針灸治療促進泌尿系統結石排出之輔助治療成效：系統性文獻回顧與統合分析

Acupuncture Treatment As An Adjuvant Therapy To Promote Urinary Stone Passage Rate: A Systematic Review And Meta-analysis

蔡馥光(Fu-Kuang Tsai) ； 葉俊東(Chun-Tung Yeh)

《中醫藥雜誌》 31卷1期 (2020/06) Pp. 20-30

https://doi.org/10.6940/JCM.202006_31(1).03

摘要

目的：利用文獻回顧與統合分析了解針灸治療在促使泌尿系統結石排出的效果與常用穴位處方。方法：在資料庫PubMed、Embase、Cochrane Library和中國期刊網中，以符合與排除條件，搜尋至2018年12月，選取以針灸治療促使泌尿系統結石排出之隨機對照臨床研究，以治療後結石有明顯排出的案例數為結果分析。數據分析以Comprehensive Meta-Analysis（CMA）第3版軟體執行。結果：本文獻回顧有13篇隨機對照研究符合條件收納進入統合分析，發現有加入針灸治療的治療組與未加入的對照組之泌尿系統結石排出勝算比（odds ratio）為1.872，95%信賴區間為1.485～2.360，顯示加入針灸治療後泌尿系統結石的排出率明顯較高，且具有統計上的意義（P＜0.05）。結論：針灸治療有利於泌尿系統結石的排出。

關鍵字

泌尿系統結石 ； 尿石症 ； 針灸

並列摘要

Objective: This systematic review aimed to survey how acupuncture treatment effect in the rate of urinary stone passage and the common acupuncture points used in urolithiasis. Method: PubMed, Embase, Cochrane Library and China Academic Journals Full-text Database will be searched from their inception to December, 2018. Randomized controlled trials (RCTs) that evaluated the effect of urinary stone passage rate in acupuncture treatment will be included. The outcome measures will include the numbers of stone passage after treatment. Study selection, data extraction, and risk of bias assessment will be independently undertaken, respectively. Statistical analysis will be conducted by Comprehensive Meta- Analysis (CMA) software, version 3. Results: This systematic review included 13 RCTs to meta-analysis. The Odds ratio is 1.872 (95% confidence level is 1.485 ~2.360) between treatment group with acupuncture treatment and control group. The stone passage rate is higher in treatment group with acupuncture treatment (P＜0.05). Conclusion: Acupuncture treatment can promote the urinary stone passage rate.

並列關鍵字

urinary stone ； urolithiasis ； acupuncture

參考文獻

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