针灸结合经皮椎体后凸成形术治疗骨质疏松性椎体压缩性骨折的meta分析

doi:10.20047/j.issn1673-7210.2023.06.20

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Abstract Objective To systematically evaluate the effect of acupuncture and moxibustion combined with percutaneous kyphoplasty (PKP) in the treatment of osteoporotic vertebral compression fracture (OVCF). Methods Randomized controlled trial literatures on acupuncture and moxibustion combined with PKP in the treatment of OVCF were searched from China Biology Medicine disc, Wanfang Data, CNKI, VIP, Cochrane Library, Embase, and PubMed. The search period was from the inception to April 2022. Meta-analysis was performed by RevMan 5.3 software system. Results Finally, nine literatures were included, including a total of 626 subjects. Meta-analysis showed that the total effective rate of the experimental group was higher than that of the control group (OR=4.80, 95%CI: 2.15 to 10.75, P=0.000 1). Visual analog scale (VAS) scores of the experimental group at one month after treatment (SMD=-1.65, 95%CI: -1.95 to -1.35, P＜0.000 01) and VAS scores at six months after treatment (SMD=-1.22, 95%CI: -1.54 to -0.89, P＜0.000 01) were lower than those of the control group. The Oswestry disability index of the experimental group was lower than that of the control group (SMD=-1.51, 95%CI: -1.74 to -1.29, P＜0.000 01). There were no significant differences in Cobb angle at one month after treatment (SMD=-0.09, 95%CI: -0.38 to 0.21, P=0.57) and the Cobb angle at six months after treatment (SMD=-0.06, 95%CI: -0.36 to 0.24, P=0.39) between the two groups. Conclusion Acupuncture and moxibustion combined with PKP treatment OVCF is better than PKP alone, and is worthy of clinical promotion and application.

Key words： Acupuncture and moxibustion Percutaneous kyphoplasty Osteoporotic vertebral compression fracture Meta-analysis

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	PAN Chengzhen1 LIN Zonghan2 WU Shangzhong2 SHANG Zhihao1 WEI Yuanxun1 WEI Zongbo1 YANG Jingyun1 QIN Linyu1

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PAN Chengzhen1 LIN Zonghan2 WU Shangzhong2 SHANG Zhihao1 WEI Yuanxun1 WEI Zongbo1 YANG Jingyun1 QIN Linyu1. Meta-analysis of acupuncture and moxibustion combined with percutaneous kyphoscoplasty in the treatment of osteoporotic vertebral compression fracture[J]. 中国医药导报, 2023, 20(6): 90-94.

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https://www.yiyaodaobao.com.cn/EN/10.20047/j.issn1673-7210.2023.06.20 OR https://www.yiyaodaobao.com.cn/EN/Y2023/V20/I6/90

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