Systematic evaluation and meta-analysis of acupuncture treatment for residual pain after lumbar disc

来源 :海南医科大学学报(英文版) | 被引量 : 0次 | 上传用户:binzhi0du
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Objective: To systematically evaluate the effectiveness and safety of acupuncture in the treatment of postoperative residual pain in lumbar disc hiation, and to provide evidence for its clinical treatment. Methods: A randomized controlled trial (RCT) of all acupuncture treatments for postoperative lumbar disc hiation in PubMed,CBM,CNKI,Wanfang,VIP,E mbase,and Cochrane libraries was published by May 2019,followed by RevMan5.3 software for meta-analysis. Results: 11 randomized controlled trials were included in 855 patients, including 428 in the experimental group and 427 in the control group, with a ratio of 1:1. The results of the meta-analysis showed that the overall effective rate of the experimental group [RR=1.22,95%CI(1.15,1.29),P<0.00001], visual analogue pain (VAS) score [MD=1.59, 95%CI(1.22,1.95),P<0.00001], Japanese Orthopaedic Association evaluation treatment score(JOA)[MD=5.66,95%CI (2.58,8.74),P=0.0003],the incidence of adverse hair loss [RR=0 .35,95%CI(0.18,0.71),P=0.003]were significantly better than the control group, the difference was statistically significant. Conclusion: Acupuncture has obvious advantages in the treatment of residual pain after lumbar disc hiation, which can significantly relieve postoperative pain and improve quality of life. However, the conclusions of this study need to be further verified by the large sample and high quality literature.
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