978/2010、中国知网CNKI(1979/2010、维普数据库VIP(1989/2010、PubMed(1966/2010和CochraneLibrary(2010年第4期,辅以手工检索相关期刊,纳入针刀与针灸比较治疗颈椎病的随机对照试验。由2名评价者按照Cochrane系统评价员手册5.0的要求独立提取资料并交叉核对,采用RevMan5.1软件进行Meta分析。结果与结论:共纳入10个随机对照试验,包括1085例患者。Meta分析结果显示,针刀组治疗颈椎病近期和远期总有效率、治愈率均明显高于针灸组,症状积分改善情况针刀组优于针灸组,提示针刀治疗颈椎病疗效优于针灸。但文章纳入试验数有限且文献质量较低,需设计更严格的随机对照试验来进一步验证上述结论。关键词:针刀;针灸;颈椎病;Meta分析;循证医学doi:10.3969/j.issn.1673-8225.2012.09.024刘福水,张义,钟鼎文,郭长青.针刀与针灸治疗...