Nanchang Hongdu Hospital of Traditional Chinese Medicine, Nanchang, Jiangxi, China.
Medicine (Baltimore). 2022 Feb 25;101(8):e28838. doi: 10.1097/MD.0000000000028838.
Osteoarthritis of the knee is one of the major disorders leading to social dysfunction, economic loss and social development. This study was conducted to systematically evaluate the efficacy and safety effectiveness of acupuncture inactivation of myofascial pain trigger points in the treatment of osteoarthritis of the knee.
Randomized Controlled Trials (RCTs) on the treatment of knee pain were searched by computer from PubMed, The Cochrane Library, China journal full-text database (CNKI), Chinese biomedical literature database (CBM), China academic journal database (Wanfang Data) databases from the date of creation to December 2021, and the data were analyzed by Reman 5.3 software for data analysis.
A total of 724 patients from 9 RCTs were finally included, and the results of meta-analysis showed that the acupuncture myofascial pain trigger point group was better than the control group in terms of total effective rate, cure rate, VAS score, Lysholm score, and WOMAC score.
The efficacy and safety of acupuncturing myofascial pain trigger points in the treatment of knee osteoarthritis is positive, but due to the limited number of literature included in this study and the low quality of the included literature, there is still a need for high-quality and large sample size RCTs for the analysis of this treatment option.
膝关节骨关节炎是导致社会功能障碍、经济损失和社会发展的主要疾病之一。本研究旨在系统评价肌筋膜疼痛触发点针刺灭活治疗膝骨关节炎的疗效和安全性。
计算机检索 PubMed、The Cochrane Library、中国期刊全文数据库(CNKI)、中国生物医学文献数据库(CBM)、中国学术期刊数据库(万方数据)建库至 2021 年 12 月的膝关节疼痛治疗的随机对照试验(RCT),采用 RevMan 5.3 软件进行数据分析。
最终纳入 9 项 RCT 的 724 例患者,Meta 分析结果显示针刺肌筋膜疼痛触发点组在总有效率、治愈率、VAS 评分、Lysholm 评分、WOMAC 评分方面均优于对照组。
针刺肌筋膜疼痛触发点治疗膝骨关节炎的疗效和安全性是积极的,但由于本研究纳入文献数量有限,且文献质量较低,仍需要高质量、大样本量的 RCT 来对该治疗方案进行分析。