摘要
目的 系统评价超声引导下针刀疗法治疗肩周炎(SP)的有效性、安全性.方法 计算机检索自建库至2023年12月31日中国知网(CNKI)、万方数据库(WANFANG DATA)、中国科技期刊数据库(VIP)、PubMed、荷兰医学文摘数据库(EMBASE)和Cochrane Library数据库等中英文数据库搜集超声引导下针刀疗法治疗SP的RCT,试验组为超声引导下针刀治疗SP,对照组为常规针刀.对纳入研究的文献运用Jadad量表、Cochrane偏倚风险表进行质量学评价,并采用RevMan5.4软件对统计的数据进行Meta分析.结果 共纳入18项研究,合计1 445例SP患者.Meta分析结果显示,超声引导下针刀治疗SP总有效率[Z=6.21,RR=1.16,95％CI(1.11,1.22),P＜0.000 01]、视觉模拟评分[Z=8.11,SMD=-1.92,95％CI(-2.39,-1.46),P＜0.000 01]、肩关节功能评分[Z=4.56,SMD=1.79,95％CI(1.02,2.56),P＜0.000 01]方面均优于常规针刀.结论 基于现有证据,超声引导下针刀治疗SP具有较好的疗效,但本研究纳入分析的文献质量有限,上述结论仍需更多高质量的试验予以验证.
Abstract
Objective:To systematically evaluate the efficacy and safety of ultrasound-guided acupotomy for scapulohumeral periarthritis(SP).Methods:Computerized searches were conducted from database inception to December 31,2023,in Chinese databases such as CNKI,WANFANG DATA,VIP,and English databases including PubMed,EMBASE,and Cochrane Library for randomized controlled trials(RCTs)on ultrasound-guided acupotomy for SP.The intervention group received ultrasound-guided acupotomy for SP,while the control group received con-ventional acupotomy.The quality of included studies was assessed using the Jadad scale and Cochrane risk of bias tool,and statistical data were analyzed using RevMan 5.4 software for meta-analysis.Results:Eighteen studies with a total of 1 445 patients with SP were included.Meta-analysis results showed that ultrasound-guided acupoto-my had better overall efficacy[Z=6.21,RR=1.16,95％CI(1.11,1.22),P＜0.000 01],visual analog scale scores[Z=8.11,SMD=-1.92,95％CI(-2.39,-1.46),P＜0.000 01],and shoulder joint function scores[Z=4.56,SMD=1.79,95％CI(1.02,2.56),P＜0.000 01]compared with conventional acupotomy.Conclusion:Based on current ev-idence,ultrasound-guided acupotomy for SP appears to be effective.However,due to the limited quality of includ-ed studies,these conclusions require further validation through more high-quality trials.
基金项目
国家自然科学基金(82074570)
国家中医药局国家中医优势专科建设项目(国中医药医政函[2024]90号)
NETL
NSTL
万方数据