Systematic Review on Warm Acupuncture Treatment for Lumbar Intervertebral Disc Protrusion
10.3969/j.issn.1005-5304.2018.02.023
- VernacularTitle:温针灸治疗腰椎间盘突出症系统评价
- Author:
Bai-Shu CHEN
1
;
Jian-Ping YIN
;
Mei-Ling ZHU
;
Peng ZHOU
;
Zhi-En ZHAO
;
Ying-Zhen LI
;
Bo-Yu ZHOU
;
Qing-Song ZHANG
;
Shu-Hui CHEN
;
Wei FU
Author Information
1. 深圳市宝安中医院(集团)
- Keywords:
warm acupuncture treatment;
lumbar disc protrusion;
Meta analysis;
trial sequential analysis
- From:
Chinese Journal of Information on Traditional Chinese Medicine
2018;25(2):104-109
- CountryChina
- Language:Chinese
-
Abstract:
Objective To conduct Meta analysis and trial sequential analysis (TSA) on warm acupuncture treatment on lumbar intervertebral disc protrusion (LIDP); To provide references for evidence-based medicine of this disease.Methods Articles about warm acupuncture treatment for LIDP clinical randomized controlled trials in CNKI, Wanfang database, Chonging Wepu, CBM, OubMed, Cochrane Library, and Emnase were retrieved by computer. The retrieval range was from the database establishing to March, 2017. According to Cochrane Handbook for Systematic Reviews of Interventions 5.2.0 Bias risk assessment tool, included articles were under quality evaluation. Revman5.2 software was used to carry out Meta analysis, and TSAv0.9 software was used to conduct TSA.Results Ten articles were included, involving 1035 cases. Meta analysis showed that the total effective rates of warm acupuncture treatment for LIDP [95％CI (2.43, 5.40),Z=6.31,P<0.00001], pain index [95％CI (-1.05, -0.58),Z=6.77,P<0.00001], lumbar function [95％CI (2.56, 8.61),Z=3.62,P=0.0003] were better than other therapies, with statistical significance. Funnels included in the study suggest publication bias. TSA results suggested that the total efficiency and pain index Meta analysis results of this study were reliable.Conclusion Warm acupuncture treatment for LIDP has confirmed efficacy, with certain advantages. However, the literature included is not with good quality, so more large sample, multicenter, methodological RCTs are needed for further validation.
