Objective:This paper aims to systematically evaluate the clinical efficacy of acupuncture,massage,and other non-drug therapies in the treatment of lumbar disc herniation.Methods:The databases of CNKI,CSPD,CBM,PubMed,and Cochrane Library were searched.Bayesian mesh meta-analysis was used,and a randomized controlled trial for the treatment of lumbar disc herniation was conducted,with acupuncture,massage,traction,and moxibustion used respectively or jointly.The quality of the included litera-ture was evaluated according to the bias risk tool recommended by Cochrane.The bias risk map was prepared using RevMan 5.3 software,and the network meta-analysis of the data was performed by Ge MTC.0.14.3.Stata 16.0 software was used to make a net-work diagram,cumulative sorting diagram,prediction interval diagram,and comparative-correction funnel diagram.Results:A total of 28 randomized controlled trials were included,with 2 771 subjects and 10 interventions.The network meta-analysis results showed that the total effective rate of acupuncture+massage,massage+traction,acupuncture+moxibustion,acupuncture+trac-tion,massage+moxibustion,and acupuncture+massage+traction was better than that of traction alone.Acupuncture+massage and acupuncture+moxibustion were better than moxibustion or acupuncture alone.The effective rate of acupuncture+massage,ac-upuncture+moxibustion,and massage+traction was better than that of massage alone.The visual analogue scale(VAS)of acu-puncture+moxibustion was better than that of simple massage,while acupuncture+moxibustion and acupuncture+massage+trac-tion were better than simple traction.Conclusion:Acupuncture+massage has the best effect in terms of total effective rate.In terms of pain relief,acupuncture+traction may be the optimal choice,and different interventions may have limited additive effects.
维普
万方数据
