Meta-analysis of Intervention Effect of Traditional Chinese Medicine Wax Therapy on Patients with Different Syndrome Types of Lumbar Disc Herniation
Objective To evaluate the effect of traditional Chinese medicine wax therapy on patients with different syndrome types of lumbar disc herniation by Meta-analysis.Methods PubMed,The Cochrane Library,Web of Science,Embase,China National Knowledge Infrastructure(CNKI),Chinese Biomedical Literature Database(CBM),Wanfang and VIP databases were searched by computer to collect randomized controlled trials(RCTs)of traditional Chinese medicine wax therapy applied to patients with different syndromes of lumbar disc herniation.Two researchers screened the literature according to the inclusion criteria and exclusion criteria,and used the Cochrane manual quality evaluation criteria for quality evaluation.Meta-analysis was performed on the data included in the literature using Revman 5.4 software.Results Five studies involving 506 patients were included.Meta-analysis showed that compared with the control group,traditional Chinese medicine wax therapy could improve JOA score and lumbar function in patients with lumbar disc herniation[MD=5.34,95％CI:3.72 to 6.96,P＜0.000 01].In addition,traditional Chinese medicine wax therapy can improve the overall health(MD=12.97,95％CI:2.30 to 23.64,P=0.02),physiological function(MD=4.89,95％CI:l.97 to 7.81,P=0.001)and social function(MD=5.63,95％CI:5.29 to 5.98,P＜0.000 01)of patients with lumbar disc herniation.However,there was no significant effect on body pain(MD=5.11,95％CI:-2.36 to 12.58,P=0.18),role-physical(MD=11.13,95％CI:-1.58 to 23.84,P=0.09)and vitality(MD=9.84,95％CI:-0.47 to 20.15,P=0.06).Meanwhile,traditional Chinese medicine wax therapy could reduce the VAS score of patients with lumbar disc herniation and relieve pain(MD=-0.99,95％CI:-1.85 to-0.13,P=0.02).But there was no significant difference in the clinical efficacy of traditional Chinese medicine wax therapy in patients with lumbar disc herniation that compared with the control group(OR=1.72,95％CI:0.83-3.55,P=0.15).However,traditional Chinese medicine wax therapy could improve the clinical efficacy of patients with qi stagnation and blood stasis type of lumbar disc herniation(OR=2.92,95％CI:1.06 to 8.04,P=0.04).There was no significant difference in the clinical efficacy of patients with cold-dampness type of lumbar disc herniation that compared with the control group(OR=0.85,95％CI:0.27 to 2.64,P=0.77).Conclusion Traditional Chinese medicine wax therapy can relieve the pain of patients with lumbar disc herniation,improve their quality of life and the lumbar function.Meanwhile,the clinical efficacy of patients with different syndromes of lumbar disc herniation is different.
Traditional Chinese medicine wax therapyLumbar disc herniationParalysis
万方数据
维普
