针刺治疗肩袖损伤有效性和安全性的系统评价与Meta分析OA

Objective:This study aims to conduct a systematic evaluation and meta-analysis of the efficacy and safety of acupuncture in treating patients with rotator cuff injuries.Method:Literature retrieval was performed in Chinese databases including China National Knowledge Infrastructure(CNKI),Chinese Science and Technology Journal Database(VIP),WanFang Database,Chinese Biomedical Literature Database(CBM),and English databases:Pubmed,Embase,Cochrane Library,Web of Science.Screen the literature of randomized controlled trial studies(RCTS)that meet the inclusion criteria for acupuncture treatment of rotator cuff injuries.The search time was all from the establishment of the database to February 2024.The quality of the included literature was evaluated using the Cochrane Risk of Bias assessment tool,and Meta-analysis was conducted using Review Manager 5.4 software.Result:A total of 12 literatures were ultimately included,involving a total of 771 subjects.The results of the meta-analysis show thatAcupuncture combined with rehabilitation exercise therapy in the University of California Shoulder Scale(UCLA)score[MD=6.69,95％CI:(5.42～7.96),P<0.00001]and Shoulder Joint Function Scale(Constant)score[MD=7.10,95％CI:(5.80,8.39),P<0.00001],American Society of Shoulder and Elbow Surgeons Scale(ASES)evaluation(MD=6.40,95％CI:5.38～7.43,P<0.00001),Shoulder Range of Motion Scale(ROM)score(MD=6.86,95％CI:4.68～9.03.The scores on the total clinical effective rate(RR=1.25,95％CI:1.13～1.39,P<0.0001)were significantly higher than those on conventional rehabilitation exercise therapy alone,and the Visual Analogue Scale(VAS)score for pain(MD=-1.33,95％CI:-1.44～-1.21,P<0.00001)was lower than that treated with conventional rehabilitation exercise alone,and the differences were statistically significant.Conclusion:Acupuncture combined with rehabilitation exercise therapy can significantly improve the shoulder joint range of motion and function of patients,alleviate their pain,and increase the clinical effective rate.Compared with conventional rehabilitation exercise therapy alone,it has better efficacy and safety.Due to the limitations of the quality and quantity of RCTS included in the study,more high-quality RCTS with rigorous research protocols are still needed to further verify the above conclusions.