小针刀联合中医治疗腰椎间盘突出网状Meta分析

Reticular Meta-Analysis of Small Needle Knife Combined with Traditional Chinese Medicine in the Treatment of Lumbar Disc Herniation

摘要: 目的：探究小针刀联合中医治疗腰椎间盘突出症的疗效。方法：检索西安体育学院图书馆中国知网、维普、万方等中英文数据库，查找相关文献。检索时间为2012年1月~2022年8月。结果：共纳入25篇，包括2713名患者、6种干预措施。网状Meta分析疗效排序显示：小针刀 + 针灸的治疗在文章所涉及的6种干预措施中疗效最好。结论：小针刀联合中医治疗优于单一小针刀治疗且在临床疗效上具有统计学意义。研究者认为临床治疗中可为患者推荐小针刀 + 针灸、小针刀 + 穴位埋线、小针刀 + 中药外用三种可选治疗方案。但由于纳入文献质量偏低，未来需要更多高质量文献加以佐证。

Abstract: Objective: To explore the effectiveness of small needle knife combined with traditional Chinese medicine in the treatment of lumbar disc herniation. Methods: Chinese and English databases, in-cluding the China National Knowledge Infrastructure (CNKI), VIP, and Wanfang, were searched at Xi’an Physical Education University Library. The search covered the period from January 2012 to August 2022. Results: A total of 25 articles were included, involving 2713 patients and 6 interven-tion measures. The reticular meta-analysis of the treatment efficacy ranking showed that the com-bination of small needle knife and acupuncture had the best efficacy among the 6 intervention measures mentioned in the articles. Conclusion: The combination of small needle knife and tradi-tional Chinese medicine treatment is superior to single small needle knife treatment and has statis-tical significance in clinical efficacy. The researchers believe that in clinical practice, small needle knife + acupuncture, small needle knife + acupoint embedding, and small needle knife + topical Chinese medicine are three optional treatment options that can be recommended to patients. How-ever, due to the low quality of the included literature, more high-quality studies are needed in the future to support these findings.