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针治疗部疼痛的有效性:系统性审查和元分析与试验序列分析

Chao-Rong Xie¹, Zhi-Yang Zhang¹, Qing-Feng Tao¹

¹Acupuncture and Tuina School, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, People's Republic of China.

Journal of pain research

|December 1, 2025

概括

针可能是一种安全有效的治疗部疼痛,减少疼痛强度和改善功能. 试验的顺序分析支持其有效性,即使证据质量适度.

科学领域:

综合医学是一个整体的医学.
疼痛管理疼痛管理
临床研究方法论临床研究方法论

背景情况:

针是一种常见的治疗部疼痛的干预方法.
之前的研究表明,针可以减少部疼痛的强度,但由于重复的意义测试,其有效性受到争议.
针治疗部疼痛的疗效和安全性需要进一步进行强有力的研究.

研究的目的:

评估针治疗部疼痛的疗效和安全性.
通过元分析和试验顺序分析 (TSA) 来解决先前研究中不确定的发现.

主要方法:

在OVID Medline,Embase和Cochrane图书馆进行了系统的搜索,直到2024年10月30日.
包括随机对照试验 (RCT),比较针与成人部疼痛的惰性,手动或活性治疗.
使用元分析和试验顺序分析 (TSA) 来评估证据.

主要成果:

分析了3520名参与者的26项试验;50%的偏见风险低.
与惰性治疗相比,针显著降低了疼痛强度 (MD -1.26,95% CI -1.77至 -0.75) 和疼痛感知 (MD -3.46,95% CI -5.71至 -1.21).
TSA证实了针在减少疼痛和功能障碍方面的优越性 (MD -6.52,95% CI -9.8至 -3.2),满足了所需的信息大小.

结论:

针似乎是一种安全有效的治疗部疼痛,由TSA发现支持.
尽管证据质量和异质性低至中等,但针对于那些对传统疗法没有反应的患者来说是一个潜在的选择.
需要高质量的试验来巩固这些发现并加强证据基础.

关键词:

针是一种针,针是一种针.这是一个元分析.部疼痛部疼痛部疼痛系统性审查系统性审查试验的顺序分析.

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