膝关节骨性关节炎刮治疗法:系统回顾与 Meta 分析。

Chen Dandan, Jin Qianhong, Shen Yuanjuan, Wang Qing, Dai Zhengxiang
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引用次数: 0

摘要

目的:系统评估刮痧疗法对膝关节骨性关节炎(KOA)的疗效:系统评价刮痧疗法对膝关节骨性关节炎(KOA)的疗效:方法:在PubMed、Web of Science、Cochrane Library、中国知网数据库、中国科技期刊数据库、万方数据库、中国生物医学文献数据库等多个数据库中进行计算机检索,检索时间从这些数据库建立之日起至2023年4月9日。按照 "参与者-干预-对照-结果-研究设计 "的标准,收集有关刮痧治疗 KOA 的随机对照试验(RCT)。使用 RoB 2.0 对纳入的研究进行方法学评估,并使用 RevMan 进行 Meta 分析。采用建议评估、发展和评价分级系统(GRADE System)对证据质量进行分级:Meta分析共纳入了12项RCT,997名受试者。结果显示,与对照组相比,刮痧疗法治疗组的 Lysholm 评分[平均差(MD)= 4.96,95% 置信区间(CI)(3.18,6.74),P < 0.000 01]和特殊外科医院评分[MD= 8.35,95% CI(3.92,12.78),P =0.0002]和视觉模拟量表评分降低[MD=-2.11,95% CI(-3.79,-0.44),P =0.01]以及西安大略和麦克马斯特大学骨关节炎指数评分降低[MD=-6.77,95% CI(-8.99,-4.56),P < 0.000 01)]。根据 GRADE 系统,该 Meta 分析的证据质量较低:现有证据表明,刮宫疗法在治疗 KOA 方面可能具有一定的临床疗效。结论:现有证据表明,刮痧疗法在治疗 KOA 方面可能具有一定的临床疗效,但还需要更多高质量的 RCT 研究来证实这些发现。
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Scraping therapy for knee osteoarthritis: a systematic review and Meta-analysis.

Objective: To systematically evaluate the efficacy of scraping therapy on knee osteoarthritis (KOA).

Methods: A computerized search was conducted in several databases, including PubMed, Web of Science, Cochrane Library, China National Knowledge Infrastructure Database, China Science and Technology Journal Database, Wanfang, and Chinese BioMedical Literature Database, from the establishment date of these databases to April 9, 2023. Randomized controlled trials (RCTs) on scraping therapy for KOA were collected in accordance with the "Participants-Intervention-Control-Outcome-Study design" criteria. The methodological evaluation of the included studies was carried out using RoB 2.0, and Meta-analysis was conducted using RevMan. The Grades of Recommendations Assessment, Development and Evaluation (GRADE System) was applied to grade the quality of evidence.

Results: A total of 12 RCTs with 997 subjects were included in the Meta-analysis. Results indicated that compared with the control group, the scraping therapy treatment group exhibited increased Lysholm scores [mean difference (MD) = 4.96, 95% confidence intervals (CI) (3.18, 6.74), P < 0.000 01] and Hospital for Special Surgery scores [MD= 8.35, 95% CI(3.92, 12.78), P =0.0002] and decreased visual analog scale scores [MD = -2.11, 95% CI(-3.79, -0.44), P =0.01] and Western Ontario and McMaster University Osteoarthritis Index scores [MD= -6.77, 95% CI(-8.99, -4.56), P < 0.000 01)]. The quality of evidence obtained in this Meta-analysis was low according to the GRADE system.

Conclusion: The available evidence suggests that scraping therapy may have certain clinical efficacy in the treatment of KOA. However, further high-quality RCTs are needed to confirm the findings.

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