Chinese General Practice ›› 2023, Vol. 26 ›› Issue (09): 1044-1052.DOI: 10.12114/j.issn.1007-9572.2022.0709
Special Issue: 运动相关研究最新文章合集; 中医最新文章合集
• Article·Nonspecific Low Back Pain • Previous Articles Next Articles
Received:
2022-07-16
Revised:
2022-12-09
Published:
2023-03-20
Online:
2022-12-29
Contact:
YANG Tao, YU Jinna
通讯作者:
杨涛, 于金娜
作者简介:
基金资助:
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URL: https://www.chinagp.net/EN/10.12114/j.issn.1007-9572.2022.0709
第一作者 | 发表年份 | 样本量(对照组/观察组) | 干预措施 | 病程 | 疗程(d) | 随访 | 结局指标 | |
---|---|---|---|---|---|---|---|---|
对照组 | 观察组 | |||||||
黄建忠[ | 2012 | 30/30 | 美洛昔康7.5 mg/次,1次/d | 运动针法:腰痛穴留针30 min,每隔10 min运针1次,运针时间为1 min,1次/d | <3 d | 5 | 未提及 | ①② ③④ |
方圆[ | 2019 | 36/36 | 美洛昔康7.5 mg/次,1次/d | 运动针法:腰痛穴留针30 min,每隔10 min运针1次,运针时间为1 min,1次/d | 5~24 h | 5 | 未提及 | ③④ |
李可大[ | 2005 | 31/35 | 美洛昔康7.5 mg/次,1次/d | 运动针法:腰痛穴留针20 min,每隔5 min运针1次(治疗频次未提及) | <42 d | 2 | 未提及 | ④ |
赵玉洲[ | 2014 | 22/23 | 美洛昔康7.5 mg/次,1次/d | 运动针法:腰痛穴、人中穴、后溪穴留针30 min,每隔5 min运针1次,1次/d | <42 d | 7 | 未提及 | ④ |
杜林[ | 2018 | 28/29 | 布洛芬0.3 g/次,治疗1次 | 运动针法:腰痛穴运针1 min后立即出针,治疗1次 | <7 d | 1 | 未提及 | ①② |
王麦绒[ | 2019 | 40/40 | 布洛芬0.3 g/次,2次/d | 运动针法:腰痛穴留针30 min,间隔5~10 min运针1次,1次/d | 2~15 d | 3 | 未提及 | ④ |
刘新[ | 2020 | 30/30 | 双氯芬酸钠75 mg/次,1次/d | 运动针法:董氏奇穴留针40 min,1次/d | <3 d | 3 | 未提及 | ①②④ |
尚莉莉[ | 2017 | 30/30 | 双氯芬酸钠75 mg/次,1次/d | 运动针法:养老穴、攒竹穴、人中穴留针30 min,1次/d | 1~5 d | 3 | 未提及 | ①③④ |
王宇胜[ | 2020 | 45/40 | 洛索洛芬钠60 mg/次,2次/d | 运动针法:人中穴、腰痛穴留针20 min,稍做休息后再次进行针刺,连续针刺3次,1次/d | 2 h~3 d | 12 | 6个月 | ①③④ |
LIU[ | 2017 | 20/26 | 洛索洛芬钠60 mg/次,2次/d | 运动针法:腰痛穴留针20 min,3次/周 | <42 d | 7 | 24周 | ④ |
徐波克[ | 2013 | 50/50 | 双氯芬酸钠50 mg/次,2次/d | 运动针法:养老穴留针30 min,每隔5 min运针1次,运针时间为1 min,1次/d | <2 d | 5 | 10 d | ③④ |
SHIN[ | 2013 | 29/29 | 双氯芬酸钠75 mg/次(服药频次未提及) | 运动针法:风池穴、行间穴、曲池穴留针20 min(治疗频次未提及) | <3 d | 1 | 24周 | ③ |
吴聪生[ | 2016 | 48/48 | 尼美舒利100 mg/次,2次/d | 运动针法:水沟穴(治疗方法未提及),1次/d | 2 h~3 d | 3 | 未提及 | ④ |
李树雄[ | 2007 | 30/30 | 推拿:揉法、滚法、点穴法、腰推侧卧斜扳法(治疗频次未提及) | 运动针法:腰痛穴留针30~40 min,每隔10 min运针1次(治疗频次未提及) | 1~5 d | 3 | 未提及 | ④ |
