Efficacy of acupuncture and moxibustion for neurogenic bladder in patients with spinal cord injury: A meta analysis

Wan Dengfeng; Wang Shengyu; Huang Tao; Wang Xianyu; Liao Yanlin

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Efficacy of acupuncture and moxibustion for neurogenic bladder in patients with spinal cord injury: A meta analysis

更新时间：2021-08-23

- Efficacy of acupuncture and moxibustion for neurogenic bladder in patients with spinal cord injury: A meta analysis
- Health Medicine Research and Practice Vol. 15, Issue 5, Pages: 41-46(2018)
- 作者机构：
  
  1. 三峡大学人民医院宜昌市第一人民医院
  2. 广州中医药大学第三临床医学院
- 作者简介：
- 基金信息：
- DOI：
  CLC： R246.2
- Published：2018，
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[1]万登峰,汪盛玉,黄涛,王先禹,廖雁琳.针灸治疗脊髓损伤神经源性膀胱有效性的Meta分析[J].保健医学研究与实践,2018,15(05):41-46.

Wan Dengfeng, Wang Shengyu, Huang Tao, et al. Efficacy of acupuncture and moxibustion for neurogenic bladder in patients with spinal cord injury: A meta analysis. [J]. Health Medicine Research and Practice 15(5):41-46(2018)
[1]万登峰,汪盛玉,黄涛,王先禹,廖雁琳.针灸治疗脊髓损伤神经源性膀胱有效性的Meta分析[J].保健医学研究与实践,2018,15(05):41-46. DOI：

Wan Dengfeng, Wang Shengyu, Huang Tao, et al. Efficacy of acupuncture and moxibustion for neurogenic bladder in patients with spinal cord injury: A meta analysis. [J]. Health Medicine Research and Practice 15(5):41-46(2018) DOI：

摘要

目的基于Meta分析系统评价针灸治疗脊髓损伤神经源性膀胱的有效性

为针灸治疗脊髓损伤神经源性膀胱提供循证学依据。方法检索PubMed、中国期刊全文数据库（CNKI）、中国生物医学文献光盘数据库（CBM）、万方资源等数据库创库至今所有针灸治疗脊髓损伤神经源性膀胱的随机对照试验文献

采用GRADEprofiler质量评价系统进行证据质量分级评定

采用Revman 5.3和STATA 13.0软件对结局指标进行Meta分析。结果累计18篇文献符合纳入标准

累计纳入病例1 233例

其中治疗组619例

对照组614例。分析结果显示:普通针刺的疗效优于其他手段

2组患者有效率的差异具有统计学意义（OR=4.91;95%CI:2.79～8.64;P=0.000）;电针疗法的疗效优于其他手段

2组患者有效率的差异具有统计学意义（OR=4.17;95%CI:2.18～7.97;P=0.000）;灸法疗法的疗效优于其他手段

2组患者有效率的差异具有统计学意义（OR=3.83;95%CI:2.27～6.45;P=0.000）;芒针疗法的疗效优于其他手段

2组患者有效率的差异具有统计学意义（OR=2.86;95%CI:1.26～6.49;P<0.01）;将所有纳入文献进行分析

结果显示针灸疗法的疗效优于其他手段

2组患者总有效率的差异具有统计学意义（OR=4.04;95%CI:2.98～5.49;P=0.000）。结论采用针灸疗法治疗脊髓损伤神经源性膀胱

疗效确切

值得临床推广应用。但本研究所纳入文献中多数文献质量分级为低质量等级

高质量文献有限

尚需要更多高质量、多中心、大样本的临床随机对照研究验证本结论。

Abstract

Objective We performed a meta analysis and systematic review to assess the efficacy of acupuncture and moxibustion for neurogenic bladder in patients with spinal cord injury

so as to provide evidence for clinical practice.Methods Databases including PubMed

China National Knowledge Infrastructure（CNKI）

CBM disc

and Wanfang Database（from inception up to now）were searched to collect randomized controlled trials（RCTS）of acupuncture and moxibustion for neurogenic bladder following spinal cord injury.The quality of evidence was rated using the GRADEprofiler software

and the outcome measures were analyzed using the Revman 5.3 and STATA 13.0 software.Results A total of 18 RCTs involving 1 233 patients（trial group

n=619;control group

n=614）were included in this meta analysis.Results showed that acupuncture had a significantly higher response rate than the control group（OR=4.91;95%CI:2.79-8.64;P=0.000）;similar results were also observed for electro-acupuncture（OR=4.17;95%CI:2.18-7.97;P=0.000）

moxibustion（OR=3.83;95%CI:2.27-6.45;P=0.000）

and elongated needle therapy（OR=2.86;95%CI:1.26-6.49;P<0.01）.When the results of all the studies were pooled for analysis

acupuncture and moxibustion was demonstrated to be superior to other therapies（OR=4.04;95%CI:2.98-5.49;P=0.000）.Conclusion Acupuncture and moxibustion seems to be effective in treating neurogenic bladder following spinal cord injury

which deserves widespread clinical application.However

most of the included studies were of poor quality

and thus more high-quality

multi-center

large-scale clinical RCTs are required to confirm these findings.

关键词

针灸脊髓损伤神经源性膀胱Meta分析

Keywords

Acupuncture and moxibustionSpinal cord injuryNeurogenic bladderMeta analysis

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