蜂毒针刺疗法治疗肩部疼痛：随机对照试验的系统评价与Meta分析
Bee Venom Acupuncture for Shoulder Pain: A Systematic Review and Meta-analysis of Randomized Controlled Trials.
作者信息
Shen Lei, Lee Jong Ha, Joo Jong Cheon, Park Soo Jung, Song Yung Sun
机构信息
Department of Constitutional Medicine, College of Korean Medicine, Wonkwang University, Iksan 54538, Republic of Korea.
Department of Korean Medicine Graduate School of Wonkwang University, Iksan 54538, Republic of Korea.
出版信息
J Pharmacopuncture. 2020 Jun 30;23(2):44-53. doi: 10.3831/KPI.2020.23.008. Epub 2020 Jun 10.
OBJECTIVES
Our review aimed to summarize and evaluate evidence on the effectiveness of bee venom acupuncture (BVA) in the treatment of shoulder pain.
METHODS
Randomized controlled trials (RCTs) evaluating the effectiveness of BVA on shoulder pain were searched up to October 2019 in 11 electronic databases (Medline, Embase, CENTRAL, CiNii, CNKI, VIP, Wanfang, Kmbase, NDSL, RISS, OASIS). The methodological quality of the included RCTs were evaluated using Cochrane Risk of Bias tool and a meta-analysis was performed.
RESULTS
Seven studies were included in the review, and four studies were included in the meta-analysis. Comparing BVA plus conventional therapy (CT) with saline injection plus CT, it showed an effect in favor of BVA plus CT in visual analog scale (VAS) and pain rating scale (PRS) (p = 0.02, p = 0.009, respectively). Comparing BVA plus physiotherapy (PT) with saline injection plus PT, it showed that there was no significant difference in VAS and verbal rating scale (VRS) between the two groups.
CONCLUSION
This systematic review and meta-analysis suggest that BVA could be beneficial as an adjuvant treatment for shoulder pain.
目的
本综述旨在总结和评估蜂毒针灸（BVA）治疗肩部疼痛有效性的证据。
方法
截至2019年10月，在11个电子数据库（Medline、Embase、CENTRAL、CiNii、CNKI、VIP、万方、Kmbase、NDSL、RISS、OASIS）中检索评估BVA对肩部疼痛有效性的随机对照试验（RCT）。使用Cochrane偏倚风险工具评估纳入RCT的方法学质量，并进行荟萃分析。
结果
本综述纳入7项研究，荟萃分析纳入4项研究。将BVA联合传统疗法（CT）与注射生理盐水联合CT进行比较，结果显示在视觉模拟量表（VAS）和疼痛评定量表（PRS）方面，BVA联合CT更具优势（分别为p = 0.02，p = 0.009）。将BVA联合物理治疗（PT）与注射生理盐水联合PT进行比较，结果显示两组在VAS和言语评定量表（VRS）方面无显著差异。
结论
本系统综述和荟萃分析表明，BVA作为肩部疼痛的辅助治疗可能有益。
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