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《针灸治疗肠易激综合征的临床证据_李智浩.pdf》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、·338·辽宁中医杂志2012年第39卷第2期针灸治疗肠易激综合征的临床证据1211李智浩,杜元灏,黎波,王栩(1.天津中医药大学,天津300193;2.天津中医药大学第一附属医院,天津300193)摘要:目的:通过对针灸治疗肠易激综合征相关文献的整理评价,提炼出高质量的临床证据,以便于临床医师做出科学的决策。方法:全面检索相关文献,按照循证医学5级标准从高到低选出能够回答对应临床问题的证据,并采用RevMan5.0统计结局指标。结果:有1项A级证据证明针灸治疗肠易激综合征有效;4项B级证据显示针灸与常规西药(得舒特、培菲康等)相比可能有治疗优
2、势;1项B级证据(得舒特)、1项C级证据(美常安)显示针灸结合西药可能有增效之功;1项C级证据显示针灸配合其他疗法(如心理疗法等)可能有效,1项C级证据证明不同刺灸法之间疗效可能有差异。结论:针灸治疗肠易激综合征的疗效可能优于西药,若配合其他西药治疗可达增效之功,但仍需更多的大样本多中心的临床试验或系统评价/Meta分析证明。关键词:针灸;肠易激综合征;临床证据;循证医学中图分类号:R246文献标识码:A文章编号:1000-1719(2012)02-338-04ClinicalEvidenceofAcupunctureTherapyforIrr
3、itableBowelSyndrome1211LIZhi-hao,DUYuan-hao,LIBo,WANGXu(1.TianjinUniversityofTraditionalChineseMedicine,Tianjin300193,China;2.ThefirstAffiliatedHospitalofTianjinUniversityofTCM,Tianjin300193,China)Abstract:Objective:Toevaluatetheclinicalstudiesofacupuncturefortreatmentofirri
4、tablebowelsyndromeandcollectthehighqualityevidenceforclinicaldecision-makingreference.Methods:Thedocumentsofclinicalstudywerecomprehensivelyre-trieved.Accordingtocriterionofevidence-basedmedicine,theevidencefromhightolowlevelwasselectedtoanswercorre-spondingclinicalquestions
5、andRevMan5.0wasusedtoanalyzethefinalindicator.Results:TherewasonlyoneLevel-Aevi-denceshowedtheeffectivenessofacupunctureforirritablebowelsyndrome.BesidesfourLevel-BevidenceshowedrespectivelythatacupuncturemightbesuperiortoDicetelandBifidTripleViableCapsulePowder.Moreover,aLe
6、vel-Bevidence(Dicetel)andaLevel-Cevidence(LivedCombinedB.SubtilisAndE.FaeciumEnteric-CoatedCapsules)showedthatacupuncturecom-binedwithwesternmedicinewassuperiortowesternmedicinealone.Finallyalevel-Cevidenceprovedthatacupuncturewithpsychologicalmaybeeffective,alevel-Cevidence
7、provedthatdifferentacupunctureandmoxibustionmethodsmayhavedissimi-lareffects.Conclusion:Acupunctureforirritablebowelsyndromehasaprobablypositiveeffect.What’smore,acupuncturecom-binedwithwesternmedicinecanstrengthenthecurativeeffect.However,thisconclusionshouldbeprovedbyclini
8、caltrialofran-domizedcontrolleddoubleblindstudiesorsystematicreviewsandMeta
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