Li Bo, Chai Hua, Du Yuan-hao, Xiao Li, Xiong Jun
Tianjin University of TCM, Tianjin 300193, China.
Zhongguo Zhen Jiu. 2009 Mar;29(3):247-51.
To evaluate the therapeutic effect and safety of acupuncture and moxibustion for treatment of acne, and to analyze the current situation of clinical studies at present.
Retrieve PubMed, Cochrane library, CBM databank, CNKI databank, etc., and collect the randomized and controlled trials of treatment of acne with acupuncture and moxibustion, and select clinical trials conforming with the enrolled criteria, and conduct evaluation of quality with Cochrane systematic manual 5.0, and RevMan 4.2.8 was used for statistical analysis.
Seventeen papers, including 1,613 cases, conformed with the enrolled criteria. Seventeen studies adopted the cured rate as the evaluation index, Meta-analysis showed treatment of acne by acupuncture and moxibustion with routine western medicine as control, significant difference for inter-group comparison [combined RR (random efficacy model) = 2.96, 95% CI (1.63, 4.91), Z=4.08. P<0.0001]; comprehensive acupuncture and moxibustion therapy was controlled with single acupuncture moxibustion therapy, significant difference for inter-group comparison [combined RR (fixed efficacy model) = 2.51, 95% CI (1.76, 3.57), Z=5.11, P<0.00001].
Acupuncture-mox ibustion is safe and effective for treatment of acne, and it is possibly better than routine western medicine, and the comprehensive acupuncture-moxibustion therapy is better than single acupuncture-moxibustion therapy. The conclusion has not been determined yet, because lower quality of a part of literature enrolled.
评价针灸治疗痤疮的疗效及安全性,并分析当前临床研究现状。
检索PubMed、Cochrane图书馆、中国生物医学文献数据库、中国知网数据库等,收集针灸治疗痤疮的随机对照试验,筛选符合纳入标准的临床试验,采用Cochrane系统评价手册5.0进行质量评价,并用RevMan 4.2.8进行统计分析。
17篇文献符合纳入标准,共1613例。17项研究采用治愈率作为评价指标,Meta分析显示以常规西药为对照,针灸治疗痤疮组间比较差异有统计学意义[合并RR(随机效应模型)=2.96,95%CI(1.63,4.91),Z=4.08,P<0.0001];以单纯针灸疗法为对照,综合针灸疗法组间比较差异有统计学意义[合并RR(固定效应模型)=2.51,95%CI(1.76,3.57),Z=5.11,P<0.00001]。
针灸治疗痤疮安全有效,可能优于常规西药,综合针灸疗法优于单纯针灸疗法。但因部分纳入文献质量较低,该结论尚待进一步验证。