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不同针灸相关疗法对膝骨关节炎的疗效比较:一项荟萃分析

The Effectiveness Comparison of Different Acupuncture-Related Therapies on Knee Osteoarthritis: A Meta-Analysis.

作者信息

Ye Chun, Zhou Jianlong, Wang Miaofen, Xiao Shasha, Lv Aihua, Wang Dejin

机构信息

Department of Emergency, Ningbo Traditional Chinese Medicine Hospital, Ningbo, Zhejiang Province 315010, China.

Hand and Foot Trauma Surgery, Ningbo Ninth Hospital, Ningbo, Zhejiang Province 315032, China.

出版信息

Evid Based Complement Alternat Med. 2022 Jun 30;2022:2831332. doi: 10.1155/2022/2831332. eCollection 2022.

DOI:10.1155/2022/2831332
PMID:35815282
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9262549/
Abstract

OBJECTIVE

This meta-analysis aims to assess the efficacy of acupuncture-related therapy on knee osteoarthritis (KOA) patients.

METHOD

We searched PubMed, Embase, and CNKI databases to screen eligible trials between 2017 and 2022. All trials that used acupuncture/moxibustion of KOA patients were included. Study selection and data extraction were performed by 2 researchers independently. The statistics was performed by using R 4.1.1.

RESULTS

A total of 17 trials were included in our meta-analysis. Meta-analysis results showed the evidence of the relation of several common acupunture/moxibustion treatments by network meta-analysis. In the fixed effect model, acupuncture/moxibustion has superior therapy efficacy than sham treatment (mean difference = -0.34, 95% confidence interval = (-0.52,-0.16), =0.95). In fixed effect model, specific acupuncture/moxibustion has superior therapy efficacy than usual acupuncture/moxibustion (mean difference = -0.45, 95% confidence interval = (-0.62, -0.29), < 0.01).

CONCLUSION

Acupuncture/moxibustion has superior therapy efficacy than sham treatment. Specific acupuncture/moxibustion has superior therapy efficacy than usual acupuncture/moxibustion.

摘要

目的

本荟萃分析旨在评估针灸相关疗法对膝骨关节炎(KOA)患者的疗效。

方法

我们检索了PubMed、Embase和中国知网数据库,以筛选2017年至2022年期间符合条件的试验。纳入所有使用针灸治疗KOA患者的试验。由两名研究人员独立进行研究筛选和数据提取。使用R 4.1.1进行统计分析。

结果

我们的荟萃分析共纳入17项试验。荟萃分析结果通过网状荟萃分析显示了几种常见针灸治疗之间关系的证据。在固定效应模型中,针灸比假治疗具有更好的治疗效果(平均差值=-0.34,95%置信区间=(-0.52,-0.16),I²=0.95)。在固定效应模型中,特定针灸比普通针灸具有更好的治疗效果(平均差值=-0.45,95%置信区间=(-0.62,-0.29),P<0.01)。

结论

针灸比假治疗具有更好的治疗效果。特定针灸比普通针灸具有更好的治疗效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfdb/9262549/4c0c7109ac39/ECAM2022-2831332.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfdb/9262549/c7e6cda0ef6c/ECAM2022-2831332.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfdb/9262549/f17a1f72df1c/ECAM2022-2831332.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfdb/9262549/c0ed8c966303/ECAM2022-2831332.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfdb/9262549/4796149fe424/ECAM2022-2831332.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfdb/9262549/4c0c7109ac39/ECAM2022-2831332.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfdb/9262549/c7e6cda0ef6c/ECAM2022-2831332.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfdb/9262549/f17a1f72df1c/ECAM2022-2831332.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfdb/9262549/c0ed8c966303/ECAM2022-2831332.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfdb/9262549/4796149fe424/ECAM2022-2831332.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfdb/9262549/4c0c7109ac39/ECAM2022-2831332.005.jpg

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Ther Adv Musculoskelet Dis. 2022 Jan 31;14:1759720X211066689. doi: 10.1177/1759720X211066689. eCollection 2022.
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Efficacy of Acupuncture-Related Therapy in the Treatment of Knee Osteoarthritis: A Network Meta-Analysis of Randomized Controlled Trials.针刺相关疗法治疗膝骨关节炎的疗效:随机对照试验的网状Meta分析
J Pain Res. 2021 Jul 19;14:2209-2228. doi: 10.2147/JPR.S315956. eCollection 2021.
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