活血化瘀中药联合针灸治疗腰椎间盘突出症患者疗效的网状Meta分析OA
Network Meta-analysis of the Efficacy of Chinese Medicine of Promoting Blood Circulation for Removing Blood Stasis Combined with Acupuncture and Moxibustion in the Treatment of Patients with Lumbar Disc Herniation
目的 采用网状Meta 分析方法,系统评价针灸联合不同活血化瘀类中药治疗腰椎间盘突出症的临床疗效与安全性.方法 计算机系统检索PubMed、Cochrane Library、万方、维普和中国知网(CNKI)五大中英文数据库,检索时限设定为各数据库建库之日起至 2025 年 1 月.由 2 位研究员依据纳入及排除标准进行文献筛选、质量评价和数据提取,采用RevMan5.3、Stata14.0进行数据分析.结果 最终纳入 28 篇文献,总样本量 2506 例.网状Meta分析的结果提示:临床有效率排序为身痛逐瘀汤＞独活寄生汤＞桃红四物汤＞血府逐瘀汤＞补肾活血汤;VAS评分排序为桃红四物汤＞独活寄生汤＞身痛逐瘀汤＞血府逐瘀汤＞补肾活血汤;JOA评分排序为补肾活血汤＞身痛逐瘀汤＞独活寄生汤＞桃红四物汤.结论 五种活血化瘀类中药联合针灸治疗腰椎间盘突出症的疗效优于单纯针灸,且不同药物在疼痛缓解、功能恢复等方面各具优势.
Objective To systematically evaluate the clinical efficacy and safety of acupuncture and moxibustion combined with different promoting blood circulation for removing blood stasis drugs in the treatment of lumbar disc herniation using a network Meta-analysis.Methods PubMed,Cochrane Library,Wanfang,VIP and CNKI were searched by computer,and the search time was set to be from the establishment of each database to January 2025.Literature screening,quality evaluation and data extraction were carried out by two researchers according to the inclusion and exclusion criteria.RevMan5.3 and stata14.0 were used for data analysis.Results A total of 28 literatures were included,with a total sample size of 2506 cases.The results of network Meta-analysis suggested that the order of clinical effective rate was Shentong Zhuyu decoction＞Duhuo Jisheng decoction＞Taohong Siwu decoction＞Xuefu Zhuyu decoction＞Bushen Huoxue decoction;the VAS score was ranked as Taohong Siwu decoction＞Duhuo Jisheng decoction＞Shentong Zhuyu decoction＞Xuefu Zhuyu decoction＞Bushen Huoxue decoction;the JOA score was ranked as Bushen Huoxue decoction＞Shentong Zhuyu decoction＞Duhuo Jisheng decoction＞Taohong Siwu decoction.Conclusion The curative effect of 5 Chinese medicines of promoting blood circulation for removing blood stasis combined with acupuncture and moxibustion in the treatment of lumbar disc herniation is better than that of simple acupuncture and moxibustion,and different drugs have their own advantages in pain relief and functional recovery.
袁林;蒋谷芬
湖南中医药大学护理学院,湖南 长沙 410208湖南中医药大学第二附属医院,湖南 长沙 410005
医药卫生
腰椎间盘突出症针灸身痛逐瘀汤独活寄生汤桃红四物汤血府逐瘀汤补肾活血汤
Lumbar disc herniationAcupuncture and moxibustionShentong Zhuyu decoctionDuhuo Jisheng decoctionTaohong Siwu decoctionXuefu Zhuyu decoctionBushen Huoxue decoction
《医学信息》 2026 (17)
27-33,7
湖南省自然科学基金项目(编号:2025JJ80911)
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