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[针灸治疗变应性鼻炎的网状Meta分析]

[Network Meta-analysis of acupuncture and moxibustion for allergic rhinitis].

作者信息

Sun Zhong-Ren, Wang Cheng-Bin, Yin Hong-Na, Luan Yi-Xian, Liu Yu-Xiu, Gong Rui-Qi, Gong Na, Wang Bi-Li-Ge, Miao Chen-Xin

机构信息

Graduate School of Heilongjiang University of CM, Harbin 150040, China.

First Department of Acupuncture and Moxibustion, Second Hospital Affiliated to Heilongjiang University of CM.

出版信息

Zhongguo Zhen Jiu. 2021 Nov 12;41(11):1295-302. doi: 10.13703/j.0255-2930.20200916-0002.

Abstract

OBJECTIVE

To review the therapeutic effect of acupuncture and moxibustion on allergic rhinitis based on the network Meta-analysis.

METHODS

The randomized controlled trials of acupuncture and moxibustion for allergic rhinitis were retrieved from the databases, starting from the date of establishment to August 17, 2020, i.e. the PubMed, EMbase, Cochrane Library, CNKI, Wanfang and VIP. The traditional Meta-analysis and network Meta-analysis were performed by RevMan5.3 and GeMTC0.14.3.

RESULTS

A total of 50 RCTs were included, including 4260 patients, involving 5 kinds of acupuncture and moxibustion therapies, such as acupuncture, moxibustion, acupoint application, acupoint thread-embedding and auricular point therapy.①In term of total effective rate, acupuncture, moxibustion and acupoint thread-embedding were superior to western medication and auricular point therapy (<0.05); moxibustion was superior to acupoint application (<0.05); acupoint thread-embedding was superior to acupoint application (<0.05). Acupoint thread-embedding was most likely to be the best treatment (<0.05). ②In term of total effective rate in follow-up, acupuncture, moxibustion, acupoint thread-embedding and auricular point therapy were superior to western medication (<0.05); acupuncture and moxibustion were superior to acupoint application (<0.05). Moxibustion was most likely to be the best treatment (<0.05). ③In term of total score of nasal symptom, moxibustion and acupoint thread-embedding were superior to acupuncture (<0.05).

CONCLUSION

The therapeutic effect of acupuncture and moxibustion on allergic rhinitis is better than western medication, and acupoint thread-embedding has the best curative effect.

摘要

目的

基于网状Meta分析评价针灸治疗变应性鼻炎的疗效。

方法

从各数据库建库至2020年8月17日检索针灸治疗变应性鼻炎的随机对照试验,包括PubMed、EMbase、Cochrane图书馆、中国知网、万方和维普。采用RevMan5.3和GeMTC0.14.3软件进行传统Meta分析和网状Meta分析。

结果

共纳入50项随机对照试验,4260例患者,涉及针刺、艾灸、穴位贴敷、穴位埋线、耳穴疗法5种针灸疗法。①总有效率方面,针刺、艾灸、穴位埋线优于西药及耳穴疗法(P<0.05);艾灸优于穴位贴敷(P<0.05);穴位埋线优于穴位贴敷(P<0.05)。穴位埋线最有可能是最佳治疗方法(P<0.05)。②随访总有效率方面,针刺、艾灸、穴位埋线、耳穴疗法优于西药(P<0.05);针刺、艾灸优于穴位贴敷(P<0.05)。艾灸最有可能是最佳治疗方法(P<0.05)。③鼻症状总分方面,艾灸、穴位埋线优于针刺(P<0.05)。

结论

针灸治疗变应性鼻炎的疗效优于西药,穴位埋线疗效最佳。

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