Mesh : Humans Tenosynovitis / therapy Acupuncture Therapy / methods Research Design Tendons China

来  源:   DOI:10.1097/MD.0000000000031504

Abstract:
BACKGROUND: Acupotomy was used to treat tenosynovitis of hand flexor tendons (THFT) in China. But it\'s uncertain about the efficacy of acupotomy for THFT. We plan to evaluate the efficacy and safety about acupotomy therapy in the treatment of THFT through this review.
METHODS: The protocol about this review was registered in PROSPERO (registration number: CRD42022330568). We searched 6 databases from their respective inception dates to January 11, 2022. Studies searched was screened by our reviewers, and then the raw data was filtered out. We used RevMan 5.3 software to perform statistical analysis.
RESULTS: 11 studies involving 828 patients were shortlisted. The experimental group showed obvious advantages compared with the control group, such as effective rate (odds ratio [OR] = 6.77, 95% CI [confidence intervals] = [3.89, 11.77], P < .00001), cure rate (OR = 3.32, 95% CI = [1.81, 6.11], P = .0001) and Vas score (MD = -1.21, 95% CI = [-2.00, -0.42], Z = 3.01, P < .003).
CONCLUSIONS: According to the above results, Acupotomy is an effective and safe treatment for THFT. So it should be recommended for the treatment of THFT patients.
摘要:
背景:针刀在中国用于治疗手屈肌腱(THC)的腱鞘炎。但针刀治疗THFT的疗效尚不确定。我们计划通过这篇综述来评估针刀疗法治疗THC的有效性和安全性。
方法:本次综述的方案已在PROSPERO(注册号:CRD42022330568)中注册。我们从各自的成立日期到2022年1月11日搜索了6个数据库。搜索的研究由我们的审稿人筛选,然后过滤掉原始数据。采用RevMan5.3软件进行统计分析。
结果:11项研究纳入828例患者入围。实验组与对照组相比具有明显的优势,如有效率(比值比[OR]=6.77,95%CI[置信区间]=[3.89,11.77],P<.00001),治愈率(OR=3.32,95%CI=[1.81,6.11],P=0.0001)和Vas评分(MD=-1.21,95%CI=[-2.00,-0.42],Z=3.01,P<.003)。
结论:根据上述结果,针刀是一种安全有效的治疗方法。因此,应建议将其用于THFT患者的治疗。
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