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Acupuncture for postoperative pain of lumbar disc herniation: A systematic review and meta-analysis
Evidence for the effects of acupuncture on postoperative pain of Lumbar disc herniation (LDH) is inconsistent. We conducted this systematic review and meta-analysis to evaluate the efficacy of acupuncture for postoperative pain of LDH. METHODS: We performed a comprehensive search on PubMed, Embase,...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Lippincott Williams & Wilkins
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9750534/ https://www.ncbi.nlm.nih.gov/pubmed/36626470 http://dx.doi.org/10.1097/MD.0000000000032016 |
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author | Zhang, Weidong Liu, Huan Le, Xuezhen Song, Kunyu Yang, Fo Cui, Zhenhai Zhao, Wenhai |
author_facet | Zhang, Weidong Liu, Huan Le, Xuezhen Song, Kunyu Yang, Fo Cui, Zhenhai Zhao, Wenhai |
author_sort | Zhang, Weidong |
collection | PubMed |
description | Evidence for the effects of acupuncture on postoperative pain of Lumbar disc herniation (LDH) is inconsistent. We conducted this systematic review and meta-analysis to evaluate the efficacy of acupuncture for postoperative pain of LDH. METHODS: We performed a comprehensive search on PubMed, Embase, Web of Science, Cochrane Central, and four Chinese databases (CNKI, Wan Fang, CBMdisc, and VIP) for articles published before September 2021. The data extraction table was made for the ten included studies, and the risk of bias was assessed using the Cochrane collaboration tool, followed by statistical analysis using RevMan 5.3. RESULTS: A total of ten studies involving 838patients were included. The statistical meta-analysis showed that acupuncture treatment was significantly better than drugs in improving cure rate (OR = 2.24, 95% CI = [1.58, 3.19], P < .00001) and the total effectiveness rate (OR = 4.85, 95% CI = [2.59, 9.08], P < .00001). And the results from the meta-analysis showed that acupuncture group was superior to control group in debasing visual analog scale score (MD = −1.26, 95% CI = [−1.72, −0.79], P < .00001) and improving Japanese Orthopaedic Association score (MD = 4.21, 95% CI = [1.53, 6.90], P < .00001). In addition, acupuncture was statistically significantly better than drugs (OR = 0.27, 95% CI = [0.11, 0.62], P = .002) in the incidence of adverse events, However, there was no statistically significant difference between acupuncture and rehabilitation (OR = 0.36, 95% CI = [0.07, 1.98], P = .24). CONCLUSION: Acupuncture is an effective and safe treatment for postoperative pain of LDH. It can be recommended to manage patients with postoperative pain of LDH. However, considering the unsatisfactory quality of the included studies, more high-quality randomized controlled trials with a large sample size are needed to elucidate this issue. |
format | Online Article Text |
id | pubmed-9750534 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Lippincott Williams & Wilkins |
record_format | MEDLINE/PubMed |
spelling | pubmed-97505342022-12-28 Acupuncture for postoperative pain of lumbar disc herniation: A systematic review and meta-analysis Zhang, Weidong Liu, Huan Le, Xuezhen Song, Kunyu Yang, Fo Cui, Zhenhai Zhao, Wenhai Medicine (Baltimore) 3700 Evidence for the effects of acupuncture on postoperative pain of Lumbar disc herniation (LDH) is inconsistent. We conducted this systematic review and meta-analysis to evaluate the efficacy of acupuncture for postoperative pain of LDH. METHODS: We performed a comprehensive search on PubMed, Embase, Web of Science, Cochrane Central, and four Chinese databases (CNKI, Wan Fang, CBMdisc, and VIP) for articles published before September 2021. The data extraction table was made for the ten included studies, and the risk of bias was assessed using the Cochrane collaboration tool, followed by statistical analysis using RevMan 5.3. RESULTS: A total of ten studies involving 838patients were included. The statistical meta-analysis showed that acupuncture treatment was significantly better than drugs in improving cure rate (OR = 2.24, 95% CI = [1.58, 3.19], P < .00001) and the total effectiveness rate (OR = 4.85, 95% CI = [2.59, 9.08], P < .00001). And the results from the meta-analysis showed that acupuncture group was superior to control group in debasing visual analog scale score (MD = −1.26, 95% CI = [−1.72, −0.79], P < .00001) and improving Japanese Orthopaedic Association score (MD = 4.21, 95% CI = [1.53, 6.90], P < .00001). In addition, acupuncture was statistically significantly better than drugs (OR = 0.27, 95% CI = [0.11, 0.62], P = .002) in the incidence of adverse events, However, there was no statistically significant difference between acupuncture and rehabilitation (OR = 0.36, 95% CI = [0.07, 1.98], P = .24). CONCLUSION: Acupuncture is an effective and safe treatment for postoperative pain of LDH. It can be recommended to manage patients with postoperative pain of LDH. However, considering the unsatisfactory quality of the included studies, more high-quality randomized controlled trials with a large sample size are needed to elucidate this issue. Lippincott Williams & Wilkins 2022-12-09 /pmc/articles/PMC9750534/ /pubmed/36626470 http://dx.doi.org/10.1097/MD.0000000000032016 Text en Copyright © 2022 the Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY) (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | 3700 Zhang, Weidong Liu, Huan Le, Xuezhen Song, Kunyu Yang, Fo Cui, Zhenhai Zhao, Wenhai Acupuncture for postoperative pain of lumbar disc herniation: A systematic review and meta-analysis |
title | Acupuncture for postoperative pain of lumbar disc herniation: A systematic review and meta-analysis |
title_full | Acupuncture for postoperative pain of lumbar disc herniation: A systematic review and meta-analysis |
title_fullStr | Acupuncture for postoperative pain of lumbar disc herniation: A systematic review and meta-analysis |
title_full_unstemmed | Acupuncture for postoperative pain of lumbar disc herniation: A systematic review and meta-analysis |
title_short | Acupuncture for postoperative pain of lumbar disc herniation: A systematic review and meta-analysis |
title_sort | acupuncture for postoperative pain of lumbar disc herniation: a systematic review and meta-analysis |
topic | 3700 |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9750534/ https://www.ncbi.nlm.nih.gov/pubmed/36626470 http://dx.doi.org/10.1097/MD.0000000000032016 |
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