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1. 中国中医科学院针灸研究所
2. 清华大学第一附属医院
纸质出版日期:2009
移动端阅览
王京京, 宋玉静, 吴中朝, 等. 针灸治疗慢性疲劳综合征随机对照试验的Meta分析[J]. 针刺研究, 2009,34(6):421-428.
WANG Jing-jing, SONG Yu-jing1, WU Zhong-chao, et al. A Meta Analysis on Randomized Controlled Trials of Acupuncture Treatment of Chronic Fatigue Syndrome[J]. Acupuncture research, 2009, 34(6): 421-428.
目的:评价针灸治疗慢性疲劳综合征的有效性。方法:按照循证医学的要求
以慢性疲劳综合征、疲劳综合征、针灸、针刺、电针、火针、耳针、耳压、梅花针、皮肤针、艾灸、三棱针、拔罐、走罐、穴位注射等为检索词
检索了国内外相关医学数据库
以随机对照临床试验为纳入标准
治疗组为针灸疗法
以临床治愈率、显效率、总有效率及疲劳评定量表FAI、疲劳量表FS积分为测量指标
共纳入28篇文献
并对其中13篇文献采用RevMan4.2进行Meta分析。结果:10篇文献的总有效率合并比值比(OR)=4.56
95%CI为[2.84
7.33]
8篇文献显效率合并OR=2.07
95%CI为[1.49
2.88]
8篇文献临床治愈率合并OR=2.51
95%CI为[1.64
3.85]
3篇文献疲劳评定量表FAI积分合并权重均差(WMD)=-29.52
95%CI为[-36.17
-22.88]
4篇文献疲劳量表FS积分合并WMD=-1.22
95%CI为[-1.77
-0.67]
治疗组对慢性疲劳综合征的疗效优于对照组(P<0.01)。结论:从纳入的国内外文献来看
针灸治疗慢性疲劳综合征有效
但需要更多的高质量研究来证实。
Objective To assess the effectiveness of acupuncture treatment of chronic fatigue syndrome(CFS).Methods According to the requirement of evidence-based medicine
CFS
fatigue syndrome
acupuncture and moxibustion
acupuncture
electroacupuncture
auricular acupuncture
auricular pellet pressure
plum-blossom needle
intradermal needle
moxibustion
three edged needle
cupping
cup-moving
acupoint injection
etc.were selected as the subject words for retrieving the related papers form domestic and foreign medical databases.The RCT was used as the enrolled criteria
and the clinical cure rate
markedly effective rate
total effective rate
and the scores of the Fatigue Assessment Instrument Questionnaire(FAI)and fatigue scale(FS)were used as the assessment indexes.The statistical package(RevMan 4.2)was used to review management and analysis of 13 papers.Results A total of 28 papers were enrolled.Logistic regression analysis showed that the total odds ratio(OR)was 4.56
with 95% confidence interval(CI)[2.84
7.33] for the total effective rate in 10 studies
the total OR was 2.07 with 95% CI [1.49
2.88] for the markedly effective rate in 8 studies
and the total OR was 2.51 with 95% CI [1.64
3.85] for the clinical cure rate in 8 studies.The weighted mean difference(WMD)was-29.52 with 95% CI [-36.17
-22.88] for the FAI score in 3 studies
and the WMD-1.22 with 95% CI [-1.77
-0.67] for the FS score in 4 studies.The therapeutic effect in the treatment group of CFS was superior to that in the control group(P<0.01).Conclusion Acupuncture therapy is effective for CFS
but still needs being confirmed by more high-quality studies.
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