A meta-analysis of the clinical efficacy of the combination of acupuncture and Chinese medicine in the treatment of haemorrhoids

Abstract

At present, surgical resection is the main method of the treatment of haemorrhoids, but is easy to recur after surgery. Recently, it is reported that acupuncture has a beneficial influence on haemorrhoids. Thus, whether acupuncture is effective in the treatment of haemorrhoids is the key in this meta-analysis. To evaluate the clinical efficacy of the treatment of combination of acupuncture and Chinese medicine in haemorrhoids by meta-analysis, which provide a scientific, effective and feasible evidence for clinical decision-making and practice. A systematic review and meta-analysis of randomized clinical trials (RCTs). A meta-analysis was performed by using Review Manager 5.3. All RCTs about combination of acupuncture and Chinese medicine versus Chinese medicine alone were selected and assessed for inclusion. The effective rate (ER), recurrence rate(RR), Symptom score before and after treatment (perianal edema, hemafecia, perianal pain, pruritus ani, prolapse of haemorrhoids) were the outcomes analyzed in this meta-analysis. II RCTs and 976 patients were included. The methodological quality of most included trials was low to moderate. In this meta-analysis, the clinical efficacy of combination of acupuncture and Chinese medicine was more effective than only Chinese medicine used in haemorrhoids. The effective rate [OR=5.24,95%CI(3.72,7.40), P

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针灸与中药结合治疗痔疮临床疗效的meta分析

目前，手术切除是治疗痔疮的主要方法，但手术后容易复发。最近，有报道称针灸对痔疮有有益的影响。因此，针灸治疗痔疮是否有效是本荟萃分析的关键。通过荟萃分析，评价针灸与中药结合治疗痔疮的临床疗效，为临床决策和实践提供科学、有效、可行的依据。随机临床试验(rct)的系统回顾和荟萃分析。使用Review Manager 5.3进行meta分析。所有关于针灸和中药结合与单独使用中药的随机对照试验均被选择并评估纳入。有效率(ER)、复发率(RR)、治疗前后症状评分(肛周水肿、便血、肛周疼痛、瘙痒、痔疮脱垂)是本meta分析的结果。纳入2项随机对照试验和976例患者。大多数纳入的试验的方法学质量为低到中等。在本荟萃分析中，针灸与中药结合治疗痔疮的临床疗效比单纯使用中药更有效。有效率[OR=5.24,95%CI(3.72,7.40)， P< 0.05]。，复发率[OR= 0。29日,95% ci (O。Ii, 0.73)， p = 0。[009]，肛周水肿[WMD=- 0.74,95%CI-O]。90 o。59岁的P < O。OOOOI],便血[大规模杀伤性武器= -O.78 ci-o 95%。89 to-O.67。P < O。[qh]，肛周疼痛[WMD=- 0.72,95%CI-O]。94 o。50 P < O。WMD=- 0.75,95%CI-O。92 o。58岁的P < O。[qh]和痔疮脱垂[WMD=-0.43,95%CI-O]。84 o。02年,P = O。[04]在本荟萃分析中显示。(OR:优势比;CI:置信区间;WMD:加权平均差)。针灸结合中药治疗痔疮的临床有效率约为96%，单用中药治疗痔疮的临床有效率约为89%，明显表明实验组的疗效比对照组高7%。针灸与中医结合治疗痔疮比单纯中医治疗痔疮更有效，平均临床疗效达91%。

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