Habacher Gabriele, Pittler Max H, Ernst Edzard
University of Veterinary Medicine Vienna, Austria.
J Vet Intern Med. 2006 May-Jun;20(3):480-8. doi: 10.1892/0891-6640(2006)20[480:eoaivm]2.0.co;2.
Acupuncture is a popular complementary treatment option in human medicine. Increasingly, owners also seek acupuncture for their animals. The aim of the systematic review reported here was to summarize and assess the clinical evidence for or against the effectiveness of acupuncture in veterinary medicine. Systematic searches were conducted on Medline, Embase, Amed, Cinahl, Japana Centra Revuo Medicina and Chikusan Bunken Kensaku. Hand-searches included conference proceedings, bibliographies, and contact with experts and veterinary acupuncture associations. There were no restrictions regarding the language of publication. All controlled clinical trials testing acupuncture in any condition of domestic animals were included. Studies using laboratory animals were excluded. Titles and abstracts of identified articles were read, and hard copies were obtained. Inclusion and exclusion of studies, data extraction, and validation were performed independently by two reviewers. Methodologic quality was evaluated by means of the Jadad score. Fourteen randomized controlled trials and 17 nonrandomized controlled trials met our criteria and were, therefore, included. The methodologic quality of these trials was variable but, on average, was low. For cutaneous pain and diarrhea, encouraging evidence exists that warrants further investigation in rigorous trials. Single studies reported some positive intergroup differences for spinal cord injury, Cushing's syndrome, lung function, hepatitis, and rumen acidosis. These trials require independent replication. On the basis of the findings of this systematic review, there is no compelling evidence to recommend or reject acupuncture for any condition in domestic animals. Some encouraging data do exist that warrant further investigation in independent rigorous trials.
针灸是人类医学中一种流行的辅助治疗方法。越来越多的宠物主人也为他们的宠物寻求针灸治疗。本文报道的系统评价旨在总结和评估支持或反对针灸在兽医学中有效性的临床证据。我们在Medline、Embase、Amed、Cinahl、日本医学中央杂志和畜产文献检索系统中进行了系统检索。手工检索包括会议论文集、参考文献，以及与专家和兽医针灸协会的联系。对出版物的语言没有限制。纳入所有在任何家畜疾病中测试针灸的对照临床试验。排除使用实验动物的研究。阅读已识别文章的标题和摘要，并获取纸质版。两名评审员独立进行研究的纳入和排除、数据提取及验证。采用Jadad评分评估方法学质量。14项随机对照试验和17项非随机对照试验符合我们的标准，因此被纳入。这些试验的方法学质量参差不齐，但总体较低。对于皮肤疼痛和腹泻，有令人鼓舞的证据，值得在严格的试验中进一步研究。单项研究报告了在脊髓损伤、库欣综合征、肺功能、肝炎和瘤胃酸中毒方面存在一些组间阳性差异。这些试验需要独立重复验证。基于本系统评价的结果，没有令人信服的证据推荐或拒绝在家畜的任何疾病中使用针灸。确实存在一些令人鼓舞的数据，值得在独立的严格试验中进一步研究。
