针刺研究

2014, v.39(02) 156-163

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针灸治疗慢性盆腔炎疗效的Meta分析
A Meta-analysis on Effectiveness of Acupuncture and Moxibustion for Chronic Pelvic Inflammatory Disease

范琳琳;余文华;刘晓倩;崔壮;马骏;李长平;
FAN Lin-lin;YU Wen-hua;LIU Xiao-qian;CUI Zhuang;MA Jun;LI Chang-ping;Teaching-Research Section of Health Statistics,School of Public Health,Tianjin Medical University;

摘要(Abstract):

目的:利用Meta分析评价针灸治疗慢性盆腔炎的临床疗效。方法:计算机检索中国知网(CNKI)、重庆维普全文数据库(VIP)、万方数据库、中国生物医学文献数据库(CBM)、PubMed,收集关于针灸治疗慢性盆腔炎的随机对照研究。由两名研究者根据纳入和排除标准,独立筛选适合的文献,提取资料并利用Jadad评分量表对纳入的研究进行质量评价。采用统计软件Stata 11.0进行Meta分析。结果:共纳入26篇文献,累计患者2 280例。Meta分析结果显示,针灸治疗组与对照组比较,总有效率[OR=5.63,95%CI(4.24,7.47),P<0.0001]、治愈率[OR=3.18,95%CI(2.59,3.89),P<0.0001]及复发率[OR=0.11,95%CI(0.03,0.47),P<0.05]差异均有统计学意义。结论:针灸治疗慢性盆腔炎的疗效肯定,但由于纳入的文献质量评分比较低,仍需高质量的研究加以验证。
Objective To evaluate the clinical effect of acupuncture and moxibustion therapies for chronic pelvic inflammatory disease(CPID)by Meta-analysis.Methods Randomized controlled trials of acupuncture and moxibustion in the treatment of CPID were searched from Databases of China National Knowledge Infrastructure(CNKI),Chinese Scientific and Technological Journals(VIP),WanFang,China Biomedicine(CBM)and PubMed up to 15October,2012.Two researchers independently selected the eligible literature according to the designed selection and exclusion criteria,extracted data and made an evaluation on the quality of the included studies by using the Jadad 5-point scale.The Meta-analysis was carried out using software Stata 11.0.Results A total of 26studies involving 2 280patients were included.Results of Meta-analysis showed significant differences between acupuncture-moxibustion intervention group and control group in terms of total effective rate[OR=5.63,95% CI(4.24,7.47),P<0.0001],cure rate[OR=3.18,95% CI(2.59,3.89),P<0.0001],and recurrence rate[OR=0.11,95% CI(0.03,0.47),P<0.05].Conclusion Acupuncture-moxibustion is effective in the treatment of CPID.Due to the Jadad scores of these included studies are low,high quality studies are definitely needed to confirm the conclusion.

关键词(KeyWords): 针灸疗法;慢性盆腔炎;Meta分析;系统评价
Acupuncture-moxibustion therapy;Chronic pelvic inflammatory disease;Meta-analysis;Systematic review

Abstract:

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作者(Authors): 范琳琳;余文华;刘晓倩;崔壮;马骏;李长平;
FAN Lin-lin;YU Wen-hua;LIU Xiao-qian;CUI Zhuang;MA Jun;LI Chang-ping;Teaching-Research Section of Health Statistics,School of Public Health,Tianjin Medical University;

DOI: 10.13702/j.1000-0607.2014.02.013

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