Dai Wenkang, Wang Xiongwei, Xie Rui, Zhuang Minghui, Chang Xiaojuan, Jin Zhefeng, Yin He, Feng Minshan, Wei Xu, Yu Jie, Zhu Liguo
Wangjing Hospital of China Academy of Chinese Medical Sciences.
Beijing University of Chinese Medicine, Chaoyang District, Beijing, China.
Medicine (Baltimore). 2020 Aug 7;99(32):e21587. doi: 10.1097/MD.0000000000021587.
Cervical spondylotic radiculopathy (CSR) is a clinical syndrome of radial neck and shoulder pain. Both Massage and Acupotomy have been widely used in the treatment of CSR, in China and achieved satisfied efficacy. Therefore, the aim of this study is to systematically evaluate the clinical efficacy of acupotomy combined with massage in the treatment of CSR.
The following electronic databases will be searched: PubMed, Web of Science, the Cochrane Central Register of Controlled Trials (CENTRAL), the Cochrane Library, Embase, SinoMed, Clinical Trials. gov, the China National Knowledge Infrastructure (CNKI), Wanfang database, and VIP database. Two review authors independently search databases from their respective inception dates to September 2019 to identify potentially eligible studies. Cochrane Handbook 5.1 risk of bias assessment tool will be used to evaluate the methodological quality of the included studies. The Review Manager 5.3 will be used for all statistical analysis of the final included study.
The results of this systematic review and meta-analysis will provide a synthesis of existing evidences for the treatment of acupotomy combined with massage on CSR, especially in improving visual analog scale and symptom score.
This study will summarize the current evidence of acupotomy combined with massage for the treatment of CSR. This study can further guide the promotion and clinical decisions.
Ethical approval and patient consent are not required because this study is a literature-based study. This systematic review and meta-analysis will be published in a peer-reviewed journal.
CRD42020171825.
神经根型颈椎病（CSR）是一种颈肩部放射性疼痛的临床综合征。在中国，推拿和针刀都已广泛应用于CSR的治疗，并取得了满意的疗效。因此，本研究的目的是系统评价针刀联合推拿治疗CSR的临床疗效。
将检索以下电子数据库：PubMed、Web of Science、Cochrane对照试验中心注册库（CENTRAL）、Cochrane图书馆、Embase、中国生物医学文献数据库、ClinicalTrials.gov、中国知网、万方数据库和维普数据库。两名综述作者独立检索各数据库自其创建日期至2019年9月的数据，以识别潜在符合条件的研究。将使用Cochrane手册5.1偏倚风险评估工具来评估纳入研究的方法学质量。将使用Review Manager 5.3对最终纳入研究进行所有统计分析。
本系统评价和荟萃分析的结果将综合现有证据，证明针刀联合推拿治疗CSR的效果，尤其是在改善视觉模拟量表和症状评分方面。
本研究将总结目前针刀联合推拿治疗CSR的证据。本研究可进一步指导其推广应用及临床决策。
由于本研究是基于文献的研究，因此无需伦理批准和患者同意。本系统评价和荟萃分析将发表在同行评审期刊上。
PROSPERO注册号：CRD42020171825。
