针灸治疗肠易激综合征的临床证据_李智浩.pdf

《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