基于“肺脾”理论指导穴位埋线治疗变应性鼻炎的Meta分析

doi:10.6040/j.issn.1673-3770.0.2021.153

摘要/Abstract

摘要： 目的评价基于“肺脾”理论指导穴位埋线治疗变应性鼻炎的有效性。方法计算机检索CNKI(2000.1~2021.2)、VIP(2000.1~2021.2)、WANGFANG(2000.1~2021.2)、Pubmed(2000.1~2021.2)数据库中发表的与穴位埋线治疗变应性鼻炎相关的随机对照实验。对筛选出来的全部文献由2名研究者单独进行文献的筛选、质量评价、提取相关数据,采用RevMan5.4进行Meta分析。结果符合纳入标准的文献共12篇,病例931例。Meta分析结果显示穴位埋线组治疗变应性鼻炎有效率优于对照组(RR=1.29,95%CI:1.22,1.38,P<0.000 01);穴位埋线组复发率与对照组相比,差异有统计学意义(RR=0.3,95%CI:0.16,0.55,P<0.000 1);穴位埋线组治疗前后症状体征总积分与对照组相比,差异有统计学意义［SMD=-0.97,95%CI(-1.51,-0.43),P=0.000 4］; 结论根据符合纳入标准的12篇文献显示,穴位埋线法治疗变应性鼻炎疗效更佳,复发率更低,但由于纳入文献质量、数量有限,存在一定的发表偏倚,因此上述分析结论等待开展更多更高质量的研究来进一步证明。

关键词: 变应性鼻炎, 穴位埋线, Meta分析, 肺脾理论, 脾胃论

Abstract: Objective To evaluate the effectiveness of acupoint catgut embedding in the treatment of allergic rhinitis based on the “lung and spleen” theory. Methods An internet search was conducted for randomized controlled trials related to acupoint catgut embedding in the treatment of allergic rhinitis published in the CNKI(2000.1-2021.2), VIP(2000.1-2021.2), WANGFANG(2000.1-2021.2), and Pubmed(2000.1-2020.2)databases. Two researchers separately carried out screening on the selected documents and focused on: quality evaluation and extraction of relevant data. RevMan 5.4 was used for meta-analysis. Results A total of 12 articles comprising 931 cases met the inclusion criteria. The results of the meta-analysis showed that the effective rate of the acupoint catgut embedding group was better than that of the control group(RR=1.29, 95%CI: 1.22, 1.38, P<0.000 1). The recurrence rate of the acupoint catgut embedding group was compared with that of the control group and the difference was statistically significant(RR=0.3, 95%CI: 0.16, 0.55, P<0.000 1). Furthermore, when the total score of signs and symptoms in the acupoint catgut embedding group was compared before and after treatment with the control group, and the difference was statistically significant ［SMD=-0.97,95%CI(-1.51,-0.43),P=0.000 4］. Conclusion The Meta-analysis of the included articles showed that the acupoint embedding method is more effective in the treatment of allergic rhinitis and has a lower recurrence rate. However, the limited quality and quantity of the included articles must have created a publication bias. Therefore, the above analysis and conclusions require further research and investigation.

Key words: Allergic rhinitis, Catgut embedding at acupoint, Meta-analysis, Lung and spleen theory, Spleen and stomach theory

中图分类号:

R765.21

黄开月,李雪情,韩国鑫,张勤修. 基于“肺脾”理论指导穴位埋线治疗变应性鼻炎的Meta分析[J]. 山东大学耳鼻喉眼学报, 2022, 36(3): 266-274.

HUANG Kaiyue, LI Xueqing, HAN Gouxin, ZHANG Qinxiu. Meta-analysis of acupoint catgut embedding in the treatment of allergic rhinitis based on the theory of “lung and spleen”[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2022, 36(3): 266-274.

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