世界中医药
文章摘要
引用本文:张璐1,李西钰2,李奕萱2,李秋艳1.针刺治疗心脏神经官能症疗效的Meta分析[J].世界中医药,2021,(20):.  
针刺治疗心脏神经官能症疗效的Meta分析
Efficacy of Acupuncture in the Treatment of Cardiac Neurosis:a Meta-analysis
投稿时间:2020-05-06  
DOI:10.3969/j.issn.1673-7202.2021.20.015
中文关键词:  针刺;穴位;心脏神经官能症;Meta分析;随机对照试验  有效率;系统评价;不良反应
English Keywords:Acupuncture  Acupoint  Cardiac neurosis  Meta-analysis  Randomized controlled trial  Efficacy  Systematic review  Adverse reactions
基金项目:国家中医药管理局第三届国医大师传承工作室及全国名中医传承工作室建设项目(2018年)
作者单位
张璐1,李西钰2,李奕萱2,李秋艳1 1 中国中医科学院西苑医院北京,100091 2 北京中医药大学北京,100029 
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中文摘要:
      目的:系统评价针刺治疗心脏神经官能症的临床疗效。方法:检索国家知识基础设施数据库(CNKI)、中国学术期刊数据库(CSPD)、中文科技期刊数据库(CCD)、中国生物医学文献数据库(CBM)、Pubmed,按照纳入与排除标准纳入单独针刺与西药比较、针刺联合常规西药与西药比较治疗心脏神经官能症的随机对照试验(RCT),检索年限均为建库至2020年1月25日。提取数据,采用Cochrane协作网推荐的评价标准对纳入试验进行质量评价、Rev Man5.3软件进行Meta分析。结果:纳入15篇RCT,总计1 344例患者。Meta分析结果提示,针刺治疗总有效率优于对照组(RR=1.28,95%CI为1.21~1.35,P<0.01),单纯针刺治疗的总有效率亦优于对照组(RR=1.25,95%CI为1.17~1.34,P<0.01)。针刺可有效改善汉密尔顿焦虑量表(HAMA) 评分(WMD=-4.10,95%CI为-4.58~-3.61,P<0.000 1)及汉密尔顿抑郁量表(HAMD)评分(WMD=-4.62,95%CI为-5.30~-3.93,P<0.000 01)。结论:针刺治疗心脏神经官能症优于常规西药,但受纳入研究数量较少、质量偏低的限制,以上结论须待开展更多高质量RCT予以验证。
English Summary:
      To systematically evaluate the clinical efficacy of acupuncture for cardiac neurosis.Methods:We searched China National Knowledge Infrastructure(CNKI),Chinese Academic Journals Database(CSPD),Chinese Sci-tech Journals Database(CCD),Chinese Biomedical Literature Database(CBM),Pubmed.According to the inclusion and exclusion criteria,we included acupuncture alone and Western medicine comparison,acupuncture combined with conventional Western medicine and we compared Western medicine treatment of the heart neurosis in Randomized Controlled Trials(RCT).The retrieval periods were all from the establishment of the database to January 25,2019.Data were extracted and the quality of the included trials was evaluated using the evaluation criteria recommended by the Cochrane collaboration,and meta-analysis was performed by Rev Man version 5.3.Results:A total of 15 RCTS were included,involving 1 344 patients.The meta-analysis results indicated that acupuncture combined with/without WM could make a better efficacy(RR=1.28,95% CI(1.21,1.35),P<0.01).The total effective rate of acupuncture treatment alone was also better than that of the control group(RR=1.25,95%CI 1.17,1.34,P<0.01).Acupuncture can effectively improved HAMA score(WMD=-4.10,95%CI is-4.58,-3.61,P<0.000 1) and HAMD score(WMD=-4.62,95%CI is-5.30,-3.93,P<0.000 01).Conclusion:Acupuncture is superior to conventional Western medicine in the treatment of cardiac neurosis.However,due to the limited number of included studies and low quality,the above conclusions need to be verified by more high-quality RCTs.
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