针灸治疗脊柱侧凸的有效性:一项系统综述

Seong-Kyeong Choi, H. Jo, J. Moon, J. Jang, Seo-Hyun Park, Won-Suk Sung, Dong-Ho Geum, Eun-Jung Kim
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引用次数: 0

摘要

脊柱侧凸是脊柱的三维变化,表现为Cobb角以上10°。各种针灸方法越来越多地被用于矫正脊柱侧凸。然而,尚未发表系统综述。因此,我们在本系统综述中报道针灸治疗轻度脊柱侧凸的有效性。我们检索了2021年6月前发表的针灸治疗脊柱侧凸的各种数据库。主要终点为Cobb角,次要终点为以患者为中心的评分。确定了6项研究。将联合治疗与针刺等治疗方法进行比较的随机对照试验显示,Cobb角和有效率均有显著改善,但证据质量较低。针刺单药治疗可显著改善Cobb角,且与其他治疗方法相比异质性较高,但有效率无显著改善,且证据质量较低。无论何种类型的脊柱侧凸,针刺单一疗法或针刺联合疗法均能显著改善Cobb角,且证据质量为中等。在回顾的6项研究中未观察到严重的不良事件。针灸被认为是安全的,当它与其他传统疗法一起使用时更有效。
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Effectiveness of Acupuncture for Scoliosis: A Systematic Review
Scoliosis is a 3-dimensional change of the spine, presenting 10° above Cobb angle. Various acupuncture methods are being increasingly performed to correct scoliosis. However, no systematic review has been published. Therefore, we report on the effectiveness of acupuncture on mild scoliosis in this systematic review. We searched various databases for acupuncture treatment for scoliosis published before June 2021. The primary outcome was Cobb angle, and the secondary outcomes were patient-centered scores. Six studies were identified. RCTs that compared combination therapy with acupuncture, and other treatment methods and showed significant improvement in the Cobb angle, and effective rate, but, with low quality evidence. Acupuncture monotherapy resulted in significant improvement in the Cobb angle and had high heterogeneity compared with other treatment methods, but no significant improvement in the effective rate was observed, and the quality of evidence was low. Regardless of the type of scoliosis, acupuncture monotherapy or combination therapy with acupuncture showed significant improvement in the Cobb angle, and the quality of evidence was moderate. No serious adverse events were observed in the 6 studies reviewed. Acupuncture is considered safe, and it is more effective when performed with other conventional treatments.
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30
审稿时长
12 weeks
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