中国组织工程研究 ›› 2019, Vol. 23 ›› Issue (20): 3195-3200.doi: 10.3969/j.issn.2095-4344.1237

• 骨与关节综述 bone and joint review • 上一篇    下一篇

以雷达图再评价推拿治疗腰椎间盘突出症系统评价的文献质量

黄 帆1,赵思怡1,邸安琪1,杨韵滢1,曾海婷1,温俊茂2,范志勇3,郭汝松3,吴 山3   

  1. 1广州中医药大学,针灸康复临床医学院,广东省广州市 510405;2广州中医药大学,第一临床医学院,广东省广州市 510405;3广州中医药大学第二附属医院,广东省广州市   510405
  • 出版日期:2019-07-18 发布日期:2019-07-18
  • 通讯作者: 吴山,博士,主任医师,博士生导师,广州中医药大学第二附属医院,广东省广州市 510405
  • 作者简介:黄帆,男,1997年生,广东省揭阳市人,汉族,广州中医药大学针灸康复临床医学院在读学士,主要从事推拿的临床和研究工作。 赵思怡,女,1996年生,甘肃省庆阳市人,汉族,广州中医药大学针灸康复临床医学院在读学士,主要从事中医药的循证医学研究。 黄帆、赵思怡为共同第一作者。
  • 基金资助:

    国家自然科学基金(81874511),项目负责人:吴山|广东省财政厅项目(粤财教[2016]387号),项目负责人:吴山|广东省科技厅项目(2017A020215078),项目负责人:郭汝松|2018年校级大学生创新创业训练项目(201810572306),项目负责人:黄帆|2018年广州中医药大学第一临床医学院学生科技创新研究课题拟立项目(yy20181028),项目参与人:黄帆

Massage therapy on lumbar disc herniation performed by radar plot: an overview of systematic reviews

Huang Fan1, Zhao Siyi1, Di Anqi1, Yang Yunying1, Zeng Haiting1, Wen Junmao2, Fan Zhiyong3, Guo Rusong3, Wu Shan3   

  1. 1Clinical Medical College of Acupuncture Moxibustion and Rehabilitation, 2First Clinical Medical College, Guangzhou University of Chinese Medicine, Guangzhou 510405, Guangdong Province, China; 3the Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou 510405, Guangdong Province, China
  • Online:2019-07-18 Published:2019-07-18
  • Contact: Wu Shan, MD, Chief physician, Doctoral supervisor, the Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou 510405, Guangdong Province, China
  • About author:Huang Fan, Clinical Medical College of Acupuncture Moxibustion and Rehabilitation, Guangzhou University of Chinese Medicine, Guangzhou 510405, Guangdong Province, China Zhao Siyi, Clinical Medical College of Acupuncture Moxibustion and Rehabilitation, Guangzhou University of Chinese Medicine, Guangzhou 510405, Guangdong Province, China Huang Fan and Zhao Siyi contributed equally to this work.
  • Supported by:

    the National Natural Science Foundation of China, No. 81874511 (to WS)| the Project of Guangdong Provincial Finance Department, No. [2016]387 (to WS)| the Project of Department of Science and Technology of Guangdong Province, No. 2017A020215078 (to GRS)| the School-Level Innovation and Entrepreneurship Training Project for the College Students in 2018, No. 201810572306 (to HF)| the Student Science and Technology Innovation Research Project of First Clinical medical College, Guangzhou University of Chinese Medicine in 2018, No. yy20181028 (to HF)

摘要:

文章快速阅读:

 

文题释义:
腰椎间盘突出症:是由于椎间盘内容物即髓核突破纤维环,压迫腰椎神经根和硬膜囊,早期引起腰痛继而可能发展为坐骨神经痛的腰椎间盘退行性异常综合征。目前临床治疗腰椎间盘突出症主要采用止痛、硬膜外注射类固醇、物理治疗等保守治疗,以及经皮激光椎间盘减压术、椎间盘切除术等手术治疗。
雷达图:由一系列从中心点投影的辐条或射线组成,每条射线代表不同的可变标签,变量的值被编码到光线的长度中,可直观提供全局即时感知以及每个单独变量信息。从发表年份、研究类型、AMSTAR方法学质量、PRISMA发表质量、同质性、发表偏倚6个方面进行多元评价。
 
