1.• 作者单位，江西中医药大学(江西 南昌330004)，(江西 南昌 330006);2.• 作者单位，江西中医药大学附属医院，(江西 南昌 330006)
※基金项目 国家重点研发计划“中医药现代化研究”重点专项（No.2018YFC1705303）
目的 系统分析走罐疗法治疗寻常型银屑病的疗效。方法 使用计算机检索中国知网、万方数据、维普期刊、中国生物医学文献数据库、Pubmed、cochrane library等数据库，通过检索词查找走罐治疗寻常型银屑病的临床随机对照试验，文献时限为建库以来至2019年10月，分别由两名评估员进行检索并筛选文献，并使用cochrane 5.1评价手册评价纳入文献的质量及偏倚风险，运用RevMan 5.3软件对纳入文献的数据进行分析。结果 最后纳入7篇文献，共计640例寻常型银屑病患者。Meta分析结果显示：走罐组治疗寻常型银屑病的有效率高于对照组［OR=4.60，95%CI（2.73，7.78），Z=5.71，P＜0.00001］，具有显著差异；走罐组治疗寻常型银屑病后PAIS评分低于对照组［MD=-2.77，95%CI（-3.92，-1.61），Z=4.69，P＜0.00001］，具有显著差异。结论 通过走罐疗法治疗寻常型银屑病，其有效率及对PASI评分的影响均优于其它治疗方法。
Objective: to systematically analyze the therapeutic effect of cupping therapy on psoriasis vulgaris. Methods: using CNKI, Wanfang, VIP, CBM, PubMed, Cochrane Library and other databases, we searched the RCTs test of canning for the treatment of psoriasis vulgaris. The time limit of literature was from the establishment of the database to October 2019. 180 articles were searched. In addition, two assessors searched and screened the literature, and used Cochrane 5.1 evaluation manual to evaluate the quality and bias risk of the included literature, and used Revman 5.3 software to analyze the data of the included literature. Results: totally 640 psoriasis patients were included in 8 articles. According to the meta-analysis of the effective rate, the effective rate of the caning group was significantly higher than that of the control group (or = 4.60, 95% CI [2.73, 7.78], z = 5.71, P < 0.00001); the pais score of the caning group was significantly lower than that of the control group (MD = -2.77, 95% CI [- 3.92, - 1.61], z = 4.69, P < 0.00001). Conclusion: the effect of cupping therapy on psoriasis is better than that of other treatment methods, but the literature included is less, there is a certain bias, it still needs multi center, large sample double-blind clinical observation to verify its effectiveness and safety.
●刘明强,杜晓燕,徐嘉毓,龙雨,邱桂荣,黄港.走罐治疗寻常型银屑病的疗效及对PASI评分影响的Meta分析※[J].,2020,19(2):52-56
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