Network meta-analysis of needle knife and needle knife combined with other therapies in the treatment of lumbar disc herniation
WANG Dexiang1 WANG Shixuan2
1.Liaoning University of Traditional Chinese Medicine, Liaoning Province, Shenyang 110034, China;
2.the First Department of Orthopedics, the Second Affiliated Hospital of Liaoning University of Traditional Chinese Medicine, Liaoning Province, Shenyang 110034, China
Abstract：Objective To systematically evaluate the effect of needle knife and needle knife combined with other therapies in the treatment of lumbar disc herniation (LDH) by network meta-analysis. Methods The following databases were searched online: PubMed, Cochrane Library, CNKI, Wanfang database, VIP and China biomedical literature database (CBMdisc). The search was conducted using a combination of subject words and free words. The search keywords included needle knife, sharp needle and lumbar disc herniation. The search time limit was from January 2009 to July 2019. Two investigators independently screened the literature, extracted the data and evaluated the risk of bias in the included studies. Data was analyzed using Stata 15.0, ADDIS v1.16.8 and Review Manager 5.3 software. Results A total of 41 studies with 3962 patients were included, involving 17 interventions. The results of network meta-analysis showed that the 10 ten intervention measures in the order of total clinical effective rate were as followed: needle knife plus internal administration of traditional Chinese medicine, needle knife plus manipulation, needle knife plus epidural injection, needle knife plus external use of traditional Chinese medicine, needle knife plus acupuncture, traditional Chinese medicine internal administration, electroacupuncture, needle knife, manipulation, needle knife plus functional exercise. Conclusion The effect of needle knife combined with other therapies is better than that of needle knife alone. Needle knife therapy combined with manipulation for LDH is well developed. The therapeutic effect of needle knife combined with traditional Chinese medicine on LDH deserves further study.
王德祥1 王世轩2. 针刀及针刀联合其他疗法治疗腰椎间盘突出症效果比较的网状meta分析[J]. 中国医药导报, 2020, 17(18): 172-176,184.
WANG Dexiang1 WANG Shixuan2. Network meta-analysis of needle knife and needle knife combined with other therapies in the treatment of lumbar disc herniation. 中国医药导报, 2020, 17(18): 172-176,184.
2020, Vol. 17 
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