从有关针灸治.pdfVIP

Ideas generated from systematic review results on acupuncture for Osteoarthritis of knee 從有關針灸治療骨性膝關節炎的系統回顧中的啟發 PP Chen Department Anaesthesiology Operating Services Alice Ho Miu Ling Nethersole Hospital North District Hospital Hong Kong Background 背景 • Osteoarthritis (OA) of the knee is one of the main causes of pain and disability among older adults, and results in a significant healthcare and socioeconomic burden • 骨性膝關節炎在老年人中是其中一種引起痛楚及殘障的成因，並可以 在醫療和社會經濟上造成顯著的負擔。 • Acupuncture therapy has been widely applied to treat OA knee • 針灸治療已被廣泛使用在治療骨性膝關節炎上。 • We aimed to 目的在： – assess the quality and data of systematic reviews 評估系統回顧的質素 – evaluate the efficacy and safety of acupuncture therapy 評價針灸治療之 成效及安全 – identify acupoints, meridians and manipulations used commonly in clinical trials 確認在臨床測試中常用的穴位、經絡及其施針方法 Other meta-analyses 整合分析 • White A, et al. Acupuncture treatment for chronic knee pain: a systematic review. Rheumatology 2007;46:384-390. • Manheimer E, et al. Meta-analysis: Acupuncture for osteoarthritis of the knee. Annals Internal Medicine 2007;146:868-877. • Ezzo J, et al. Acupuncture for osteoarthritis of the knee: a systematic review. Arthritis Rheum. 2001 Apr;44(4):819-25 . • Selfe TK, Taylor AG. Acupuncture and osteoarthritis of the knee: a review of randomized controlled trials. Family Community Health 2008;31:247-254. (Not a meta-analysis) White A, et al. 2007, n=8 n = 1334 1.54 (0.49,2.6) n = 1246 0.87 (0.4,1.34) Short-term WOMAC pain scores, acupuncture vs sham acupuncture 短期WOMAC 痛級評分，針灸對無效偽針 White, A. et al. Rheumatology 2007 46:384-390 White A, et al. 2007, n=8