Liu Fenye, Han Xiuli, Li Yunfeng, Yu Shudong
Department of Traditional Chinese Medicine, Shandong Provincial Hospital affiliated to Shandong University, 324 Jingwuweiqi Road, Jinan, 250021, Shandong, People's Republic of China.
Department of Otolaryngology, Shandong Traditional Chinese Medicine Hospital, 42 Wenhuaxi Road Jinan, Jinan, 250021, Shandong, People's Republic of China.
Eur Arch Otorhinolaryngol. 2016 Feb;273(2):285-94. doi: 10.1007/s00405-014-3341-7. Epub 2014 Oct 25.
This study aimed at a systematic review and meta-analysis of all available randomized controlled trials (RCTs) using acupuncture to treat tinnitus. Five electronic databases, in both English and Chinese, were searched. All studies in our review and meta-analysis included parallel RCTs of tinnitus patients which compared subjects receiving acupuncture (or its other forms, such as electroacupuncture) to subjects receiving no treatment, sham treatment, drugs or basic medical therapy. Data from the articles were validated and extracted using a predefined data extraction form. Nearly all of Chinese studies reported positive results, while most of English studies reported negative results. Analysis of the combined data found that the acupuncture treatments seemed to provide some advantages over conventional therapies for tinnitus. It had difference in acupuncture points and sessions between Chinese studies and English studies. Methodological flaws were also found in many of the RCTs, especially in Chinese studies. The results of this review suggest that acupuncture therapy may offer subjective benefit to some tinnitus patients. Acupuncture points and sessions used in Chinese studies may be more appropriate, whereas these studies have many methodological flaws and risk bias, which prevents us making a definitive conclusion.
本研究旨在对所有使用针灸治疗耳鸣的随机对照试验（RCT）进行系统评价和荟萃分析。检索了五个中英文电子数据库。我们的综述和荟萃分析中的所有研究均包括耳鸣患者的平行随机对照试验，这些试验将接受针灸治疗（或其其他形式，如电针）的受试者与未接受治疗、假治疗、药物或基础医学治疗的受试者进行了比较。使用预先定义的数据提取表对文章中的数据进行验证和提取。几乎所有中文研究都报告了阳性结果，而大多数英文研究报告了阴性结果。对合并数据的分析发现，针灸治疗似乎比传统疗法在治疗耳鸣方面具有一些优势。中文研究和英文研究在穴位和疗程方面存在差异。许多随机对照试验还存在方法学缺陷，尤其是中文研究。本综述结果表明，针灸疗法可能对一些耳鸣患者有主观益处。中文研究中使用的穴位和疗程可能更合适，然而这些研究存在许多方法学缺陷和偏倚风险，这使得我们无法得出明确结论。