摘要
背景:目前国内外已有多篇推拿治疗腰椎间盘突出症的系统评价/Meta分析,但文献质量参差不齐。
目的:应用雷达图综合评价方法,多元评价推拿治疗腰椎间盘突出症系统评价/Meta分析的文献质量,为临床实践提供高质量的理论指导。
方法:计算机检索CNKI、CBM、VIP数据库、Wanfang Data、PubMed、EMBASE和 the Cochrane Library,搜集推拿治疗腰椎间盘突出症相关的系统评价和Meta分析,检索时间均为建库时间至2018年11月。由2名研究员根据纳入标准和排除标准单独进行检索和筛选文献,从6个方面对文章质量进行评价,即出版年份、设计类型、同质性程度、发表偏倚、AMSTAR方法学质量、PRISMA发表质量,采用Excel 2010、Adobe Illustrator CC绘制并优化雷达图。
结果与结论:①共纳入5个系统评价,3个Meta分析,纳入研究的文献质量平均秩数为5.75,其中研究类型、同质性、发表偏倚的评分较高,发表年份、AMSTAR方法学评分量表、PRISMA报告学质量评价得分较低;②目前推拿治疗腰椎间盘突出系统分析/Meta分析的文章有部分质量较好,较为严谨;但有部分文章质量不佳,建议参考AMSTAR方法学评分量表、PRISMA报告学质量评价进行报告,并严格控制设计类型、同质性程度、发表偏倚,以提高报告完整性。

中国组织工程研究杂志出版内容重点:人工关节;骨植入物;脊柱骨折;内固定;数字化骨科;组织工程
ORCID: 0000-0002-9195-7718(黄帆)

关键词: 雷达图, 推拿, 腰椎间盘突出症, 系统评价再评价, 质量研究, Meta分析, 同质性程度, 发表偏倚, 国家自然科学基金

Abstract:

BACKGROUND: There have been a number of systematic reviews/meta-analysis of massage in the treatment of lumbar disc herniation at domestic and overseas, but the quality of the studies varies.

OBJECTIVE: To evaluate the study quality of systematic reviews/meta-analysis of massage in the treatment of lumbar disc herniation based on evaluation of radar plot, thus providing the high-quality evidence reference for clinical practice.
METHODS: Databases of CNKI, CBM, VIP, WanFang, PubMed, EMBASE and the Cochrane Library were searched from inception to November 2018 for the systematic reviews/meta-analysis of massage in the treatment of lumbar disc herniation. Two reviewers independently screened literature and extracted data. All studies were evaluated in aspects of publication year, design type, homogeneity, publication bias, AMSTAR methodological quality score and PRISMA quality score. Optimized radar plots were drawn on Excel 2010 and Adobe Illustrator CC.
RESULTS AND CONCLUSION: (1) Five systematic reviews and three meta-analyses were enrolled, and the quality of the average rank scored 5.75. Of which, the research type, homogeneity, and publication bias had higher evaluation scores, and the publication year, the AMSTAR scale and PRISMA scale scores are lower. (2) In summary, a part of studies about systematic reviews/meta-analysis of massage in the treatment of lumbar disc herniation are good and rigorous. However, quality of some studies is poor. It is recommended to refer to the AMSTAR scale and PRISMA scale for reporting, and strictly control the design type, homogeneity, and publication bias to improve report integrity.

Key words: radar plot, massage, lumbar disc herniation, overview of systematic review, quality evaluation, meta-analysis, homogeneity, publication bias, the National Natural Science Foundation of China

中图分类号: