针灸临床杂志Issue(2)：49-53,5.
小针刀治疗腰椎间盘突出症的 Meta分析
Meta-analysis of Needle-knife Therapy for Lumbar Intervertebral Disc Protrusion
摘要
Abstract
Objective:To discuss the clinical curative effect of needle knife therapy on lumbar intervertebral disc protrusion and provide evidence -based medical evidence for clinical practice .Methods:Comprehensively search CNKI (1989~2012), VIP(1989~1989), Wanfang(1989~2012), such as database, collect clinical randomized controlled trials about needle knife in the treatment of lumbar intervertebral disc protrusion .After screening, finally 12 standard articles were found as Meta analysis objects .Use Review Manage5.0 specialized software Cochrane provided freely for statistical analysis .Results:12 researches by Meta analysis combined showed that 12 studies homogeneity test results , Chi square is 4 .65 , degrees of freedom was 11 ( P=0 .95>0.1 ) , and 12 studies had homogeneity ,so use the fixed effects model to analyze ,calculate and summarize statis-tics.ORcombinationchecked by Z∶Z=7.94(P<0.000 01), which suggested that needle knife compared with other treatments had a statistical significance .Conclusion:Current clinical evidence suggests that the curative effect of small needle knife therapy on lumbar intervertebral disc protrusion is better than electric acupuncture , massage , traction therapy .But with this research low methodological quality , limited sample size , it needs more large samples of reasonable design ,execution, strict, scientific and standardization ,and high quality clinical random-ized controlled trials are needed to further verify its effectiveness .关键词
小针刀/腰椎间盘突出症/Meta分析Key words
Needle-knife/Lumbar intervertebral disc protrusion/Meta analysis分类
医药卫生引用本文复制引用
张立勇,叶勇,邵湘宁,朱静..小针刀治疗腰椎间盘突出症的 Meta分析[J].针灸临床杂志,2014,(2):49-53,5.基金项目
2013年湖南省中医药科研计划项目，编号201367。 （）
