摘要
目的系统评价推拿治疗原发性痛经的临床疗效。方法采用Cochrane协作网系统评价方法,计算机检索Cochrane Library临床对照试验资料库、中文科技期刊全文数据库(CNKI)、万方数据库、中国期刊全文数据库(VIP)、EMBASE、PUBMED等数据库,以"推拿""药物""原发性痛经"等为关键词,检索自建库以来到2017年2月公开发表的研究推拿治疗原发性痛经的临床随机对照试验的文献,运用系统评价软件Rev Man5.2进行Meta分析。结果一共纳入14篇临床随机对照研究文献,JADAD量表评分均≥2分。一共有1 092例患者,其中采用推拿治疗570例,药物治疗522例。Meta分析结果显示:推拿比药物治疗原发性痛经疗效更好[RR=1.23,95%CI(1.16,1.30),P <0.000 01]。漏斗图提示本次研究结果存在发表偏倚可能性较大。结论治疗原发性痛经,推拿比药物治疗临床疗效更佳,值得临床借鉴。
Objective To evaluate the curative effects of Tuina in the treatment of primary dysmenorrhea. Methods The evaluation method of Cochrane cooperative network system was used to search the database of cochrane library clinical controlled trials, CNKI, Wanfang database, VIP, EMBASE, PUBMED database, etc. With ＂massage＂, ＂drug＂, ＂primary dysmenorrhea＂ as the key words, the literature of clinical randomized controlled trials on the treatment of primary dysmenorrhea published since the establishment of the library from February 2017 was searched. The system evaluation software revman5.2 was used for meta analysis. Results 14 randomized controlled clinical research literature was included with the JADAD scale score 2 or more points. The Tuina therapy 570 cases, 522 cases of drug treatment in a total of 1092 patients,. Meta-analysis results showed that the Tuina was better than drug treatment of primary dysmenorrhea effect [RR = 1.23, 95% CI（1.16, 1.30）, P 0.000 01]. Funnel figure suggested that the study results may had a publication bias. Conclusion Tuina＇s clinical curative effect is better than drug treatment on primary dysmenorrhea, which is worth clinical references.
作者
王得志
包银兰
丁全茂
王立军
WANG Dezhi;BAO Yinlan;DING Quanmao;WANG Lijun(Massage Department,Guang＇anmen Hospital of Chinese Academy of Science of Traditional Chinese Medicine,Beijing 100053,China;Department of Ophthalmology,WanNing Hospital of Chinese Academy of Science of Traditional Chinese Medicine,Beijing 100102,China)
出处
《吉林中医药》
2018年第10期1213-1216,共4页
Jilin Journal of Chinese Medicine
基金
吉林省卫生与计划生育委员会卫生技术创新项目(2017J102)
