Systematic Review and Network Meta-analysis of Acupuncture Combined with Massage in Treating Knee Osteoarthritis.
Systematic Review and Network Meta-analysis of Acupuncture Combined with Massage in Treating Knee Osteoarthritis.
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DOI：
10.1155/2022/4048550
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发表时间：
2022
影响因子：
--
通讯作者：
Liu, Qing
中科院分区：
文献类型：
--
作者：
Wang, Zhen;Wang, Yongquan;Wang, Congan;Li, Xujie;Zhou, Ziyang;Zhang, Lijuan;Li, Miaoxiu;Pan, Yankun;Jiao, Tiyong;Shi, Xiaoyun;Liu, Qing
膝关节骨性关节炎是临床常见病、多发病。越来越多的研究表明，针灸、推拿等外治法对膝关节骨性关节炎的治疗有益。 本研究旨在对针灸推拿联合治疗膝关节骨性关节炎的临床研究进行系统评价和随机对照试验（RCTS）的Meta分析，评价针灸推拿联合治疗膝关节骨性关节炎的有效性和安全性，为临床治疗膝关节骨性关节炎提供参考。 采用网络荟萃分析方法评价针刺配合推拿治疗膝关节骨性关节炎的疗效。计算机检索PubMed、科克伦图书馆、Web of Science、Embase、中国知网（CNKI）、中国生物医学文献数据库（CBM）、维普、万方等数据库中有关针刺配合推拿治疗膝骨关节炎的随机对照试验。所有研究者独立筛选文献、提取数据并评价质量，符合质量标准的研究使用Stata16.0软件进行分析。 共检索到3076篇文献，最终纳入49篇研究，涉及10种针灸推拿方法。总样本量为4458人，其中实验组2182人，对照组2276人。网络Meta分析结果显示：在有效率方面，前三位干预措施的效果最好的是浮针+推拿、针刀+推拿、银+推拿;在降低VAS评分方面，前三位干预措施的效果最好的是普通针刺+推拿、针刀+推拿、温针+推拿;在改善Lysholm指数总分方面，最佳前三项干预措施为银+推拿、电针+推拿、针刀+推拿;在降低WOMAC总分方面，最佳前三项干预措施为银针+推拿、银质针+推拿、普通针刺+推拿;在降低WOMAC僵硬度评分方面，前三种干预措施的效果最佳，分别为温针+推拿、银+推拿、普通针刺+推拿;在降低WOMAC关节功能评分方面，前3种干预措施的效果最佳，分别为银+推拿、温针+推拿、普通针刺+推拿。 结果表明，针推结合能提高膝关节骨性关节炎患者的临床疗效。受纳入研究质量的限制，所得结论仍需进一步验证。
Knee osteoarthritis is a common clinical disease with frequent occurrence. More and more studies have shown that external therapies such as acupuncture and massage are beneficial to the treatment of knee osteoarthritis. The purpose of this systematic review and meta-analysis of randomized controlled trials (RCTS) was to evaluate the efficacy and safety of acupuncture and massage combined with treatment of KOA and to provide some reference for clinical treatment of KOA. Network meta-analysis was used to evaluate the efficacy of acupuncture combined with massage in the treatment of knee osteoarthritis. PubMed, Cochrane Library, Web of Science, Embase, Chinese Knowledge Infrastructure (CNKI), Chinese Biomedical Literature Database (CBM), VIP, and Wanfang were searched by computer for randomized controlled trials on acupuncture combined with massage in the treatment of knee osteoarthritis. All researchers independently screened the literature, extracted data, and evaluated quality, and studies that met the quality criteria were analyzed using Stata16.0 software. A total of 3076 articles were retrieved, and finally, 49 studies involving 10 acupuncture combined with massage methods were included. The total sample size was 4458, including 2182 in the experimental group and 2276 in the control group. The results of network meta-analysis showed the following: in terms of effective rate, the optimal first three interventions were floating needle+massage, needle knife+massage, and silver needle+massage; in terms of reducing VAS score, the optimal first three interventions were common acupuncture+massage, needle knife+massage, and warm needle+massage; in terms of improving total Lysholm index score, the optimal first three interventions were silver needle+massage, electroacupuncture+massage, and needle knife+massage; in terms of reducing total WOMAC score, the optimal first three interventions were silver needle+massage, electrothermal needle+massage, and common acupuncture+massage; in terms of reducing WOMAC stiffness score, the optimal first three interventions were warm needle+massage, silver needle+massage, and common acupuncture+massage; and in terms of reducing WOMAC joint function score, the optimal first three interventions were silver needle+massage, warm needle+massage, and common acupuncture+massage. The results showed that acupuncture combined with massage could improve the clinical therapeutic effect of patients with knee osteoarthritis. Limited by the quality of the included studies, the conclusions obtained still need to be further validated.
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影响因子：
7
作者：
Bannuru, R. R.;Osani, M. C.;McAlindon, T. E.
通讯作者：
McAlindon, T. E.
影响因子：
3.1
作者：
Han, Yanhong;Huang, Hetao;Liu, Jun
通讯作者：
Liu, Jun
影响因子：
0.5
作者：
Feng, Wang;Li Ming-gang;Fei, Li
通讯作者：
Fei, Li
影响因子：
--
作者：
HOCHBERG, MC;ALTMAN, RD;SCHNITZER, TJ
通讯作者：
SCHNITZER, TJ
影响因子：
--
作者：
ALTMAN, R;ASCH, E;WOLFE, F
通讯作者：
WOLFE, F