Effectiveness and Safety of Ultrasound-guided Acupotomy for Scapulohumeral Periarthritis:A Meta-analysis
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.
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