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Acupuncture for Osteoarthritis The Cochrane Database of Systematic Reviews

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Abstract

Objective

To evaluate the efficacy and safety of acupuncture for the handling of knee osteoarthritis and to provide prove for its use in clinical practice.

Methods

Eight databases were extensively searched upward to March 2018. Randomized controlled trials (RCTs) comparing the efficacy of acupuncture with sham acupuncture or no acupuncture for articulatio genus osteoarthritis were included. Study selection, data extraction and quality cess were independently conducted by two reviewers. The Cochrane Collaboration's tool was used for assessing the take chances of bias.

Results

A total of 18 RCTs were included, involving a total of iii 522 participants. The results showed that acupuncture was superior to sham acupuncture in relieving pain (SMD=−0.34, 95%CI: −0.57 to −0.eleven, 50 2=85%, P=0.003) and improving physical role (SMD=−0.34, 95%CI: −0.57 to −0.11, l 2=85%, P=0.003). In comparison to the no-acupuncture group, the acupuncture group also showed pregnant advantages in relieving pain (SMD=−0.79, 95%CI: −1.fifteen to −0.43, l 2=87%, P<0.0001) and improving physical role (SMD=−0.75, 95%CI: −one.nineteen to −0.31, l ii=91%, P=0.0008). Sensitivity analyses suggested that the results were robust, and Egger'southward test establish no potential publication bias.

Determination

In the handling of genu osteoarthritis, the acupuncture group had significant advantages over sham acupuncture or no-acupuncture groups in relieving pain and improving physical role.

摘要

目的

评估针刺治疗膝骨性关节炎的有效性及安全性, 并为其临床应用提供依据.

方法

共检索 viii 个数据库, 检索时间从建库到 2018 年 3 月, 纳入分析针刺对比假针刺或针刺对比无针刺治疗膝骨性关节炎的随机对照试验. 两位评审员独立进行文献筛选、 数据提取和质量评估. 采用 Cochrane 风险评估工具评估纳入文献的偏 倚风险.

结果

纳入随机对照试验 xviii 个, 涉及总人数 iii 522. 结果发现, 针刺组在缓解关节疼痛及改善关节功能方面均优于假针刺组[SMD=−0.34; 95%CI (−0.57, −0.eleven); I two=85%; P=0.003], [SMD=−0.34, 95%CI (−0.57, −0.xi), I 2=85%, P=0.003]. 针刺组对比无针刺组, 在缓解关节疼痛及改善关节功能方面同样显示显著优势[SMD=−0.79, 95%CI (−1.xv, −0.43), I two=87%, P<0.0001), [SMD=−0.75, 95%CI (−1.19, −0.31), I 2=91%, P=0.0008]. 敏感性分析提示结果稳固, Egger 检验也未发现潜在的发表偏倚.

结论

针刺组对比假针刺组或无针刺组在缓解膝骨性关节炎疼痛、 提高关节功能方面具有优势.

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Acknowledgments

This work was supported past grants from Project of Clinical Base Structure of Chinese Medicine Rehabilitation of Shanghai Health and Family Planning Commission (上海市卫计委中医康复临床基地建设项目, No. ZY3-LCPT-1-1008).

Writer data

Affiliations

  1. School of Acupuncture-moxibustion and Tuina, Shanghai University of Traditional Chinese Medicine, Shanghai, 201203, Prc

    Ting-ting Wang & Yang Liu

  2. College of Clinical Medicine, Shanghai Jiao Tong Academy, Shanghai, 200025, Red china

    Zhi-yuan Ning

  3. Department of Rehabilitation, Yueyang Hospital of Integrated Chinese and Western Medicine Shanghai University of Traditional Chinese Medicine, Shanghai, 200437, Cathay

    Rui Qi

Corresponding writer

Correspondence to Rui Qi.

Ideals declarations

The authors declare no conflicts of interest.

Additional information

Writer: Wang Ting-ting, G.M., resident physician

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Cite this commodity

Wang, Tt., Liu, Y., Ning, Zy. et al. Efficacy and safety of acupuncture for the treatment of knee osteoarthritis: a systematic review and meta-assay. J. Acupunct. Tuina. Sci. xviii, 180–190 (2020). https://doi.org/x.1007/s11726-020-1177-nine

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  • Published:

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  • DOI : https://doi.org/ten.1007/s11726-020-1177-9

Keywords

  • Acupuncture Therapy
  • Osteoarthritis, Human knee
  • Pain
  • Meta-assay
  • Systematic Review
  • Randomized Controlled Trials

关键词

  • 针刺疗法
  • 骨关节炎, 膝
  • 疼痛
  • Meta 分析
  • 系统评价
  • 随机对照试验

中图分类号

  • R246.two

文献标志码

  • A

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Source: https://link.springer.com/article/10.1007/s11726-020-1177-9

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