针灸治疗慢性前列腺炎疗效的Meta分析

Efficacy of Acupuncture Treatment on Chronic Prostatitis: Meta-Analysis

摘要: 目的：评价针灸治疗慢性前列腺炎(CP)的临床有效性，并对临床文献进行质量评价。方法：检索2000年1月~2012年2月CNKI、PubMed数据库中有关针灸与药物治疗CP对照研究的RCT文献与CCT文献，并用RevMan 5.1软件进行统计分析。结果：共有30篇文献符合纳入标准，共计3108例患者。经过Meta分析结果显示，针灸与药物治疗CP的总体有效率相比，有极其显著性差异[OR = 3.69，其95%CI为(2.97，4.59)，经Z检验，Z = 11.76，P < 0.00001]。二者治疗后症状积分相比，有极其显著性差异[WMD = –4.01，其95%CI为(–4.77，–3.25)，经Z检验，Z = 10.34，P < 0.00001]。结论：从总体而言，针灸组治疗慢性前列腺炎的总体有效率和症状积分改善方面明显由于常规药物治疗组，在治疗CP上取得的疗效值得肯定。

Abstract: Objective: To assess the efficacy of acupuncture and moxibustion treatment on chronic prostatitis, and evaluate the quality of the literatures. Methods: Retrieving the published literatures from 2011 Jan to 2012 Jan on the CNKI and PubMed database. Selecting to meet the requirements of the RCT and CCT which study the efficacy of the acupuncture and moxibustion treatment on chronic prostatitis compared with conventional medical treatment. Doing Meta-analysis of the literatures by RevMan 5.1 software. Results: A total of 30 literatures and 3108 cases of patients in this study. Meta analysis showed a siginificant difference on overall effectiveness between the acupuncture and moxibus- tion treatment groups and conventional medical treatment [OR = 3.69, 95% CI (2.97, 4.59), Z = 11.76, P < 0.00001]. Also, there is a siginificant difference of the Symptom Score of the two groups comparison [WMD = –4.01, 95% CI (–4.77, –3.25), Z = 10.34, P < 0.00001]. Conclusion: From overall, the total effectiveness and the symptom score about acupuncture and moxibustion treatment on CP groups have significant difference than conventional medical treatment groups. Therefore, the effectiveness of acupuncture and moxbusition treatment on CP is wroth to affirmation.