Schüller B K, Neugebauer E A M
Institut für Forschung in der operativen Medizin (IFOM), Fakultät für Medizin der Universität Witten/Herdecke, Ostmerheimer Str. 200, 51109, Köln, Deutschland.
Schmerz. 2008 Feb;22(1):9-15. doi: 10.1007/s00482-007-0546-3.
The aim of this review is to evaluate the evidence for laser acupuncture in selected orthopaedic diseases.
Randomized controlled studies, meta-analyses and systematic reviews were identified by a systematic search strategy in Medline and the Cochrane library. The studies were evaluated using the quality criteria of the Oxford Centre of Evidence Based Medicine.
For the selected orthopedic diseases (medial and lateral epicondylitis, myofascial pain syndrome of the neck, back and shoulder and osteoarthritis), meta-analyses, systematic reviews and eight randomized controlled studies were found. All other published studies used laser therapy without consideration of classical acupuncture points. All studies had significant drawbacks in methodological quality and the number of patients included. In more recent trials, improvement towards higher methodological quality was obvious. Although current evidence is equivocal, positive effects can be assumed in myofascial pain syndromes of the neck, back and shoulder. Laser acupuncture is advantageous in terms of side effects compared to classical acupuncture techniques.
Better, well designed randomized studies with higher power are mandatory in orthopedic diseases.
本综述旨在评估激光针灸治疗特定骨科疾病的证据。
通过在Medline和Cochrane图书馆进行系统检索策略，确定随机对照研究、荟萃分析和系统评价。使用牛津循证医学中心的质量标准对研究进行评估。
对于选定的骨科疾病（肱骨内上髁炎和外上髁炎、颈、背和肩部肌筋膜疼痛综合征以及骨关节炎），发现了荟萃分析、系统评价和八项随机对照研究。所有其他已发表的研究使用激光疗法时未考虑经典穴位。所有研究在方法学质量和纳入患者数量方面都存在显著缺陷。在最近的试验中，方法学质量有明显提高。尽管目前的证据尚不明确，但可以假定对颈、背和肩部肌筋膜疼痛综合征有积极作用。与传统针灸技术相比，激光针灸在副作用方面具有优势。
在骨科疾病中，必须开展设计更好、样本量更大的随机研究。
