针刺治疗颈部疼痛的随机对照试验的系统评价。
A systematic review of randomized controlled trials of acupuncture for neck pain.
作者信息
White A R, Ernst E
机构信息
Department of Complementary Medicine, School of Postgraduate Medicine and Health Sciences, University of Exeter, UK.
出版信息
Rheumatology (Oxford). 1999 Feb;38(2):143-7. doi: 10.1093/rheumatology/38.2.143.
OBJECTIVE
To establish whether there is evidence for or against the efficacy of acupuncture in the treatment of neck pain.
METHODS
A systematic literature review was undertaken of studies that compared needle or laser acupuncture with a control procedure for the treatment of neck pain. Two reviewers independently extracted data concerning study methods, quality and outcome.
RESULTS
Overall, the outcomes of 14 randomized controlled trials were equally balanced between positive and negative. Acupuncture was superior to waiting-list in one study, and either equal or superior to physiotherapy in three studies. Needle acupuncture was not superior to indistinguishable sham control in four out of five studies. Of the eight high-quality trials, five were negative.
CONCLUSIONS
In conclusion, the hypothesis that acupuncture is efficacious in the treatment of neck pain is not based on the available evidence from sound clinical trials. Further studies are justified.
目的
确定是否有证据支持或反对针刺疗法治疗颈部疼痛的疗效。
方法
对比较针刺或激光针刺与对照治疗方法治疗颈部疼痛的研究进行系统的文献综述。两名综述者独立提取有关研究方法、质量和结果的数据。
结果
总体而言，14项随机对照试验的结果在阳性和阴性之间均衡。在一项研究中，针刺疗法优于等待名单组，在三项研究中，针刺疗法等同于或优于物理治疗。在五项研究中的四项中，针刺疗法并不优于难以区分的假对照。在八项高质量试验中，五项为阴性。
结论
总之，针刺疗法有效治疗颈部疼痛这一假设并非基于可靠临床试验的现有证据。有必要进行进一步研究。
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