摘要
目的:文章通过Meta分析研究体外冲击波治疗非特异性腰痛的临床效果，以期为临床治疗提供循证证据。方法:计算机检索PubMed、Web of science、Embase、Cochrane Library及中国知网、维普和万方数据库，收集体外冲击波治疗腰痛的随机对照试验，检索时间范围为自各数据库建库至2023年3月12日，使用Cochrane偏倚风险工具和Jadad量表对纳入的文献进行质量评价，运用Revman 5.4软件进行Meta分析。结果:纳入14篇符合条件的随机对照试验，共涉及642例患者，其中干预组324例，对照组318例。Meta分析结果显示，与对照组相比，体外冲击波可以显著改善腰痛患者的疼痛程度（SMD=-0.90，95% CI：-1.07，-0.74，P<0.001）、Oswestry功能障碍指数（MD=-6.61，95% CI：-9.19，-4.03，P<0.001）、Beck抑郁量表评分（MD=-3.84，95% CI：-5.37，-1.97，P<0.001）和36条目简明健康调查量表评分（MD=8.51，95% CI：7.82，9.20，P<0.001），但不能显著改善患者的指地距离（MD=-2.65，95% CI：-7.57，2.26，P=0.29）。结论:体外冲击波可以改善腰痛患者的疼痛程度、功能障碍程度、抑郁程度和生活质量，但是对于腰部柔韧性的改善作用还需进一步研究证明。
Abstract
Objective:The article investigates the clinical effectiveness of extracorporeal shock wave treatment for non-specific low back pain through Meta-analysis, with a view to providing evidence-based evidence for clinical treatment.Methods:Computer searches of PubMed, Web of science, Embase, Cochrane Library and China Knowledge Network, Vipshop and Wanfang databases were conducted to collect randomized controlled trials of extracorporeal shock wave for low back pain, and the search time frame was from the establishment of each database to March 12, 2023, and the Cochrane Risk of Bias Tool and Jadad were used to The quality of the included literature was evaluated using the Cochrane Risk of Bias Tool and Jadad scale, and Meta-analysis was performed using Revman 5.4 software.Results:14 eligible randomized controlled trials involving 642 patients were included, including 324 in the intervention group and 318 in the control group. Meta-analysis results showed that compared with the control group, extracorporeal shock wave significantly improved pain levels in patients with low back pain (SMD=-0.90, 95% CI: -1.07, -0.74, P<0.001), the Oswestry Dysfunction Index (MD=-6.61, 95% CI: -9.19, -4.03, P<0.001), Beck Depression Scale score (MD=-3.84, 95% CI: -5.37, -1.97, P<0.001) and 36-item Brief Health Survey scale score (MD=8.51, 95% CI: 7.82, 9.20, P<0.001), but did not significantly improve patients' finger-ground distance (MD= -2.65, 95% CI: -7.57, 2.26, P=0.29).Conclusions:Extracorporeal shock waves can improve the level of pain, dysfunction, depression and quality of life in patients with low back pain, but further studies are needed to prove the improvement effect on low back flexibility.
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