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首页> 外文期刊>Evidence-based complementary and alternative medicine: eCAM >The Efficacy of Acupuncture for the Treatment of Sciatica: A Systematic Review and Meta-Analysis
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The Efficacy of Acupuncture for the Treatment of Sciatica: A Systematic Review and Meta-Analysis

机译：针灸治疗坐骨神经痛的疗效：系统审查和荟萃分析

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摘要

Background. Sciatica is one of the most frequently reported complaints; it affects quality of life and reduces social and economic efficacy. Clinical studies on the efficacy of acupuncture therapy in sciatica are increasing, while systematic reviews assessing the efficacy of acupuncture therapy are still lacking. Objective. This study aims to assess the effectiveness of acupuncture therapy for sciatica. Methods. Comprehensive searches of 8 databases were conducted up until April 2015. Outcomes included effectiveness (proportion of patients who improved totally or partly in clinical symptoms), pain intensity, and pain threshold. Effect sizes were presented as risk ratio (RR) and mean difference (MD). Pooled effect sizes were calculated by fixed effects or random effects model. Results. A total of 12 studies (involving 1842 participants) were included. Results showed that acupuncture was more effective than conventional Western medicine (CWM) in outcomes effectiveness (RR 1.21, 95% CI: 1.16-1.25), pain intensity (MD -1.25, 95% CI: -1.63 to -0.86),and pain threshold (MD: 1.08, 95% CI: 0.98-1.17). Subgroup and sensitivity analysis found that the results did not change in different treatment method and drug categories substantially. The reported adverse effects were acceptable. Conclusions. Acupuncture may be effective in treating the pain associated with sciatica.
机译：背景。坐骨神经痛是最常见的投诉之一;它影响生活质量，减少社会和经济效益。关于针灸治疗在坐骨神经痛中的临床研究增加，而系统评价评估针灸治疗的疗效仍然缺乏。客观的。本研究旨在评估针灸治疗坐骨神经痛的有效性。方法。 8个数据库的综合搜索是在2015年4月之前进行的。结果包括效果（完全或部分地改善临床症状的患者的比例），疼痛强度和疼痛阈值。效果大小呈现为风险比（RR）和平均差异（MD）。通过固定效应或随机效果模型计算汇总效果尺寸。结果。共有12项研究（涉及1842名参与者）。结果表明，针灸比常规西药（CWM）更有效（RR 1.21,95％CI：1.16-1.25），疼痛强度（MD -1.25,95％CI：-1.63至-0.86）和疼痛阈值（MD：1.08,95％CI：0.98-1.17）。亚组和敏感性分析发现，结果没有改变不同的治疗方法和药物类别。报告的不良反应是可接受的。结论。针灸可能有效治疗与坐骨神经痛相关的疼痛。

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    Ji Mei; Wang Xiaoxia; Chen Meijuan; Shen Yan; Zhang Xu; Yang Jin;

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    Nanjing Univ Chinese Med Coll Basic Med Nanjing 210023 Jiangsu Peoples R China;

    Nanjing Univ Chinese Med Coll Basic Med Nanjing 210023 Jiangsu Peoples R China;

    Nanjing Univ Chinese Med Coll Basic Med Nanjing 210023 Jiangsu Peoples R China;

    Nanjing Univ Chinese Med Coll Basic Med Nanjing 210023 Jiangsu Peoples R China;

    Nanjing Univ Chinese Med Jiangsu Collaborat Innovat Ctr Tradit Chinese Med Nanjing 210023;

    Nanjing Univ Chinese Med Coll Basic Med Nanjing 210023 Jiangsu Peoples R China;

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  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 临床医学;
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