[1]孙圆圆,徐霞,王亚洁,等.气血亏虚型神经根型颈椎病中医辨证施护疗效评价的Meta分析[J].西部中医药,2022,35(05):54-61.[doi:10.12174/j.issn.2096-9600.2022.05.15]
　SUN Yuanyuan,XU Xia,WANG Yajie,et al.Meta Analysis of Effects Evaluation of TCM Syndrome Differentiation and Nursing on Cervical Spondylotic Radiculopathy of Qi-blood Deficiency Pattern[J].Western Journal of Traditional Chinese Medicine,2022,35(05):54-61.[doi:10.12174/j.issn.2096-9600.2022.05.15]
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气血亏虚型神经根型颈椎病中医辨证施护疗效评价的Meta分析
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《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
35
期数:
2022年05期
页码:
54-61
栏目:
出版日期:
2022-05-15

文章信息/Info

Title:
Meta Analysis of Effects Evaluation of TCM Syndrome Differentiation and Nursing on Cervical Spondylotic Radiculopathy of Qi-blood Deficiency Pattern
作者:
孙圆圆1, 徐霞2, 王亚洁1, 刘晓花1, 何琴1, 马真琴2, 李文娟2, 李亚欣3
1.甘肃中医药大学，甘肃 兰州 730030
2.甘肃省中医院
3.兰州大学临床医学院
Author(s):
SUN Yuanyuan1, XU Xia2, WANG Yajie1, LIU Xiaohua1, HE Qin1, MA Zhenqin2, LI Wenjuan2, LI Yaxin3
1.Gansu University of Chinese Medicine, Lanzhou 730030, China
2.Gansu Provincial Hospital of Traditional Chinese Medicine
3.Clinical Medical College of Lanzhou University
关键词:
神经根型颈椎病; 气血亏虚; 中医辨证施护; 护理; 疗效评价; Meta分析
Keywords:
cervical spondylotic radiculopathy; deficiency of and blood; TCM syndrome differentiation and nursing; nursing; evaluation of therapeutic efficiency; Meta-analysis
分类号:
R322
DOI:
10.12174/j.issn.2096-9600.2022.05.15
文献标志码:
A
摘要:
目的系统评价中医辨证施护对气血亏虚型神经根型颈椎病（cervical spondylotic radiculopathy，CSR）的护理效果。 方法计算机检索PubMed、MEDLINE、EMbase、The Cochrane Library、Web of Science、中国生物医学文献服务系统（SinoMed）、万方数据知识服务平台（WANFANG DATA）、维普数据库（VIP）和中国知网（CNKI），搜集有关对神经根型颈椎病的中医辨证施护的随机对照试验（randomized controlled trials，RCTs），检索时限均为建库至2020年9月。由2名研究者独立筛选文献，资料提取并评价纳入研究偏倚风险，采用RevMan 5.3软件进行数据分析。 结果共纳入17个中医护理RCTs，最终纳入14个气血亏虚型CSR中医辨证施护的RCTs研究。Meta分析结果显示：与常规护理组相比，中医辨证施护能降低气血亏虚型CSR患者视觉模拟疼痛评分法（visual analogue scale，VAS）评分（MD=-1.21，95%CI［-1.68，-0.74］，P＜0.000 01），包括VAS评分（治疗第7天）（MD=-0.54，95%CI［-0.78，-0.30］，P＜0.000 01）、VAS评分（治疗第14天）（MD=-0.58，95%CI［-0.78，-0.38］，P＜0.000 01）。临床疗效Meta分析结果显示：OR=5.11，95%CI［3.03，8.61］，P＜0.000 01＜0.05。 结论当前证据表明，中医辨证施护对降低气血亏虚型CSR患者疼痛水平，提高疗效是有效的。受纳入研究质量、数量及纳入研究仅中文文献符合纳入标准的限制，该研究尚待科研设计严谨，大样本，高质量的RCTs研究予以验证。
Abstract:
ObjectiveTo systematically assess nursing effects of TCM syndrome differentiation and nursing on cervical spondylotic radiculopathy (CSR) of Qi-blood deficiency pattern. MethodsPubMed, MEDLINE, EMbase, The Cochrane Library, Web of Science, SinoMed, WANFANG DATA, VIP and CNKI were searched to collect randomized controlled trials (RCTs) on TCM syndrome differentiation and nursing for CSR, the retrieval time was from the the establishment of the database to September 2020. Two researchers independently screened the literature, extracted the data and evaluated the risk of bias in the included studies, as well as analyzed the data using RevMan 5.3 software. ResultsA total of 17 RCTs on TCM nursing were included, consequently 14 RCTs on TCM syndrome differentiation and nursing for Qi-blood deficiency pattern CSR were included. The results of Meta analysis showed: compared with conventional care group, TCM syndrome differentiation and nursing could reduce the level of pain score （MD=-1.21, 95%CI[-1.68，-0.74]， P＜0.000 01), including;VAS score (at the seventh day of nursing): MD=-0.54, 95%CI[-0.78，-0.30],P＜0.00001);and VAS score (at the 14th day of nursing): (MD=-0.58, 95%CI[-0.78，-0.38], P＜0.000 01); Meta analysis of clinical effects: OR=5.11,95%CI[3.03,8.61),P＜0.000 01＜0.05. ConclusionThe current evidence shows that TCM syndrome differentiation and nursing could effectively reduce the level of pain and raise clinical effects for CSR patients of Qi-blood deficiency pattern. Limited by the quality of the included studies, the quantity and only Chinese literature met the criteria among the included literature, the above studies need to be verified by the well-designed, large-sample and high-quality RCTs studies.

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[1]董雯雯.循经弹拨结合悬吊运动疗法治疗神经根型颈椎病临床观察[J].西部中医药,2015,28(03):8.
[2]郭小荣.临床护理路径在神经根型颈椎病中的应用效果[J].西部中医药,2017,30(03):125.
　GUO Xiaorong.Effects of Clinical Nursing Pathway Applied to Cervical Spondylotic Radiculopathy[J].Western Journal of Traditional Chinese Medicine,2017,30(05):125.
[3]焦蕉,郑路丹,黎月恒,等.温经和血通痹方对奥沙利铂化疗后周围神经毒性气血亏虚型患者的影响[J].西部中医药,2020,33(05):75.[doi:10.12174/j.issn.1004-6852.2020.05.21]
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备注/Memo

备注/Memo:
孙圆圆（1995—），女，在读硕士研究生。研究方向：中医护理。国家自然科学基金地区基金（81960916）；兰州市医疗卫生专项（2018-3-37）。
更新日期/Last Update: 2022-06-24