Xin Siyuan, Liu Jinying, Yang Zhixin, Li Chunhua
Chengde Medical University, Chengde, Hebei Province, 067000, China.
Hebei Key Laboratory of Nerve Injury and Repair, Chengde, Hebei Province, 067000, China.
Heliyon. 2023 Jul 4;9(7):e17805. doi: 10.1016/j.heliyon.2023.e17805. eCollection 2023 Jul.
Moxibustion, a traditional Chinese medicine approach, stimulates blood circulation by burning wormwood at acupuncture points and is frequently used in conjunction with acupuncture for managing knee osteoarthritis. This review aims to compare the effectiveness of moxibustion and acupuncture in the management of knee osteoarthritis.
Our team conducted a comprehensive search across several databases: PubMed Central, EMBASE, MEDLINE, the Chinese Biomedical Literature Database (CBM), China National Knowledge Infrastructure (CNKI), and the Cochrane Library, covering the timeframe from January 1964 up until April 2022. We implemented a meta-analysis, utilizing a random-effects model, and we've presented the pooled standardized mean difference (SMD) and risk ratio (RR) inclusive of the 95% confidence intervals (CIs), in accordance with the nature of the outcome.
21 studies were included, of which, half were identified as having high risk of bias. The pooled SMD for the pain score was found to be -0.53 (95% CI: -0.91 to -0.15). In-depth analysis focusing on the kind of moxibustion indicated that fire needle moxibustion was more effective in pain reduction (SMD = -0.56; 95% CI: -1.10 to -0.01) compared to alternative moxibustion methods (SMD = -0.47; 95% CI: -0.80 to -0.13). The pooled RR for the success rate in treatment was 1.39 (95% CI: 1.19 to 1.62). Subgroup analysis demonstrated that fire needle moxibustion reported a superior success rate (RR = 1.43; 95% CI: 1.19 to 1.72) in comparison to other types of moxibustion (RR = 1.33; 95% CI: 1.02 to 1.74).
Moxibustion, specifically fire needle moxibustion, demonstrated superior effectiveness in managing knee osteoarthritis compared to acupuncture.
艾灸是一种中医疗法，通过在穴位燃烧艾草来促进血液循环，常与针灸结合用于治疗膝关节骨关节炎。本综述旨在比较艾灸和针灸治疗膝关节骨关节炎的效果。
我们的团队在多个数据库进行了全面检索：美国国立医学图书馆的生物医学文献数据库（PubMed Central）、荷兰医学文摘数据库（EMBASE）、医学索引数据库（MEDLINE）、中国生物医学文献数据库（CBM）、中国知网（CNKI）和考克兰图书馆，涵盖1964年1月至2022年4月的时间范围。我们采用随机效应模型进行荟萃分析，并根据结果的性质呈现合并的标准化均数差（SMD）和风险比（RR）以及95%置信区间（CI）。
纳入21项研究，其中一半被确定存在高偏倚风险。疼痛评分的合并SMD为-0.53（95%CI：-0.91至-0.15）。对艾灸类型的深入分析表明，与其他艾灸方法（SMD=-0.47；95%CI：-0.80至-0.13）相比，火针艾灸在减轻疼痛方面更有效（SMD=-0.56；95%CI：-1.10至-0.01）。治疗成功率的合并RR为1.39（95%CI：1.19至1.62）。亚组分析表明，与其他类型的艾灸（RR=1.33；95%CI：1.02至1.74）相比，火针艾灸的成功率更高（RR=1.43；95%CI：1.19至1.72）。
艾灸，特别是火针艾灸，在治疗膝关节骨关节炎方面比针灸显示出更好的效果。
