中国中医药信息杂志2024，Vol.31Issue(3)：56-63,8.DOI:10.19879/j.cnki.1005-5304.202212323
艾灸治疗膝骨关节炎的系统评价再评价
Moxibustion for the Treatment of Knee Osteoarthritis:An Overview of Systematic Reviews
摘要
Abstract
Objective To evaluate the effectiveness and safety of moxibustion for knee osteoarthritis and the methodological quality of systematic reviews(SRs).Methods SRs of moxibustion for knee osteoarthritis were retrieved from CNKI,VIP,Wanfang Data,SinoMed,PubMed,Cochrane Library,Embase and Web of Science was conducted from the establishment of the databases to February 10,2022.AMSTAR 2 was used to assess the methodological quality of SRs.The randomized controlled trials(RCTs)included in these SRs were screened and summarized according to inclusion standard.RevMan 5.4 software was used for Meta-analysis,and GRADE approach was used to assess the certainty of evidence.Results A total of 15 SRs were included.The evaluation results of the AMSTAR 2 showed that the methodological quality was very low for 14 SRs,and low for other 1 SR.A total of 36 RCTs were included.Meta-analysis results showed that compared with the non-steroidal anti-inflammatory drugs(NSAIDs),the moxibustion group had better effects on improvement of WOMAC scores[mean difference(MD)=-5.95;95%confidence interval(CI):-9.25 to-2.65;low quality],relieving pain[MD=-1.26;95%CI:-2.19 to-0.32;very low quality],and improving effective rate[risk ratio(RR)=1.16;95%CI:1.11 to 1.22;low quality].In the moxibustion group,some patients experienced blisters,and most healed in 3 days.Conclusion Moxibustion has advantages in pain reduction and improving effective rate compared with routine Western therapy for knee osteoarthritis.However,well-designed high-quality RCTs are needed for further verification.关键词
艾灸/膝骨关节炎/系统评价再评价/AMSTAR2/Meta分析Key words
moxibustion/knee osteoarthritis/overview of systematic reviews/AMSTAR 2/Meta-analysis分类
医药卫生引用本文复制引用
王芝怡,费宇彤,任书盟,吕乐奇,伦涵蔚,罗慜婧,高一城,夏如玉..艾灸治疗膝骨关节炎的系统评价再评价[J].中国中医药信息杂志,2024,31(3):56-63,8.基金项目
新疆维吾尔自治区重点研发计划(2021B03006-4) （2021B03006-4）
