Efficacy and safety of bonesetting combined with acupuncture in the treatment of cervical vertigo: a meta-analysis_Chinese Journal of Evidence-Based Medicine

Authors：

GUO Rusong ¹ , HUANG Fan ² , ZHAO Siyi ² , FAN Zhiyong ¹ , LU Xiaobo ³ ,  WU Shan ¹

1. Department of Massage, Guangdong Chinese Medicine Hospital, Guangzhou, 510120, P.R.China;
2. Acupuncture and Rehabilitation Clinical Medical College, Guangzhou University of Traditional Chinese Medicine, Guangzhou, 510405, P.R.China;
3. Department of Rehabilitation, Jieyang Chinese Medicine Hospital, Jieyang, 522000, P.R.China;

Corresponding author：

WU Shan, Email: wushan6866@sina.com

Keywords：

Bonesetting; Acupuncture; Cervical vertigo; Randomized controlled trial; Meta-analysis; Systematic review

DOI：

10.7507/1672-2531.201703110

Video：

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Abstract Full text Figures/Tables Video References Cited by

Objectives To systematically review the efficacy and safety of bonesetting combined acupuncture in the treatment of cervical vertigo. Methods PubMed, CNKI, VIP, CBM and WanFang Data databases were searched to collect randomized controlled trials (RCTs) on bonesetting combined acupuncture in the treatment of cervical vertigo from inception to February 15^th, 2017. Two reviewers independently screened literature, extracted data and assessed the risk of bias of the included studies. Meta-analysis was performed by RevMan 5.3 software. Results Eighteenth RCTs involving 1 915 patients were included. The results of meta-analysis showed that, compared with acupuncture or bonesetting alone group, the effective rate in bonesetting combining acupuncture group was higher (RR_acupuncture=1.17, 95%CI 1.12 to 1.23, P<0.000 01; RR_bonesetting=1.16, 95%CI 1.10 to 1.23, P<0.000 01). Improvement of the cervical vertigo symptom and function in the combined group was better than that in the acupuncture group or bonesetting group (MD_acupuncture=3.42, 95%CI 2.29 to 4.56, P<0.000 01; MD_bonesetting=6.45, 95%CI 5.56 to 7.33, P<0.000 01). Average flow velocity of cervical vertigo basilar artery (BA) in the combined group was superior to the bonesetting group (MD=7.54, 95%CIP=0.02). 1.08 to 13.99, Conclusions Bonesetting combining acupuncture treatment of cervical vertigo in terms of effectiveness and function improvement are better than those of acupuncture alone or pure bonesetting. Due to the limited quality and quantity of the included studies, more high-quality studies are required to verify above conclusions.

Citation： GUO Rusong, HUANG Fan, ZHAO Siyi, FAN Zhiyong, LU Xiaobo, WU Shan. Efficacy and safety of bonesetting combined with acupuncture in the treatment of cervical vertigo: a meta-analysis. Chinese Journal of Evidence-Based Medicine, 2017, 17(12): 1428-1436. doi: 10.7507/1672-2531.201703110 Copy

