Linde K, Jobst K, Panton J
Centre for Complementary Medicine Research/Department of Gastroenterology, Technichal University, Kaiserstr. 9, Munchen, Germany, 80801.
Cochrane Database Syst Rev. 2000(2):CD000008. doi: 10.1002/14651858.CD000008.
Acupuncture has traditionally been used to treat asthma in China and is used increasingly for this purpose internationally.
The objective of this review was to assess the effects of acupuncture for the treatment of asthma or asthma-like symptoms.
We searched the Cochrane Airways Group trials register, the Cochrane Complementary Medicine Field trials register and reference lists of articles.
Randomised and possibly randomised trials using acupuncture to treat asthma and asthma-like symptoms. Acupuncture could involve the insertion of needles or other forms of stimulation of acupuncture points.
Trial quality was assessed by at least two reviewers independently. A reviewer experienced in acupuncture assessed the adequacy of the sham acupuncture. Study authors were contacted for missing information.
Seven trials involving 174 people were included. Trial quality varied and results were inconsistent. No statistically significant or clinically relevant effects were found for acupuncture compared to sham acupuncture. However the points used in the sham arm of some studies are used for the treatment of asthma according to traditional Chinese medicine. Only one study used individualised treatment strategies. Lung function could be compared statistically in only 3 trials. Peak expiratory flow rate showed a statistically insignificant increase of 8.4 litres/minute weighted mean difference (95% confidence interval -29.4 to 46.2) when acupuncture was compared to sham acupuncture.
REVIEWER'S CONCLUSIONS: There is not enough evidence to make recommendations about the value of acupuncture in asthma treatment. Further research needs to consider the complexities and different types of acupuncture.
在中国，针灸传统上用于治疗哮喘，并且在国际上越来越多地用于此目的。
本综述的目的是评估针灸治疗哮喘或哮喘样症状的效果。
我们检索了Cochrane Airways Group试验注册库、Cochrane补充医学领域试验注册库以及文章的参考文献列表。
使用针灸治疗哮喘和哮喘样症状的随机及可能随机的试验。针灸可包括针刺或其他形式的穴位刺激。
试验质量由至少两名 reviewers 独立评估。一名有针灸经验的 reviewer 评估假针灸的充分性。与研究作者联系以获取缺失信息。
纳入了7项试验，涉及174人。试验质量各不相同，结果不一致。与假针灸相比，未发现针灸有统计学显著或临床相关的效果。然而，一些研究中假针灸组所使用的穴位根据中医理论是用于治疗哮喘的。只有一项研究使用了个体化治疗策略。仅在3项试验中可对肺功能进行统计学比较。与假针灸相比，针灸时呼气峰值流速加权平均差异增加了8.4升/分钟（95%置信区间 -29.4至46.2），差异无统计学意义。
没有足够的证据就针灸在哮喘治疗中的价值提出建议。进一步的研究需要考虑针灸的复杂性和不同类型。
