作　　者： (孙俊俊）; (王亚峰）; (张壮）; (曹卉娟）; (王培）; (赵珉一）; (胡妮娟）; (吴桂雯）; (胡尚卿）; (孟洪宇）; (朱江）;

机构地区： 北京中医药大学,北京100029

出　　处： 《中国针灸》 2017年第9期1015-1020,共6页

摘　　要： 目的:评价针刺深浅对腰椎间盘突出症效应的影响。方法:检索10个数据库,包括中国期刊全文数据库(CNKI)、维普数据库(VIP)、中国生物医学文献数据库(CBM)、万方数据库、MEDLINE、Cochrane图书馆数据库(CENTRAL)、护理学及医疗相关文献累计索引数据库(CINAHL PLUS)、联合补充医学文献数据库(AMED),荷兰医学文献数据库(Embase)、精神医学信息数据库(Psyc INFO),以及6个临床试验注册平台,收集比较不同针刺深度治疗腰椎间盘突出症效应影响的所有随机对照试验,并手工检索纳入研究的参考文献,由2人分别进行资料提取,最后采用Rev Man 5.3版进行统计分析。结果:共检索到文献8 716篇,经筛选后纳入随机对照试验文献10篇,共计病例数1 116例。结果显示毫针深刺治疗腰椎间盘突出症对缓解疼痛、降低功能障碍指数评分(ODI评分)、提高总有效率和日本骨科协会评估治疗腰椎分数(JOA评分)的效果优于毫针浅刺的治疗。结论:初步认为深刺有助于提高腰椎间盘突出症的疗效。但由于目前纳入研究质量和样本量偏低,证据尚不充分,尚需更多高质量的研究进一步证实。 Objective To evaluate the effects of needling depth on clinical efficacy of lumbar disc herniation （LDH）. MethodsTen electronic databases, including China National Knowledge Infrastructure （CNKI）, VIP Database, Chinese Biomedical Literature Database （CBM）, Wanfang Database, MEDLINE, CENTRAL, CINAHL PLUS, AMED, Embase, PsycINFO, and 6 registry platforms of clinical trials were searched. All randomized controlled trials （RCTs） that compared the effect of needling depth on clinical efficacy of LDH were collected; in addition, the reference lists of the studies included were hand searched. Data were extracted independently by two reviewers. RevMan 5.3 was applied to carry out statistical analysis.ResultsTotally 8716 articles were retrieved, and 10 RCTs were included after screening, involving 1116 patients. The results showed the effects of deep acupuncture onrelievingpain, reducing the Oswestry disability index （ODI）, improving total effective rate and Japanese Orthopaedic Association （JOA） were superior to those of shallow acupuncture in patients with LDH.ConclusionIt is preliminarily indicated that deep acupuncture is helpful to improve the therapeutic effect of LDH; however, due to the low research quality and small sample size, the evidence is insufficient, and more high-quality researches are needed to further confirm the results.

关 键 词： 针刺深度 腰椎间盘突出症 系统评价