文章摘要
钟宗烨,刘邦忠,刘光华,王平,石明芳,杨名珍,李蕴,刘欣欣.体外冲击波疗法治疗网球肘患者有效性的Meta分析[J].中国康复,2018,33(5):408-411
体外冲击波疗法治疗网球肘患者有效性的Meta分析
Effectiveness of extracorporeal shock wave therapy for tennis elbow: a meta analysis
  
DOI:
中文关键词: 体外冲击波疗法  网球肘  Meta分析  随机对照试验
英文关键词: extracorporeal shock wave therapy  tennis elbow  Meta-analysis  randomized control trial
基金项目:
作者单位
钟宗烨 复旦大学附属中山医院康复医学科上海 200032 
刘邦忠 复旦大学附属中山医院康复医学科上海 200032 
刘光华 复旦大学附属中山医院康复医学科上海 200032 
王平 复旦大学附属中山医院康复医学科上海 200032 
石明芳 复旦大学附属中山医院康复医学科上海 200032 
杨名珍 复旦大学附属中山医院康复医学科上海 200032 
李蕴 复旦大学附属中山医院康复医学科上海 200032 
刘欣欣 复旦大学附属中山医院康复医学科上海 200032 
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中文摘要:
      目的:系统评价体外冲击波疗法(ESWT)治疗网球肘患者的有效性。方法:计算机检索PubMed,Embase,The Cochrane library和Web of science数据库,搜集有关冲击波治疗网球肘患者的随机对照试验(RCT),检索时限均设定为从建库至2017年8月。由2名研究者按照纳入与排除标准独立进行文献筛选、资料提取和研究质量评价后,使用RevMan 5.3软件进行Meta分析。结果:共纳入10个RCTs,合计患者928例。Meta分析显示冲击波组的疼痛评分[MD=-9.05,95% CI(-12.93,-5.18),P<0.01]和握力[MD=3.45,95% CI(2.46,4.43),P<0.01]明显优于对照组。结论:现有的临床试验表明,体外冲击波疗法能有效缓解网球肘患者的疼痛,改善患者的运动功能,可以作为治疗网球肘患者的常规备选方法之一。
英文摘要:
      Objective: We conducted this meta analysis in order to systematically review the effectiveness of extracorporeal shock wave therapy (ESWT) for tennis elbow. Methods: We systematically searched relevant randomized controlled trials published up to August 2017 by searching PubMed, Embase, Cochrane and Web of science. Two reviewers independently screened studies according to the selection criteria. They also extracted data and evaluated methodological quality of included studies. Then meta analysis was conducted using RevMan 5.3. Results: A total of 10 trials were included, involving 928 patients. The analysis of results indicated ESWT group yielded an improved mean reduction in pain score [MD=-9.05, 95% CI (-12.93, -5.18), P<0.00001] and a mean increase in grip strength [MD=3.45, 95% CI (2.46, 4.43), P<0.00001] compared with control group. Conclusion: The results of this meta analysis demonstrated that ESWT can alleviate the pain and improve activity function of tennis elbow patients. Physicians should consider using ESWT as a routine alternative to tennis elbow treatment.
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