針刺與雷射針刺治療肘外側肌腱炎的文獻綜述

本研究目的是以系統回顧探討針刺與雷射針刺運用於穴位治療，對肘外側肌腱炎的療效分析，搜尋Medline、PubMed及CINAHL資料庫，發表時間爲1987年至2008年五月，輸入關鍵字尋找隨機控制的研究，回頗分析採針刺或雷射針刺治療肘外側肌腱炎的效果，再進行各文獻的療效分析比較。結果共收錄7篇隨機控制的研究，4篇採針刺，3篇採雷射針刺治療，以治療後的療效評價數據進行分析，發現針刺中的2篇文獻的療效(NNT:1.85, OR:11.40, 95%CI:2.51-55.29; NNT:3.50, OR:3.53, 95%CI:1.23-10.29)，具有統計上的顯著差異。針刺對肘外側肌腱炎具有短期的止痛療效，而長期的止痛療效較不顯著，適當的穴位點與針刺深度則能達到治療肘外側肌腱炎的效果。針刺優於雷射針刺的療效，而雷射針刺是否能達到針刺的治療效果，仍需更多研究進行探討。

關鍵字

肘外側肌腱炎；雷射針刺；針刺；穴位

並列摘要

Acupuncture is one of traditional Chinese medicine to treat lateral epicondylitis, and there are two types of interventions, needle and laser acupuncture. The purpose of this study was to systematically review and to compare the therapeutic effects of acupuncture versus laser acupuncture to patients with lateral epicondylitis. We searched several electronic databases, including Medline, PubMed and C1NA- HL, and explored the studies, which were randomized controlled trials on therapeutic effects of acupuncture or laser acupuncture for lateral epicondylitis from 1987 to May 2008. Furthermore, their therapeutic effects were compared and analyzed. We recruited 7 articles that four of them adopted acupuncture and the others three adopted laser acupuncture to patients with lateral epicondylitis. After treatment, the results of two articles revealed applying acupuncture would be able to significantly improve therapeutic effects (NNT:1.85, OR:11.40, 95%CI:2.51-55.29; NNT:3.50, OR:3.53, 95%CI:1.23-10.29). We conclude that the acupuncture with correct selection of the acupuncture points and the depth of penetration can effectively treat lateral epicondylitis and have short-term analgesic effect. Acupuncture is more effective than laser acupuncture which needs further research of therapeutic effects in the future.

並列關鍵字

Lateral epicondylitis ； Laser acupuncture ； Acupuncture ； Acupuncture point

國際替代計量

針刺與雷射針刺治療肘外側肌腱炎的文獻綜述

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