1.	魏德芝, 霍清萍. 颈性眩晕的发病机制及其研究进展. 现代中西医结合杂志, 2012, 21(22): 2501-2503.
2.	Ryan GM, Cope S. Cervical vertigo. Lancet, 1956, 267(6909): 209.
3.	徐琦. 颈性眩晕个案报告及文献回顾分析. 北京: 北京中医药大学, 2013.
4.	刘柏龄. 我国伤科手法治疗的渊源、发展及应用. 吉林中医药, 1984, 2(13): 13-14.
5.	刘文英. 颈性眩晕的诊治国内进展. 中国矫形外科杂志, 2014, 22(1): 55-56.
6.	沈雅婷. 针灸治疗颈性眩晕近 5 年研究进展. 中医药导报, 2012, 18(3): 107-108.
7.	孙宇, 陈琪福. 第二届全国颈椎病专题座谈会纪要, 中华外科杂志, 1993, 31(8): 472-476.
8.	国家中医药管理局. 中医病证诊断疗效标准. 南京: 南京大学出版社, 1994: 186.
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10.	Higgins JPT, Green S. Cochrane handbook for systematic reviews of interventions version 5.1.0. The Cochrane Collaboration, 2011. Available at: www.cochranehandbook.org.
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12.	占大权. 针刺结合正骨推拿治疗椎动脉型颈椎病疗效观察. 现代中西医结合杂志, 2009, 28(15): 1753-1754.
13.	张宁, 张卫华. 定位旋转手法结合电针治疗椎动脉型颈椎病临床研究. 山东中医杂志, 2016, 35(12): 1032-1034.
14.	易保轩. 推拿联合针刺治疗椎动脉型颈椎病随机平行对照研究. 实用中医内科杂志, 2015, 29(2): 147.
15.	李斌. 龙氏正骨手法结合针灸治疗颈性眩晕的临床研究. 广州: 广州中医药大学, 2009.
16.	李步双. 电针配合整脊推拿手法治疗颈性眩晕的疗效观察. 现代诊断与治疗, 2014, 25(24): 5564-5565.
17.	Li Z. Observation on the therapeutic efficacy of acupuncture plus tuina for cervical vertigo. J Acupunct Tuina Sci, 2016, 14(5): 366-372.
18.	胡延华. 针刺结合整脊手法治疗椎动脉型颈椎病的临床研究. 济南: 山东中医药大学, 2013.
19.	范德辉, 刘悦. 针刺结合正骨推拿治疗颈性眩晕疗效观察. 江西中医药, 2006, 37(278): 49-50.
20.	闵希瑞, 张明波. 整脊配合针灸治疗椎动脉型颈椎病临床观察. 内蒙古中医药, 2014, 33(2): 27.
21.	陈晓斌. 针刺联合龙氏正骨手法治疗颈性眩晕的临床探讨, 实用中西医结合临床, 2015, 15(7): 13-14.
22.	赵大贵, 穆敬平, 彭新民. 颈夹脊电针加三维正骨治疗颈性眩晕临床观察. 中国中医急症, 2008, 16(8): 928-931.
23.	滕春光, 段俊峰. 颈部理筋正骨加分型针刺治疗椎动脉型颈椎病的临床研究. 颈腰痛杂志, 2010, 31(4): 259-262.
24.	曾祥毅, 戴伟莉, 刘超群. 活血通窍刺灸法结合推拿治疗椎动脉型颈椎病的临床研究. 陕西中医, 2016, 37(11): 1532-1534.
25.	郭崇秋, 何玉钦. 骨空针配合正骨治疗颈性眩晕 60 例. 浙江中医杂志, 2012, 47(10): 754-755.
26.	王建国, 闫洪涛, 张雷. 银质针导热联合正骨推拿治疗颈性眩晕临床研究. 实用中医内科杂志, 2014, 28(12): 137-139.
27.	俞文江. 针灸配合整脊治疗颈性眩晕 34 例效果观察. 世界最新医学信息文摘, 2015, 15(7): 175-176.
28.	曹春梅, 黄丽华, 黎兴华, 等. 腹针结合整脊手法治疗颈性眩晕临床观察. 中国现代医生, 2010,10 (16): 57-58.
29.	汪芳俊. 颈性眩晕的临床相关因素研究及范炳华教授对其诊治经验的总结. 浙江: 浙江中医药大学, 2015.
30.	李永超, 彭宝淦. 颈性眩晕的发病机制及诊治新进展. 中国矫形外科杂志, 2015, 23(3): 250-253.
31.	Bian Z, Liu B, Moher D, et al. Consolidated standards of eporting trials (CONSORT) for traditional Chinese medicine: current situation and future development. Front Med, 2011, 5(2): 171-176.
32.	徐百兴, 马慧芳, 王凤蕊. 用 CONSORT 和 STRICTA 对针刺治疗颈性眩晕随机对照试验的质量评价. 陕西中医学院学报, 2013, 36(1): 64-67.

