针灸治疗泌尿系结石的系统评价和Meta分析
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摘要
目的:评价针灸治疗泌尿系结石的有效性和安全性。方法:检索国内外数据库,收集关于针灸治疗泌尿系结石的RCT文献,并进行筛选及数据提取,采用RevMan 5.3软件进行Meta分析。结果:共纳入16篇文献2 324例患者,Meta分析结果显示针灸治疗组与对照组相比在总有效率、治愈率、镇痛起效时间、结石排出时间等方面的差异均有统计学意义(P<0.05)。结论:针灸治疗泌尿系结石疗效较好,但现有研究文献质量较低,有待开展高质量临床研究。
Objective:To evaluate the clinical efficacy and safety of acupuncture in urinary calculi. Methods:RCT literatures about acupuncture for urinary calculi have been searched in domestic and foreign databases. The data has been selected and extracted,and the RevMan 5.3 software was used for Meta analysis. Results:16 RCTs with 2 324 patients were included, and the meta-analysis results showed total effective rate, cure rate, analgesia time and lithecbole time in acupuncture group were statistically superior to control group(P<0.05).Conclusion: Acupuncture is effective in the treatment of urinary calculi, but the quality of literatures is low and more high quality RCT need to perform in the future.
Objective:To evaluate the clinical efficacy and safety of acupuncture in urinary calculi. Methods:RCT literatures about acupuncture for urinary calculi have been searched in domestic and foreign databases. The data has been selected and extracted,and the RevMan 5.3 software was used for Meta analysis. Results:16 RCTs with 2 324 patients were included, and the meta-analysis results showed total effective rate, cure rate, analgesia time and lithecbole time in acupuncture group were statistically superior to control group(P<0.05).Conclusion: Acupuncture is effective in the treatment of urinary calculi, but the quality of literatures is low and more high quality RCT need to perform in the future.
引文
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[19]周嘉洲,蔡柏,刘小虹.针刺治疗泌尿系结石碎石术程疼痛100例临床研究[J].新中医,2007,39(4):52-53.
[20]罗斌.针灸治疗急性肾绞痛22例探索[J].内蒙古中医药,2015,34(11):137.
[21]张香桐,季钟朴,黄家驷,等.针灸针麻研究[M].北京:科学出版社,1986:148,627.
[22]杨文辉.临床针灸治疗学[M].北京:中国科学技术出版社,1992:289.
[23]倪萍,时景璞.系统评价与Meta分析再评价方法的更新及展望[J].中国循证心血管医学杂志,2018,10(10):1170-1174.
[24]王军,王小钦.正确认识和提高Meta分析的质量[J].华南国防医学杂志,2013,27(11):824-825.
[2]WU B,WILMOUTH R C. Proteomics Analysis of Immunoprecipitated Proteins Associated with the Oncogenic Kinasecot[J].Mol Cells,2008,25(1):43-49.
[3]那彦群,叶章群,孙颖浩,等.中国泌尿外科疾病诊断治疗指南[M]. 北京:人民卫生出版社,2014:129-242.
[4]包龙飞.泌尿排石汤配合针灸治疗泌尿系结石的临床思路构建[J].中国医药指南,2015,13(9):218-219.
[5]鲍艳华,杨振宇.肾三针配合耳穴针刺治疗结石性肾绞痛48例临床观察[J].河北中医,2014,36(11):1676-1677.
[6]曾建峰,赖海标,钟喨,等.腕踝针治疗输尿管下段结石内镜术后腰痛的临床疗效[J].中国全科医学,2016,19(S1):142-143.
[7]党治军,王忠明,冷光现,等.中西药结合针灸治疗尿路结石临床疗效观察[J].实用中西医结合临床,2013,13(3):33-35.
[8]凡艳丽,赵志伟,张明程.针药结合配合中频治疗泌尿系结石60疗效观察[J].云南中医中药杂志,2015,36(10):47-49.
[9]黄克江,宋祥忠,王瑞珩,等.体外冲击波碎石配合针灸治疗肾及输尿管结石的临床研究[J].中外健康文摘,2013,10(37):7.
[10]黄乐春,李俊雄.针刺配合耳针治疗肾绞痛疗效观察[J].上海针灸杂志,2009,28(5):276-277.
[11]李春昱.电针治疗泌尿系结石肾绞痛100例疗效观察[J].中国民间疗法,2016,24(11):28-29.
[12]刘坤,崔学教,谢建兴,等.黄体酮注射液注射三阴交治疗输尿管结石临床观察[J].新中医,2010,42(5):82-83.
[13]刘沛燕.自拟排石汤配足三里穴位注射黄体酮治疗泌尿系结石[J].中国民间疗法,2010,18(8):53.
[14]孙成亮.体外碎石联合针刺治疗肾结石的临床观察[J].现代中西医结合杂志,2014,23(12):1329-1331.
[15]王大伟,赵建华,葛旻垚,等.针药复合麻醉在近端输尿管结石钬激光碎石术中的应用研究[J].上海中医药杂志,2012,46(4):42-44.
[16]徐丽君,段艳萍.电针穴位治疗急性肾绞痛的效果观察[J].中外医学研究,2016,14(12):18-19.
[17]远庚彦,李其信,凌勇.四金汤加味配合耳穴压豆防治泌尿系结石临床观察[J].河北中医,2013,35(06):813-814,857.
[18]赵霞.体外冲击波碎石配合中医疗法治疗泌尿系结石的护理[J].中国民族民间医药,2011,20(15):131-132.
[19]周嘉洲,蔡柏,刘小虹.针刺治疗泌尿系结石碎石术程疼痛100例临床研究[J].新中医,2007,39(4):52-53.
[20]罗斌.针灸治疗急性肾绞痛22例探索[J].内蒙古中医药,2015,34(11):137.
[21]张香桐,季钟朴,黄家驷,等.针灸针麻研究[M].北京:科学出版社,1986:148,627.
[22]杨文辉.临床针灸治疗学[M].北京:中国科学技术出版社,1992:289.
[23]倪萍,时景璞.系统评价与Meta分析再评价方法的更新及展望[J].中国循证心血管医学杂志,2018,10(10):1170-1174.
[24]王军,王小钦.正确认识和提高Meta分析的质量[J].华南国防医学杂志,2013,27(11):824-825.