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关于类风湿论文范文资料 与针灸治疗类风湿关节炎临床疗效比较的Meta分析有关论文参考文献

版权:原创标记原创 主题:类风湿范文 科目:论文范文 2024-02-17

《针灸治疗类风湿关节炎临床疗效比较的Meta分析》:该文是关于类风湿论文范文,为你的论文写作提供相关论文资料参考。

【摘 要】目的:评价针灸治疗类风湿关节炎的临床疗效,分析目前临床研究的现状.方法:计算机检索PubMed、中国生物医学文献、中国知网、重庆维普、万方等数据库中2000年1月至2015年12月的相关文献,同时筛选纳入研究的参考文献,收集针灸治疗类风湿关节炎的临床随机对照试验,由2名评价员独立评价文献质量,并采用RevMan 5.3软件对纳入研究结果进行Meta分析.结果:8篇文献符合纳入标准,共809例患者.Meta分析显示,针灸对照雷公藤多苷片治疗,有效率的组间比较差异无统计学意义

(P 等于 0.21),合并RR 等于 1.05,95%CI 等于 [0.97,1.13];针灸对照雷公藤多苷片,类风湿因子的组间比较无统计学意义(P 等于 0.09),合并WMD 等于 -5.04,95%CI 等于 [-10.89,0.81];针灸对照DMARDs治疗,有效率的组间比较差异有统计学意义(P 等于 0.02),合并RR 等于 1.23,95%CI 等于 [1.07,1.40];针灸对照DMARDs联合NSAIDs,有效率的组间比较差异有统计学意义(P 等于 0.000 3),合并RR 等于 1.29,95%CI 等于[1.12,1.49].

结论:针灸治疗类风湿关节炎安全,可能作为辅助治疗手段解决类风湿关节炎的部分问题有效.因纳入文献数量有限且部分质量较低,需更多高质量随机对照试验来进一步验证.

【关键词】 关节炎,类风湿;针灸;疗效;Meta分析

doi:10.3969/j.issn.2095-4174.2016.03.007

Meta Analysis of the Clinical Efficacy of Moxibustion and Acupuncture in the Treatment of

Rheumatoid Arthritis

SU Hui-yuan,DU Yuan-hao

【ABSTRACT】Objective:To evaluate the clinical efficacy of moxibustion and acupuncture in the treatment of rheumatoid arthritis to analyze the current status of clinical research.Methods:Related literatures were searched from PubMed,CBM disc,CNKI,VIP Chinese Journal and Wanfang database (from January 2000 to December 2015).Meanwhile,related references were screened and randomized controlled trials of acupuncture and moxibustion in the treatment of rheumatoid arthritis were collected.Two reviewers were invited to independently evaluate the literature quality and make a meta-analysis on the included studies with the software Revman 5.3.Results:Eight articles met the inclusion criteria,with a total of 809 patients.Meta analysis showed that there was no statistical significance of efficiency between groups(P 等于 0.21) with moxibustion and acupuncture and tripterygium glycosides tablet,

RR 等于 1.05,95%CI 等于[0.97,1.13].Compared with tripterygium glycosides tablet, rheumatoid factor groups with moxibustion and acupuncture had no statistical significance(P 等于 0.09),WMD 等于 -5.04,95%CI 等于[-10.89,0.81].Compared with DMARD,the difference of efficiency was statistically significant(P 等于 0.02) between groups with moxibustion and acupuncture,RR 等于 1.23,95% CI 等于[1.07,1.40].Compared with DMARD combining NSAID,the difference of efficiency was statistically significant(P 等于 0.0003) between groups with moxibustion and acupuncture,RR 等于 1.29;95% CI 等于[1.12,1.49].Conclusion:Treating arthritis rheumatoid with moxibustion and acupuncture,safe and effective as adjuvant therapy to solve certain problems.Because of the limited number and low quality of some articles,this study needs more high quality randomized controlled trials to further verify.

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结论:针灸治疗类风湿关节炎临床疗效比较的Meta分析为关于本文可作为相关专业类风湿论文写作研究的大学硕士与本科毕业论文类风湿论文开题报告范文和职称论文参考文献资料。

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