首页|针灸治疗精神分裂症的Meta-分析

针灸治疗精神分裂症的Meta-分析

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目的 评价针灸治疗精神分类正的效果.方法 全方面对国内外主要医学文献数据库中有相关针灸治疗精神分裂症的文献实施检索, 按照循证医学的原则和手段将研究文献纳入其中, 对其实施了Meta-分析.结果 经过全面的筛选之后, 发现有17篇文献最后入选, Meta-分析结果: (1) 总有效率方面, 文献研究结果异质性检验:Chi=14.26, 自由度是16, P=0.58, 12=0%, 认为各项研究间拥有质性, 因此选择采用固定效应模型实施数据分析.合并后OR值时3.09, 95%可信区间是[2.31, 4.13], 合并效应检验Z=7.62, P<0.000 01.菱形处在直线右侧. (2) 不良反应方面, 其中二分类变量研究, 合并之后OR值是0.34, 95%可信区间是[0.16, 0.75], 合并效应检验z=2.67, P=0.008.菱形处于直线左侧.连续型变量, 合并之后SMD值是-0.91, 95%可信区间为[-0.88, -0.34], 合并效应检验z=4.39, P<0.000 1.菱形处在直线左侧.结论 从国内外当前已经有的研究数据来看, 针灸合并常规抗精神病药物治疗精神分裂症治疗效果显著于单独采用抗精神病药物, 且不良反应发生率也显著要低.仍旧需要严格、谨慎的试验设计.样本量较大的高质量临床研究为接下来的分析提供了更为可靠的依据.
Meta-Analysis of Acupuncture and Moxibustion in the Treatment of Schizophrenia
Objective To evaluate the effect of acupuncture and moxibustion on positive classification of mental disorders.Methods Literature related to acupuncture and moxibustion for the treatment of schizophrenia was searched from all aspects in major medical literature databases at home and abroad. Research literature was included according to the principles and means of evidence-based medicine, and meta-analysis was performed. Results After comprehensive screening, it was found that 17 literatures were finally selected. Meta-analysis results: (1) in terms of total effective rate, heterogeneity test of literature research results: Chi=14.26, freedom is 16, P=0.58, 12= 0%. It was considered that the studies were qualitative. When the combined OR value is 3.09, the 95% confidence interval is [2.31, 4.13], and the combined effect test Z=7.62, P<0.000 01. The diamond lies to the right of the line. In terms of adverse reactions, the binary variable study showed that the OR value after combination was 0.34, and the 95% confidence interval was [0.16, 0.75]. The combined effect test z=2.67, P=0.008. The diamond is to the left of the line. For continuous variables, the combined SMD value was-0.91, and the 95% confidence interval was [-0.88, -0.34]. The combined effect test z=4.39, P<0.000 1. Conclusion According to the existing research data at home and abroad, the therapeutic effect of acupuncture combined with conventional antipsychotic drugs in the treatment of schizophrenia is significantly lower than that of antipsychotic drugs alone, and the incidence of adverse reactions is also significantly lower. Rigorous and careful experimental design is still required. High-quality clinical studies with large sample size provide more reliable basis for the following analysis.

Acupuncture and moxibustionSchizophreniaEvidence-based medicineMeta-analysisMeta

张文忠、胡琼月

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青岛市精神卫生中心,山东青岛 266034

针灸 精神分裂症 循证医学 Meta-分析 Meta

2019

双足与保健
中国足部反射区健康法研究会

双足与保健

影响因子:0.014
ISSN:1004-6569
年,卷(期):2019.(6)
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