Tang Hong-liang, Pang Jun, Gao Li-fang, Yang Yang, Lei Long-ming, Gan Wei
Department of Massage, The First Affiliated Hospital of Guangxi University of TCM, Nanning 530023, China.
Zhongguo Zhen Jiu. 2010 Aug;30(8):699-704.
To evaluate the therapeutic effect of acupuncture-moxibustion and Tuina massage for treatment of sub-health.
A systematic evaluation on randomized controlled trial, quasi-randomized control trial or controlled clinical trial of treatment of sub-health with acupuncture-moxibustion and Tuina was carried out according to the assessment methods recommended by the Cochrane Collaboration.
There are totally 9 articles and 937 subjects met the inclusion criteria and are included into the assessment system. The average quality of methodologies adopted is not so high, and with many limitations. Meta-analysis or descriptive analysis on the data collected: (1) General effect: Tuina massage therapy is better than auricular-point-pressing therapy; acupuncture is better than self health care; acupoint injection is better than intramuscular injection, Tuina is similar to Chinese herb. (2) Quality of life and pain score: Tuina is better than blank control. (3) Individual effect: the effect of Tuina massage on lassitude is better than acupuncture. (4) Effect on sleep quality index: Tuina massage is better than acupuncture.
There are not enough evidences to approve that the effect of acupuncture-moxibustion and Tuina massage on sub-health is better than that of other therapies. Therefore, more high quality randomized controlled trials with strict and scientific designation are necessary for obtaining more and better evidences.
评价针灸推拿治疗亚健康的疗效。
按照Cochrane协作网推荐的评估方法，对针灸推拿治疗亚健康的随机对照试验、半随机对照试验或对照临床试验进行系统评价。
共有9篇文献、937例受试者符合纳入标准并纳入评价体系。所采用方法学的平均质量不高，存在诸多局限性。对收集的数据进行Meta分析或描述性分析：（1）总体疗效：推拿疗法优于耳穴压豆疗法；针刺优于自我保健；穴位注射优于肌肉注射，推拿与中药疗效相似。（2）生活质量及疼痛评分：推拿优于空白对照。（3）个体疗效：推拿对倦怠的疗效优于针刺。（4）对睡眠质量指数的影响：推拿优于针刺。
尚无足够证据证实针灸推拿治疗亚健康的效果优于其他疗法。因此，需要开展更多设计严格、科学的高质量随机对照试验，以获得更多更好的证据。
