Meta-analysis of Clinical Efficacy of Acupotomy Combined with Bonesetting for Cervical Vertigo
Objective To systematically evaluate the clinical efficacy of acupotomy combined with bonesetting in the treatment of cervical vertigo and provide evidence-based references for clinical decision-making in the treatment of cervical vertigo.Methods A search was conducted for randomized controlled trials(RCTs)related to acupotomy combined with bonesetting in the treatment of cervical vertigo from January 1,2013,to December 31,2023,in databases including Si-noMed,CNKI,Wanfang Data,VIP,and PubMed.The relevant literature was screened in layers,and data were extracted.The quality was assessed.Meta-analysis was performed using RevMan 5.3 and Stata 14.0 statistical software.Results A total of 27 studies meeting the inclusion criteria were found,involving 2 481 patients.The results of the Meta-analysis showed that the overall efficacy rate in the observation group was superior to that in the control group(P＜0.000 01).The improvement in blood flow velocity of the left and right vertebral arteries and the basilar artery in the observation group was better than that in the control group(P＜0.000 01).The observation group showed significant improvements in cervical X-ray imaging indicators compared to other therapies(P＜0.001).Additionally,the observation group demonstrated a sig-nificant advantage over the control group in improving cervical vertigo symptoms and functional scores(P=0.01＜0.05).Conclusion Acupotomy combined with bonesetting significantly enhanced clinical efficacy,improved clinical symptoms,reduced pain levels,increased vertebrobasilar artery blood flow velocity,and improved imaging indicators in patients with cervical vertigo compared to other treatments.Therefore,this combination therapy should be prioritized in the clinical treat-ment of cervical vertigo.
Cervical VertigoVertebral Artery Type Cervical SpondylosisBonesettingAcupotomyMeta-analysis
万方数据
维普
