Objective: To evaluate the curative effect and safety of abdominal acupuncture in treating lumbar disc herniation(LDH).Methods:Retrieved randomized controued trials(RCTs)that meet the inclusion criteria and extracted baseline data included in the literature,assessed the risk bias of the literature.A funnel plot was adopted to evaluate the publication bias.RevMan 5.3 software was applied for Meta-analysis.Results:A total of 27 RCTs were included.The result of the analysis showed that, the clinical effect: compared the total effective rate of the abdominal acupuncture group and the control group in treating lumbar disc herniation,difference being significant[OR=4.71,95%CI(3.41,6.52),P < 0.000 01].Further analyzed the simple abdominal acupuncture therapy and abdominal acupuncture combined with other therapies in subgroups,and the combined effect amounts were respectively[OR=4.66,95%CI(3.16,6.85),P < 0.000 01]and[OR=4.85,95%CI(2.67,8.79),P < 0.000 01].The clinical effect in two subgroups of the treatment group was better than that of th e control group.Curative effect of Modify Japanese orthopedic association low back pain score(M-JOA):the curative effect of improving M-JOA score in the abdominal acupuncture group was better than that in the control group[MD=2.52,95%CI(0.66,4.38),P=0.008].Curative effect of Visual analogue scales(VAS):among those researches the curative effect of the simple abdominal acupuncture group in three researches was better than that in the control group(P < 0.05),while the curative effect of the simple abdominal acupuncture group in other three researches was equivalent to that in the control group(P< 0.05),and the curative effect in the group of abdominal acupuncture combined with other therapies was better than that in the control group(P<0.05).Conclusion:The abdominal acupuncture therapy is an effective therapy in the clinical treatment of LDH,and the curative effect in the group of abdominal acupuncture combined with other therapies is more significant.But the evidence still needs verifying by more high-quality tests due to the irregular quality of the included methodology.
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胡汉通,王超,狄忠,李邦伟,高宏.腹针治疗腰椎间盘突出症临床疗效 Meta 分析[J].新中医,2018,50(6):54-59