罗贵泽[ | 2015 | 36/36 | 推拿:揉法、弹拨法、击打法,1次/d | 运动针法:后溪穴留针20 min,每隔5~10 min运针1次,共运针2~3次,1次/d | 2 h~6 d | 6 | 未提及 | ④ |
梁小红[ | 2015 | 84/84 | 推拿:揉法、弹拨法、击打法,1次/d | 运动针法:后溪穴留针20 min,每隔10 min运针1次,共运针2次,1次/d | 3 h~7 d | 6 | 未提及 | ①④ |
LIN[ | 2016 | 14/13/14a | 假针/物理治疗:钝头针/中频治疗仪,治疗1次 | 运动针法:印堂穴留针20 min,治疗1次 | <3 d | 1 | 24周 | ①③ |
Table 1 Basic characteristics of included literature
第一作者 | 发表年份 | 样本量(对照组/观察组) | 干预措施 | 病程 | 疗程(d) | 随访 | 结局指标 | |
---|---|---|---|---|---|---|---|---|
对照组 | 观察组 | |||||||
黄建忠[ | 2012 | 30/30 | 美洛昔康7.5 mg/次,1次/d | 运动针法:腰痛穴留针30 min,每隔10 min运针1次,运针时间为1 min,1次/d | <3 d | 5 | 未提及 | ①② ③④ |
方圆[ | 2019 | 36/36 | 美洛昔康7.5 mg/次,1次/d | 运动针法:腰痛穴留针30 min,每隔10 min运针1次,运针时间为1 min,1次/d | 5~24 h | 5 | 未提及 | ③④ |
李可大[ | 2005 | 31/35 | 美洛昔康7.5 mg/次,1次/d | 运动针法:腰痛穴留针20 min,每隔5 min运针1次(治疗频次未提及) | <42 d | 2 | 未提及 | ④ |
赵玉洲[ | 2014 | 22/23 | 美洛昔康7.5 mg/次,1次/d | 运动针法:腰痛穴、人中穴、后溪穴留针30 min,每隔5 min运针1次,1次/d | <42 d | 7 | 未提及 | ④ |
杜林[ | 2018 | 28/29 | 布洛芬0.3 g/次,治疗1次 | 运动针法:腰痛穴运针1 min后立即出针,治疗1次 | <7 d | 1 | 未提及 | ①② |
王麦绒[ | 2019 | 40/40 | 布洛芬0.3 g/次,2次/d | 运动针法:腰痛穴留针30 min,间隔5~10 min运针1次,1次/d | 2~15 d | 3 | 未提及 | ④ |
刘新[ | 2020 | 30/30 | 双氯芬酸钠75 mg/次,1次/d | 运动针法:董氏奇穴留针40 min,1次/d | <3 d | 3 | 未提及 | ①②④ |
尚莉莉[ | 2017 | 30/30 | 双氯芬酸钠75 mg/次,1次/d | 运动针法:养老穴、攒竹穴、人中穴留针30 min,1次/d | 1~5 d | 3 | 未提及 | ①③④ |
王宇胜[ | 2020 | 45/40 | 洛索洛芬钠60 mg/次,2次/d | 运动针法:人中穴、腰痛穴留针20 min,稍做休息后再次进行针刺,连续针刺3次,1次/d | 2 h~3 d | 12 | 6个月 | ①③④ |
LIU[ | 2017 | 20/26 | 洛索洛芬钠60 mg/次,2次/d | 运动针法:腰痛穴留针20 min,3次/周 | <42 d | 7 | 24周 | ④ |
徐波克[ | 2013 | 50/50 | 双氯芬酸钠50 mg/次,2次/d | 运动针法:养老穴留针30 min,每隔5 min运针1次,运针时间为1 min,1次/d | <2 d | 5 | 10 d | ③④ |
SHIN[ | 2013 | 29/29 | 双氯芬酸钠75 mg/次(服药频次未提及) | 运动针法:风池穴、行间穴、曲池穴留针20 min(治疗频次未提及) | <3 d | 1 | 24周 | ③ |
吴聪生[ | 2016 | 48/48 | 尼美舒利100 mg/次,2次/d | 运动针法:水沟穴(治疗方法未提及),1次/d | 2 h~3 d | 3 | 未提及 | ④ |
李树雄[ | 2007 | 30/30 | 推拿:揉法、滚法、点穴法、腰推侧卧斜扳法(治疗频次未提及) | 运动针法:腰痛穴留针30~40 min,每隔10 min运针1次(治疗频次未提及) | 1~5 d | 3 | 未提及 | ④ |
