| 519 | 14 | 47 |
| 下载次数 | 被引频次 | 阅读次数 |
目的:采用目前国际公认的CONSORT声明对功能锻炼治疗神经根型颈椎病的随机对照试验进行回顾性分析,并评估其报告质量,为以后功能锻炼干预神经根型颈椎病的临床研究的改进提供参考和依据。方法:计算机检索国内大型数据库,包括中国知网,万方数据库,维普数据库,筛选出符合要求的文献运用CONSORT声明进行质量评定。结果:根据规定的纳入和排除标准,共检索出符合标准的文献30篇,没有文献在文题中提到随机对照试验,2篇文献明确了试验设计类型,1篇文献进行样本量的计算,13篇文献明确随机分配的方法,1篇文献实施了盲法,7篇文献对基线资料使用表格形式展现,对于试验注册、试验方案和资助方面,没有文献提及。结论:关于功能锻炼治疗神经根型颈椎病随机对照试验有些方面做到了规范报道,但是也有一些方面需要完善提高,在以后的随机对照试验报告中应高度重视和认真参考CONSORT声明,以提高试验研究的准确性及可信性。
Abstract：Objective: To review and evaluate the quality of the randomized controlled trials of exercise for the treatment of cervical radiculopathy with the present internationally recognized CONSORT statement, which provides reference and basis for the improvement of clinical research on exercise for intervening cervical radiculopathy in the future. Methods: A computer-based search of large domestic databases, including CNKI, Wanfang database and VIP database screened out literature that meet the requirements and used CONSORT statement for quality assessment. Results: According to the prescribed inclusion and exclusion criteria, 30 articles were retrieved in accordance with the standard. No literature was referred to the randomized controlled trial, 2 documents clearly defined the type of test design, 1 documents carried out the calculation of sample size, 13 documents clearly randomly assigned, 1 literature implemented the blind method, in the 7 literature, baseline information was shown in tabular form, and no reference was made to trial registration, trial protocol and funding. Conclusion: There are some aspects of randomized controlled trials on exercise for the treatment of cervical radiculopathy. However, there are some aspects that need to be improved. In the future randomized controlled trial report, the CONSORT statement should be highly valued and carefully considered to improve the accuracy and credibility of the research.
1 Corey DL,Comeau D.Cervical radiculopathy[J].The Medical clinics of North America,2014,98(4):791-799.
2 Sun W,Zheng K,Liu B,et al.Neuroprotective potential of gentongping in rat model of cervical spondylotic radiculopathy targeting PPAR-gamma pathway[J].Journal of Immunology Research,2017,2017:9152960.
3 Wei X,Wang S,Li L,et al.Clinical evidence of chinese massage therapy (Tui Na) for cervical radiculopathy:A systematic review and meta-analysis[J].Evidence-Based Complementary and Alternative Medicine :eCAM,2017,2017:9519285.
4 Khan RR,Awan WA,Rashid S,et al.A randomized controlled trial of intermittent Cervical Traction in sitting Vs.Supine position for the management of Cervical Radiculopathy[J].Pakistan Journal of Medical Sciences,2017,33(6):1333-1338.
5 欧国峰,董博,刘继华,等.神经根型颈椎病的中西医治疗进展[J].现代中西医结合杂志,2017,26(7):791-793.
6 Woods BI,Hilibrand AS.Cervical radiculopathy:epidemiology,etiology,diagnosis,and treatment[J].Journal of Spinal Disorders and Techniques,2015,28(5):E251-259.
7 于杰,朱立国,洪毅,等.中医综合疗法治疗神经根型颈椎病的疗效评价与长期随访[J].中国中医骨伤科杂志,2016,24(9):11-13,17.
8 邓茹月,陈日新,熊俊.基于CONSORT声明和STRICTOM评价灸法治疗带状疱疹后遗神经痛随机对照试验报告质量[J].中华中医药杂志,2017,32(4):1715-1718.
9 成舟,陈丽芳,谭登,等.中药熏洗治疗跟痛症的临床试验质量评价[J].中国中医骨伤科杂志,2018,26(2):76-80.
10 Schulz KF,Altman DG,Moher D,et al.CONSORT 2010 Statement:updated guidelines for reporting parallel group randomised trials[J].Bmj British Medical Journal,2010,340(7748):698-702.
11 施碧霞,林如,冯锦绣,等.八段锦"一、二、四"式锻炼对神经根型颈椎病患者康复的影响[J].湖南中医杂志,2017,33(9):126-128.
12 翟向阳,刘天君.功能锻炼对神经根型颈椎病的康复效果[J].中国康复理论与实践,2008,14(11):1065-1066.
13 艾霞.功能锻炼对神经根型颈椎病患者的疗效观察[J].医学信息,2015,28 (z1):230-230.
14 金诚久,陈勇.功能锻炼对神经根型颈椎病牵引推拿术后的疗效观察[J].辽宁中医药大学学报,2009,11(7):159-160.
15 蔡勇,李永昭,赵万恒.综合性治疗神经根型颈椎病的疗效观察[J].医学信息(中旬刊),2011,(6):2274-2274.
16 陈锐坚,刘伯昊,涂平生.功能锻炼防治神经根型颈椎病临床研究[J].中国当代医药,2011,18(14):49-51.
