【medical-news】【摘要翻译】艾灸治疗骨关节炎的系统综述和Meta分析
Moxibustionfor the treatment of osteoarthritis: a systematic review and meta-analysis
艾灸治疗骨关节炎的系统综述和Meta分析
Theaim of this review was to summarise and critically evaluate the evidence fromrandomised clinical trials (RCTs) of moxibustion as a treatment for patientswith osteoarthritis (OA).
本综述的目的是概述和评估艾灸治疗骨关节炎(OA)随机对照试验(RCTs)的证据。
Twelvedatabases were searched from their inception through July 2011. RCTs wereconsidered whether they assessed any type of clinical outcome from moxibustiontherapy for patients with OA localised to any joints. Two reviewersindependently performed the selection of studies, data abstraction andvalidations. The risk of bias was assessed using the Cochrane criteria.
我们从2011年7月以来成立的12个数据库中进行RCT的选择,评估艾灸治疗OA病人任何关节任何类型临床结果的RCT被纳入研究。两名评价者独立进行研究的选择,数据抽象及验证。采用Cochrane标准评估风险偏好。
EightRCTs met our inclusion criteria, and most of them had significantmethodological weaknesses. Six RCTs tested the effects of moxibustion againstconventional oral drug therapies in patients with knee OA (KOA). Meta-analysisshowed favourable effects of moxibustion on the response rate(n=540;RR,1.09;95% CI 1.03–1.17; P=0.005; heterogeneity: χ2=5.48, P=0.36, I 2=9%).
8个RCT试验符合我们的选择标准,大部分RCT有明显的方法学弱点。6个RCT评估艾灸与传统口服药相比治疗膝骨关节炎(KOA)的疗效。Meta分析表明,艾灸有良好的疗效(n=540;RR,1.09;95% CI 1.03–1.17; P=0.005;异质性: χ2=5.48, P=0.36, I 2=9%)。
TwoRCTs tested the effects of moxibustion on response rate after 2 months.Themeta-analysis failed to show favourable effects of moxibustion(n=180;RR,1.10;95 % CI 0.97–1.24; P=0.13; heterogeneity: χ2 =0.03, P=0.87, I 2=0 %).
2个RCT评估两个月后艾灸的有效率。Meta分析显示,艾灸未能获得满意的效果。(n=180;RR,1.10;95%CI0.97–1.24; P=0.13;异质性:χ2 =0.03,P=0.87, I 2=0 %)。
Inconclusion, consistent results show that moxibustion may be effective insymptom management in patients with KOA. However, because of the number ofeligible RCTs and the high risk of bias in the assessment of the availableRCTs, the evidence supporting this conclusion is limited.
总之,研究结果一致表明艾灸可能有效对症治疗KOA病人。但是,由于合格的RCT数量不足及评估的高风险偏好,支持这一结论的证据是有限的。
编译:艾灸治疗骨关节炎的系统综述和Meta分析
本综述的目的是概述和评估艾灸治疗骨关节炎(OA)随机对照试验(RCTs)的证据。
我们从2011年7月以来成立的12个数据库中进行RCT的选择,评估艾灸治疗OA病人任何关节任何类型临床结果的RCT被纳入研究。两名评价者独立进行研究的选择,数据抽象及验证。采用Cochrane标准评估风险偏好。
8个RCT试验符合我们的选择标准,大部分RCT有明显的方法学弱点。6个RCT评估艾灸与传统口服药相比治疗膝骨关节炎(KOA)的疗效。Meta分析表明,艾灸有良好的疗效(n=540;RR,1.09;95% CI 1.03–1.17; P=0.005;异质性: χ2=5.48, P=0.36, I 2=9%)。2个RCT评估两个月后艾灸的有效率。Meta分析显示,艾灸未能获得满意的效果。(n=180;RR,1.10;95%CI0.97–1.24; P=0.13;异质性:χ2 =0.03,P=0.87, I 2=0 %)。
总之,研究结果一致表明艾灸可能有效地对症治疗KOA病人。但是,由于合格的RCT数量不足及评估的高风险偏好,支持这一结论的证据是有限的。
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最后编辑于 2022-10-09 · 浏览 1673