针刀治疗梨状肌综合征疗效的 Meta分析

摘要

Objective:To evaluate the effect of small needle knife treatment on piriformis syndrome.Methods:Through comprehensive searching in VIP,Wan-fang and CNKI database, the relevant literatures with clinical randomized controlled trials which had been published about needle knife therapy for piriformis syndrome were collected.Then we manually looked up books and periodicals on piriformis syndrome, using Cochorane system evaluation method, according to the standard screening of literatures into the exclusion, sorting data, and use the RevMan5 .2 software to make quality evaluation and meta analysis.Results:There were totally 10 Chinese literatures, including 977 patients.Meta analysis results: Comprehensively curative effect was well [ RR =1.16,95%CI (1.10,1.22),Z=5.64,P<0.00001],also with an instantly analgesic effect[OR=2.68,95%CI(1.64,4.36),Z=3.95,P<0.0001].Conclusion:Small needle knife in the treatment of piriformis syn-drome has a good curative effect, and has a instantly analgesic effect, but it also needs randomized clinical trials with more standardization and high quality to provide a reliable basis for clinical application.%目的：系统评价小针刀治疗梨状肌综合征的疗效。方法：通过全面搜索维普、万方、CNKI等中文数据库中已发表的与针刀治疗梨状肌综合征相关的临床随机对照试验的文献，并手工查阅关于梨状肌综合征的图书及期刊，运用Cochorane系统评价方法，依据纳入、排除标准筛选文献，整理资料。并采用RevMan5．2软件进行质量评价和Meta分析。结果：共纳入10篇中文文献，共含977例患者。 Meta分析显示综合疗效好[合并效应量RR＝1.16，95％CI（1.10，1.22），Z＝5.64，P＜0.00001]，并具有即时止痛效果[合并效应量OR＝2.68，95％CI（1.64，4.36），Z＝3.95，P＜0.0001]。结论：小针刀治疗梨状肌综合征有较好的疗效，并有一定的即时止痛效果，但还需要更多规范化、高质量的临床随机对照试验进一步验证，为临床应用提供可靠的依据。