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文章摘要
.4 种中医外治法治疗颈源性头痛的网状 Meta 分析[J].江西中医药大学学报,2024,36(2):39-45.
4 种中医外治法治疗颈源性头痛的网状 Meta 分析
A Network Meta-analysis of 4 Kinds of TCM External Treatment for Cervicogenic Headache
  
DOI:10.20140/j.2095-7785.2024.02.12
中文关键词: 颈源性头痛;中医外治法;针刀;温针;推拿;普通针刺;网状 Meta 分析
英文关键词: Cervical Headache; Traditional Chinese Medicine External Treatment; Needle Knife; Warm Needle; Massage; Acupuncture; Network Meta-analysis
基金项目:国家中医药管理局全国名老中医药专家传承工作室建设项目(国中医药人教发[2016]42 号);江西省“双一流”学科(中医学)建设 项目(JXSYLXK-ZHYI009);江西省中医药中青年骨干人才(第三批)培养计划项目(赣中医药科教字[2021]4 号)
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中文摘要:
      目的:对 4 种中医外治法治疗颈源性头痛(CEH)的随机对照试验进行网状 Meta 分析,以期为临床治疗该病提供参 考依据。方法:计算机检索知网、万方、维普、SinoMed、PubMed、EMbase 和 Cochrane library 数据库中针刀、温针、推拿和 普通针刺治疗 CEH 的随机对照试验(RCT),检索时限为 2016 年 1 月 1 日—2021 年 5 月 30 日。采用 Cochrane 偏倚风险评 估工具对纳入文献进行筛选和质量评价,运用 RevMan 5.3、Gemtc 0.14.3 和 Stata 14.2 进行数据分析。结果:最终纳入 31 项 RCT,共纳入病例 2 372 例,其中试验组 1 187 例,对照组 1 185 例。网状 Meta 分析结果显示:(1)总有效率。推拿疗效最显著, 针刀、温针、推拿的总有效率优于普通针刺;(2)VAS 评分。推拿疗效最显著,针刀降低 VAS 评分优于普通针刺;(3)ROM 评分。针刀疗效最显著,温针改善 ROM 评分优于普通针刺,温针、针刀改善 ROM 评分优于药物;(4)发作频率。推拿疗效 最显著,温针降低发作频率优于普通针刺;(5)持续时间。推拿疗效最显著,温针减少发作持续时间优于普通针刺。结论: 中医外治法治疗 CEH 效果优于药物治疗,且推拿或成为临床最优选择。
英文摘要:
      Objective:A network Meta-analysis of randomized controlled trials of 4 kinds of traditional Chinese medicine external treatment for cervicogenic headache (CEH). Methods: The RCT regarding warm needle, needle knife, massage and acupuncture for CHE from January 1, 2016 to May 30, 2021 were searched in databases of CNKI, Wanfang, VIP, sinoMed, PubMed, EMbase and Cochrane Library. The included literature was screened and evaluated by Cochrane bias risk assessment tool, and the data analysis was performed by RevMan 5.3, Gemtc 0.14.3 and Stata14.2. Results: A total of 31 RCTs were included, involving 2 372 patients, 1 187 cases in the observation group and 1 185 cases in the control group. The results of the network-like mate analysis show: (1) In term of total effective rate, massage is the most likely to be the best treatment, warm needle and needle knife were superior to acupuncture. (2) In term of VAS score, massage is the most likely to be the best treatment, needle knife were superior to acupuncture. (3) In term of ROM score, needle knife is the most likely to be the best treatment, warm needle, were superior to acupuncture, warm needle, needle knife were superior to drug. (4) In term of seizure frequency, massage is the most likely to be the best treatment, warm needle were superior to acupuncture. (5) In term of duration, massage is the most likely to be the best treatment, warm needle were superior to acupuncture. The differences were statistically significant (P<0.05). Conclusion: The effectiveness of traditional Chinese medicine external treatment for CEH is higher than that of drug treatment, and massage may become the optimal clinical choice.
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