Li Chen, Sun Zhi-Wen, Ma Jia-Xin, Gao Xi, Lou Hong-Jun, Li Cheng-Yuan
Fourth Department of Bone Injury Diseases, First Affiliated Hospital of Heilongjiang University of Chinese Medicine, Harbin, China.
First Department of Digestive Diseases, First Affiliated Hospital of Heilongjiang University of Chinese Medicine, Harbin, China.
Medicine (Baltimore). 2025 Aug 22;104(34):e43249. doi: 10.1097/MD.0000000000043249.
To evaluate the clinical therapeutic effect of traditional Chinese medicine (TCM) fumigation combined with acupotomy for treatment of heel pain.
After a comprehensive search of large databases globally, a meta-analysis was performed on the results of randomized controlled trials conforming to the inclusion criteria using Review Manager 5.4. software, and the quality of the evidence rated using the Grading of Recommendations Assessment, Development and Evaluation profiler 3.2.2 software.
A total of 1095 patients were included in 12 studies, with 548 in the treatment group and 547 in the control group. Heterogeneity test analysis showed no statistical heterogeneity among the 12 studies; therefore, a fixed-effects model combined with effect size analysis was used. The results of the meta-analysis showed that the clinical difference between the experimental and control groups was statistically significant. Grading of Recommendations Assessment, Development and Evaluation system evidence grading showed that the evidence grade of TCM fumigation combined with acupotomy for heel pain was low.
The curative effect of TCM fumigation combined with acupotomy in the treatment of heel pain was better than that of medicine alone. The evidence quality level of this conclusion was not high, and the research conclusion should be treated with caution and further confirmed using large samples and high-quality clinical trials.
评估中药熏蒸联合小针刀治疗足跟痛的临床疗效。
全面检索全球各大数据库后,使用RevMan 5.4软件对符合纳入标准的随机对照试验结果进行荟萃分析,并使用推荐分级的评估、制定与评价工具3.2.2软件对证据质量进行评级。
12项研究共纳入1095例患者,治疗组548例,对照组547例。异质性检验分析显示12项研究间无统计学异质性;因此,采用固定效应模型结合效应量分析。荟萃分析结果显示,试验组与对照组的临床差异具有统计学意义。推荐分级的评估、制定与评价系统证据分级显示,中药熏蒸联合小针刀治疗足跟痛的证据等级较低。
中药熏蒸联合小针刀治疗足跟痛的疗效优于单纯药物治疗。该结论的证据质量水平不高,研究结论应谨慎对待,需通过大样本、高质量的临床试验进一步证实。