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浮针治疗原发性痛经的系统评价与Meta分析

A systematic review and meta-analysis of floating needle in the treatment of primary dysmenorrhea.

作者信息

Luo Yuan, Zhang Song, Chen Xiao, Shen Xiaocong, Chen Li, Zhang Liyue, Li Shuqiang

机构信息

Department of Rehabilitation, The First People's Hospital of Neijiang City, Neijiang, Sichuan, China.

Department of Hepatobiliary Surgery, Dongxing District People's Hospital, Neijiang, Sichuan, China.

出版信息

Medicine (Baltimore). 2025 Jul 25;104(30):e43265. doi: 10.1097/MD.0000000000043265.

Abstract

BACKGROUND

To evaluate the clinical effect of floating needle on primary dysmenorrhea.

METHODS

Wanfang database, Chinese Journal Full-text database, VIP database, PubMed, Embase, OVID, and Cochrane library were searched by computer to collect randomized controlled studies on floating acupuncture in the treatment of primary dysmorrhea published during the period from establishment to November 2023. Two researchers independently screened the literature, conducted multilevel screening, quality evaluation, extracted relevant data, and used Revman5.3 software and stata 17.0 software to conduct meta-analysis of the collected literature data.

RESULTS

A total of 16 randomized controlled studies were included, with a total of 1278 patients. The results of meta-analysis showed: overall effective rate (relative risk [RR] = 1.20, 95% confidence interval [CI] [1.15, 1.26], P < .00001), apparent rate (RR = 1.38, 95% CI [1.28,1.50], P < .00001), visual analog scale (VAS) score after treatment (mean difference [MD] = -1.07, 95%CI [-1.51, -0.63], P < .0001), VAS score after 30 minutes of treatment (MD = -1.94, 95% CI [-2.31, -1.57]), VAS score after 12 hours of treatment (MD = -1.31, 95%CI [-1.93, -0.69], P < .001), symptom score (MD = -2.93, 95% CI [-4.22, -1.65], P < .00001) and cox menstrual symptom scale score (MD = -4.53, 95% CI [-6.51, -2.55], P < .00001) were better than the control group, and the difference was statistically significant.

CONCLUSION

The effect of floating acupuncture on primary dysmenorrhea is remarkable, which can significantly reduce the pain of patients.

摘要

背景

评估浮针治疗原发性痛经的临床疗效。

方法

通过计算机检索万方数据库、中国期刊全文数据库、维普数据库、PubMed、Embase、OVID及Cochrane图书馆,收集自建库至2023年11月期间发表的关于浮针治疗原发性痛经的随机对照研究。两名研究者独立进行文献筛选、多轮筛选、质量评价、提取相关数据,并采用Revman5.3软件和stata 17.0软件对收集到的文献数据进行荟萃分析。

结果

共纳入16项随机对照研究,共计1278例患者。荟萃分析结果显示:总有效率(相对危险度[RR]=1.20,95%置信区间[CI][1.15,1.26],P<.00001)、显效率(RR=1.38,95%CI[1.28,1.50],P<.00001)、治疗后视觉模拟评分(VAS)(平均差[MD]=-1.07,95%CI[-1.51,-0.63],P<.0001)、治疗30分钟后VAS评分(MD=-1.94,95%CI[-2.31,-1.57])、治疗12小时后VAS评分(MD=-1.31,95%CI[-1.93,-0.69],P<.001)、症状评分(MD=-2.93,95%CI[-4.22,-1.65],P<.00001)及考克斯月经症状量表评分(MD=-4.53,95%CI[-6.51,-2.55],P<.00001)均优于对照组,差异具有统计学意义。

结论

浮针治疗原发性痛经效果显著,可明显减轻患者疼痛。

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