不同针刺疗法治疗突发性聋的网状meta分析

doi:10.20047/j.issn1673-7210.2023.35.34

摘要
图/表
参考文献
相关文章 (15)

全文: PDF (1088 KB) HTML (1 KB)
输出: BibTeX | EndNote (RIS)

摘要目的采用网状meta分析评价不同针刺疗法治疗突发性聋的临床效果。方法检索PubMed、Embase、Cochrane Library、中国知网、万方数据知识服务平台、维普网及中国生物医学数据库关于针灸治疗突发性聋的随机对照试验，检索时间为建库至2023年3月。运用Stata 17.0进行网状meta分析。结果共纳入23篇文献，涵盖6种不同的干预措施。关于总有效率的干预措施包括6种，平均听阈值的干预措施包括4种。在总有效率方面，毫针[OR=4.00，95%CI：（1.37，11.70）]、毫针+常规西药[OR=3.86，95%CI：（2.54，5.87）]、电针[OR=3.09，95%CI：（1.61，5.92）]、电针+常规西药[OR=5.14，95%CI：（1.86，14.19）]、穴位注射+常规西药[OR=3.38，95%CI：（1.94，5.89）]总有效率优于常规西药。在平均听阈值方面，毫针+常规西药[OR=-1.90，95%CI：（-2.99，-0.81）]、电针+常规西药[OR=-3.55，95%CI：（-6.50，-0.61）]优于常规西药。总有效率：电针+常规西药＞毫针+常规西药＞毫针＞穴位注射+常规西药＞电针＞常规西药；平均听阈值：电针+常规西药＞毫针+常规西药＞穴位注射+常规西药＞常规西药。结论针刺疗法或针刺疗法联合常规西药治疗突发性聋的效果优于常规西药，其中电针联合常规西药在提高平均听阈值和总有效率上具有优势。

	服务

	把本文推荐给朋友
	加入我的书架
	加入引用管理器
	E-mail Alert
	RSS
	作者相关文章
	孟　言　　梁俊杰　　张重阳　　潘　婷　　邢　御　　刘静怡　　白　鹏

关键词 ：突发性聋, 针刺疗法, 网状meta分析

Abstract：Objective To evaluate the clinical effect of different acupuncture therapies for sudden deafness by mesh meta-analysis. Methods Randomized controlled trials on acupuncture and moxibustion in treatment of sudden deafness were searched from PubMed, Embase, Cochrane Library, CNKI, Wanfang Data, VIP, and SinoMed database, and the search time was from inception to March 2023. Stata17.0 was used for mesh meta-analysis. Results A total of 23 articles were included, covering six different interventions. The total response rate included six interventions and the average hearing threshold included four interventions. In terms of total effective rate, filiform needle (OR=4.00, 95%CI: [1.37 to 11.70]), filiform needle + conventional western medicine (OR=3.86, 95%CI:[2.54 to 5.87]), electro-acupuncture (OR=3.09, 95%CI:[1.61 to 5.92]), electro-acupuncture + conventional western medicine (OR=5.14, 95%CI:[1.86 to 14.19]), acupoint injection + conventional western medicine (OR=3.38, 95%CI:[1.94 to 5.89]) were superior to conventional western medicine. In terms of average hearing threshold, filiform needle + conventional western medicine (OR=-1.90, 95%CI: [-2.99 to -0.81]), electro-acupuncture + conventional western medicine [OR=-3.55, 95%CI: (-6.50 to -0.61)] were superior to conventional western medicine. Total effective rate: electro-acupuncture + conventional western medicine ＞ filiform needle + conventional western medicine ＞ filiform needle ＞ acupoint injection + conventional western medicine ＞ electro- acupuncture ＞ conventional western medicine; average hearing threshold: electro-acupuncture + conventional western medicine ＞ filiform needle + conventional western medicine ＞ acupoint injection + conventional western medicine ＞ conventional western medicine. Conclusion Acupuncture ther- apy or acupuncture therapy combined with conventional western medicine is better than conventional western medicine in the treatment of sudden deafness, and electro-acupuncture com- bined with conventional western medicine has advantages in improving the average hearing threshold and total effective rate.

Key words： Sudden deafness Acupuncture therapy Mesh meta-analysis

基金资助:全国中医药创新骨干人才培训项目（国中医药人教函〔2019〕128号）；国家中医药管理局青年岐黄学者培养项目（国中医药人教函〔2022〕256号）。

通讯作者: 白鹏（1978-），男，博士，主任医师；研究方向：腧穴主治特异性。

作者简介: 孟言（1994-），女，北京中医药大学第三附属医院2020级针灸推拿学专业在读博士研究生；研究方向：腧穴主治特异性。

引用本文:

孟　言　　梁俊杰　　张重阳　　潘　婷　　邢　御　　刘静怡　　白　鹏. 不同针刺疗法治疗突发性聋的网状meta分析[J]. 中国医药导报, 2023, 20(35): 154-158,163.
MENG Yan LIANG Junjie ZHANG Chongyang PAN Ting XING Yu LIU Jingyi BAI Peng. Mesh meta-analysis of different acupuncture therapies for sudden deafness. 中国医药导报, 2023, 20(35): 154-158,163.

链接本文:

https://www.yiyaodaobao.com.cn/CN/10.20047/j.issn1673-7210.2023.35.34 或 https://www.yiyaodaobao.com.cn/CN/Y2023/V20/I35/154