17 杨伦才,苏张雷,邓友章.简化颈椎锻炼法治疗神经根型颈椎病30例[J].湖南中医杂志,2014,30(4):79-80.
18 蔡桂花.颈部功能锻炼在神经根型颈椎病治疗中的临床疗效观察[J].中国保健营养,2017,27(23):151.
19 李泽宇.颈部功能锻炼在神经根型颈椎病治疗中的作用分析[J].医药前沿,2016,6(3):176-177.
20 刘国雄,陈久毅,陈杨,等.颈部功能锻炼在神经根型颈椎病治疗中的作用分析[J].中国急救医学,2016,36(12):60-61.
21 汪洪燕,赵秦.综合疗法治疗神经根型颈椎病疗效观察[J].颈腰痛杂志,2010,13,(3):191-192.
22 邢海英,侯瑞祥,张鹏翔.自创颈椎操辅助神经根型颈椎病常规治疗的临床疗效观察[J].中国医药指南,2013,11(1):610-611.
23 冯敏山,朱立国,张旭.颈椎康复操锻炼对防治神经根型颈椎病患者的作用观察[J].世界中医药,2014,9(11):1531-1534,1537.
24 姜国莉.颈椎康复操治疗神经根型颈椎病临床效果[J].中外医学研究,2016,14(26):126-128.
25 赵晓,陈勇,李馥坚,等.颈椎练功疗法对神经根型颈椎病疗效的影响[J].中国医药指南,2013,11(31):17-18.
26 何键铭.颈椎牵引加运动疗法治疗神经根型颈椎病疗效观察[J].中国康复理论与实践,2005,16(7):575.
27 肖斌,袁顺兴,方亮,等.练功对颈椎病患者根性疼痛的影响[J].按摩与导引.2003,20(2):11-13.
28 曹芳,仇雪.练功十八法配合治疗神经根型颈椎病的临床观察[J].护理研究,2009,23(22):2001-2002.
29 袁顺兴,方亮,陈治立.气功对神经根型颈椎病血液流变学的影响[J].上海中医药杂志,2000,34(6):37-39.
30 马靖.神经根型颈椎病采用中医综合疗法的临床疗效研究[J].医疗装备,2016,29(8):108-109.
31 郎海伟.颈椎牵引加运动疗法治疗神经根型颈椎病的疗效观察[J].中国医疗器械信息,2017,23(18):87-88.
32 杨雪.神经根型颈椎病牵引推拿术后功能锻炼的价值[J].中医正骨,1996,8(6):11-12,52.
33 王思茹,梁彦,刘雪庆,等.中药熏蒸配合颈椎9步保健操治疗神经根型颈椎病的研究及护理[J].中华现代护理杂志,2011,17(13):1531-1533.
34 赵凡平,章奕飞,顾雯烨,等.推拿结合颈椎保健操治疗神经根型颈椎病临床研究[J].中国社区医师,2016,32(11):98-99,101.
35 杨炎扬,陈小勇.温经膏配合米字型颈椎保健操治疗神经根型颈椎病的临床效果[J].中国医药导报,2018,15(13):93-96.
36 郭浩山,关涛.项痹膏穴位贴敷配合颈椎保健操治疗神经根型颈椎病[J].中医正骨,2013,25(10):14-16.
37 井夫杰,张静,周胜红,等.整脊推拿配合导引治疗神经根型颈椎病的临床研究[J].中医正骨,2012,24(10):16-19.
38 时永超,林宇,施碧霞,等.易筋经托天桩加热敷对神经根型颈椎病患者康复的影响[J].护理实践与研究,2017,14(2):151-152.
39 吴燕,姚新苗,徐守宇.运动疗法联合口服消炎镇痛药及颈椎牵引治疗神经根型颈椎病[J].中医正骨,2014,26(1):24-26.
40 栾宇.针刺结合中频治疗神经根型颈椎病的临床观察[J].社区医学杂志,2017,15(8):15-18.
41 刘萍,谢雁鸣.中西医结合临床研究方法[M].1版.北京:人民卫生出版社,2016:85.
42 周庆辉,卞兆祥,刘建平.CONSORT 2010说明与详述:报告平行对照随机临床试验指南的更新[J].中西医结合学报,2010,8(8):701-741.
43 Lexchin J,Bero L A,Djulbegovic B,et al.Pharmaceutical industry sponsorship and research outcome and quality:systematic review[J].Bmj,2003,326(7400):1167-1170.
基本信息:
DOI：10.13210/j.cnki.jhmu.20190509.003
中图分类号:R681.5
引用信息:
[1]梁龙,于杰,冯敏山,等.功能锻炼治疗神经根型颈椎病随机对照试验国内报告质量评价[J].海南医学院学报,2019,25(13):1026-1031.DOI:10.13210/j.cnki.jhmu.20190509.003.
基金信息:
国家科技支撑计划(2014BAI08B06); 国家中医药管理局专项课题(GZY-FJS-2018-218,JDZX2015274);国家中医药管理局行业科研专项(201107004);国家中医药管理局国际合作项目(GZYYGJ2018032); 横向课题(HZL2017001); 中国中医科学院"十三五"重点领域科研专项(ZZ10-015,ZZ10-022);中国中医科学院科技创新优势团队(YS1304)~~
2019-05-14
2019-05-14
2019-05-14