摘要
目的:系统评价针刺疗法治疗子宫脱垂患者的临床疗效.方法:通过计算机检索中国知网、万方、维普、中国生物医学数据库、PubMed等中英文数据库,搜集关于针刺治疗子宫脱垂患者的临床随机对照试验(RCT)研究.采用RevMan5.3软件进行荟萃分析.结果:共纳入 12篇 1 163例.针刺疗法(包括普通针刺、电针、温针灸、针灸结合等)治疗子宫脱垂的临床有效率较对照组高[OR=4.81,95%CI(3.19,7.24),Z=7.51,P＜0.00 001].有效率亚组分析显示,针刺治疗的疗效优于中药治疗、Kegel训练以及电子生物反馈疗法(P＜0.05).针刺疗法可以降低子宫脱垂复发率(P＜0.05).结论:当前有限证据表明,相较于非针刺疗法,针刺疗法能明显提高子宫脱垂患者的临床疗效,改善子宫脱垂患者相关评分和盆底肌力,但仍需要更多的高质量的临床研究去验证.
Abstract
Objective:To systematically evaluate the clinical effect of acupuncture therapy in the treatment of patients with uterine prolapse.Methods:By searching databases such as China CNKI,Wan Fang,VIP and China,CBM,PubMed by the computer,the clinical randomized controlled trial(RCT)research on acupuncture treatment of patients with uterine prolapse was collected.Meta-analysis was carried out by RevMan 5.3 software.Results:A total of 12 articles were included,with a total of 1 163 subjects.The clinical effective rate of acupuncture therapy(including common acupuncture,electro-acupuncture,warm acupuncture and combination of acupuncture and moxibustion)was higher than that of the control group[OR=4.81,95%CI(3.19,7.24),Z=7.51,P<0.00 001].The subgroup analysis of effective rate showed that the curative effect of acupuncture treatment was better than that of traditional Chinese medicine treatment,Kegel training and electronic biofeedback therapy(P<0.05).Acupuncture could reduce the recurrence of uterine prolapse(P<0.05).Conclusion:Current limited evidence suggests that compared with non-acupuncture therapy,acupuncture therapy can significantly improve the clinical efficacy of patients with uterine prolapse,improve the related scores of patients with uterine prolapse and pelvic floor muscle strength,but more high-quality clinical studies are still needed to verify.
基金项目
上海市嘉定区卫生健康委中医药科研立项项目(2022)(2022-KY-ZYY-14)
上海市嘉定区外冈镇社区卫生服务中心名老中医(流派)工作室项目(2021)(2021MLZYLPGZS-06)
NETL
NSTL
万方数据