Gan Qingwen, Lian Zerong, Zheng Lilan, Feng Qifan, Wei Lihua, Wang Ying
School of Nursing, Nanchang University, Nanchang 330006, China.
Heping Hospital Affiliated to Changzhi Medical College Hospital Affiliated to Changzhi Medical College, Changzhi 046000, China.
Evid Based Complement Alternat Med. 2022 Nov 10;2022:6552819. doi: 10.1155/2022/6552819. eCollection 2022.
To investigate the effectiveness of moxibustion combined with Chinese medicine in the treatment of spleen and stomach deficiency cold-type gastroparesis by meta-analysis and to provide the clinical basis for its treatment.
A computer search of eight databases was performed for published and unpublished randomized controlled trials on moxibustion for spleen and stomach deficiency cold-type stomach pain from domestic and international clinical trial centers. The study was divided into a combination of a moxibustion and Chinese medicine group and a regular Western medicine group, and the outcome indicators were "effective" and "ineffective." The relative risk (RR) was used as the effect indicator for the dichotomous data, and the meta-analysis was performed using Reviewer Manager 5.4 and Stata17.0 software.
A total of 8 randomized controlled studies with 729 patients were included, and all studies were analyzed for comparability of patients' baseline information, with no statistically significant differences found ( > 0.05). The meta-analysis results showed that the pooled effect size RR for the eight studies was 1.24 (95% confidence interval 1.16-1.32), and the statistical significance test was = 6.69 ( < 0.05), indicating that the difference was statistically significant.
The meta-analysis concluded that the efficacy of moxibustion combined with Chinese medicine for the treatment of spleen and stomach deficiency cold-type gastroparesis was superior to that of regular Western medicine, but more high-quality studies are needed to confirm this finding.
通过荟萃分析探讨艾灸联合中药治疗脾胃虚寒型胃轻瘫的疗效，为其治疗提供临床依据。
通过计算机检索8个数据库，查找国内外临床试验中心发表和未发表的关于艾灸治疗脾胃虚寒型胃痛的随机对照试验。将研究分为艾灸联合中药组和常规西药组，结局指标为“有效”和“无效”。采用相对危险度（RR）作为二分类数据的效应指标，使用Reviewer Manager 5.4和Stata17.0软件进行荟萃分析。
共纳入8项随机对照研究，729例患者，对所有研究患者的基线信息进行可比性分析，差异无统计学意义（>0.05）。荟萃分析结果显示，8项研究的合并效应量RR为1.24（95%置信区间1.16 - 1.32），统计显著性检验值=6.69（<0.05），表明差异具有统计学意义。
荟萃分析得出结论，艾灸联合中药治疗脾胃虚寒型胃轻瘫的疗效优于常规西药，但需要更多高质量研究来证实这一发现。