罗贵泽[ | 2015 | 36/36 | 推拿:揉法、弹拨法、击打法,1次/d | 运动针法:后溪穴留针20 min,每隔5~10 min运针1次,共运针2~3次,1次/d | 2 h~6 d | 6 | 未提及 | ④ |
梁小红[ | 2015 | 84/84 | 推拿:揉法、弹拨法、击打法,1次/d | 运动针法:后溪穴留针20 min,每隔10 min运针1次,共运针2次,1次/d | 3 h~7 d | 6 | 未提及 | ①④ |
LIN[ | 2016 | 14/13/14a | 假针/物理治疗:钝头针/中频治疗仪,治疗1次 | 运动针法:印堂穴留针20 min,治疗1次 | <3 d | 1 | 24周 | ①③ |
Figure 7 Forest plot for comparison of ROM of lumbar vertebra between motion style acupuncture and Western medicine in treating acute nonspecific low back pain
Figure 8 Forest plot for comparison of overall response rate between motion style acupuncture and Western medicine in treating acute nonspecific low back pain
Figure 10 Inverted funnel plot for publication bias of the literature reporting overall response rate of motion style acupuncture treating acute nonspecific low back pain
检验统计量值 | 未剔除文献前 | 剔除文献[ | 剔除文献[ | 剔除文献[ | 剔除文献[ | 剔除文献[ |
---|---|---|---|---|---|---|
I2值 | 93% | 93% | 74% | 89% | 94% | 94% |
P值 | <0.000 01 | <0.000 01 | 0.01 | <0.000 01 | <0.000 01 | <0.000 01 |
Table 2 Sensitivity analysis results of VAS score between motion style acupuncture and Western medicine in treating acute nonspecific low back pain
检验统计量值 | 未剔除文献前 | 剔除文献[ | 剔除文献[ | 剔除文献[ | 剔除文献[ | 剔除文献[ |
---|---|---|---|---|---|---|
I2值 | 93% | 93% | 74% | 89% | 94% | 94% |
P值 | <0.000 01 | <0.000 01 | 0.01 | <0.000 01 | <0.000 01 | <0.000 01 |
检验统计量值 | 未剔除文献前 | 剔除文献[ | 剔除文献[ | 剔除文献[ | 剔除文献[ |
---|---|---|---|---|---|
I2值 | 97% | 96% | 88% | 98% | 98% |
P值 | <0.000 01 | <0.000 01 | 0.000 2 | <0.000 01 | <0.000 01 |
Table 3 Sensitivity analysis results of RMDQ score between motion style acupuncture and Western medicine in treating acute nonspecific low back pain
检验统计量值 | 未剔除文献前 | 剔除文献[ | 剔除文献[ | 剔除文献[ | 剔除文献[ |
---|---|---|---|---|---|
I2值 | 97% | 96% | 88% | 98% | 98% |
P值 | <0.000 01 | <0.000 01 | 0.000 2 | <0.000 01 | <0.000 01 |
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Abstract |
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