1. 魏德芝, 霍清萍. 颈性眩晕的发病机制及其研究进展. 现代中西医结合杂志, 2012, 21(22): 2501-2503.
2. Ryan GM, Cope S. Cervical vertigo. Lancet, 1956, 267(6909): 209.
3. 徐琦. 颈性眩晕个案报告及文献回顾分析. 北京: 北京中医药大学, 2013.
4. 刘柏龄. 我国伤科手法治疗的渊源、发展及应用. 吉林中医药, 1984, 2(13): 13-14.
5. 刘文英. 颈性眩晕的诊治国内进展. 中国矫形外科杂志, 2014, 22(1): 55-56.
6. 沈雅婷. 针灸治疗颈性眩晕近 5 年研究进展. 中医药导报, 2012, 18(3): 107-108.
7. 孙宇, 陈琪福. 第二届全国颈椎病专题座谈会纪要, 中华外科杂志, 1993, 31(8): 472-476.
8. 国家中医药管理局. 中医病证诊断疗效标准. 南京: 南京大学出版社, 1994: 186.
9. 王楚怀, 卓大宏. 颈性眩晕患者症状与功能评估的初步研究. 中国康复医学杂志, 1998, 13(6): 245-247.
10. Higgins JPT, Green S. Cochrane handbook for systematic reviews of interventions version 5.1.0. The Cochrane Collaboration, 2011. Available at: www.cochranehandbook.org.
11. 佘瑞涛, 朱其广, 林远方. 推拿手法配合以"颈三针"为主穴辨证治疗椎动脉型颈椎病的临床研究. 北京: 中华中医药学会推拿分会第十四次推拿学术交流会, 2013.
12. 占大权. 针刺结合正骨推拿治疗椎动脉型颈椎病疗效观察. 现代中西医结合杂志, 2009, 28(15): 1753-1754.
13. 张宁, 张卫华. 定位旋转手法结合电针治疗椎动脉型颈椎病临床研究. 山东中医杂志, 2016, 35(12): 1032-1034.
14. 易保轩. 推拿联合针刺治疗椎动脉型颈椎病随机平行对照研究. 实用中医内科杂志, 2015, 29(2): 147.
15. 李斌. 龙氏正骨手法结合针灸治疗颈性眩晕的临床研究. 广州: 广州中医药大学, 2009.
16. 李步双. 电针配合整脊推拿手法治疗颈性眩晕的疗效观察. 现代诊断与治疗, 2014, 25(24): 5564-5565.
17. Li Z. Observation on the therapeutic efficacy of acupuncture plus tuina for cervical vertigo. J Acupunct Tuina Sci, 2016, 14(5): 366-372.
18. 胡延华. 针刺结合整脊手法治疗椎动脉型颈椎病的临床研究. 济南: 山东中医药大学, 2013.
19. 范德辉, 刘悦. 针刺结合正骨推拿治疗颈性眩晕疗效观察. 江西中医药, 2006, 37(278): 49-50.
20. 闵希瑞, 张明波. 整脊配合针灸治疗椎动脉型颈椎病临床观察. 内蒙古中医药, 2014, 33(2): 27.
21. 陈晓斌. 针刺联合龙氏正骨手法治疗颈性眩晕的临床探讨, 实用中西医结合临床, 2015, 15(7): 13-14.
22. 赵大贵, 穆敬平, 彭新民. 颈夹脊电针加三维正骨治疗颈性眩晕临床观察. 中国中医急症, 2008, 16(8): 928-931.
23. 滕春光, 段俊峰. 颈部理筋正骨加分型针刺治疗椎动脉型颈椎病的临床研究. 颈腰痛杂志, 2010, 31(4): 259-262.
24. 曾祥毅, 戴伟莉, 刘超群. 活血通窍刺灸法结合推拿治疗椎动脉型颈椎病的临床研究. 陕西中医, 2016, 37(11): 1532-1534.
25. 郭崇秋, 何玉钦. 骨空针配合正骨治疗颈性眩晕 60 例. 浙江中医杂志, 2012, 47(10): 754-755.
26. 王建国, 闫洪涛, 张雷. 银质针导热联合正骨推拿治疗颈性眩晕临床研究. 实用中医内科杂志, 2014, 28(12): 137-139.
27. 俞文江. 针灸配合整脊治疗颈性眩晕 34 例效果观察. 世界最新医学信息文摘, 2015, 15(7): 175-176.
28. 曹春梅, 黄丽华, 黎兴华, 等. 腹针结合整脊手法治疗颈性眩晕临床观察. 中国现代医生, 2010,10 (16): 57-58.
29. 汪芳俊. 颈性眩晕的临床相关因素研究及范炳华教授对其诊治经验的总结. 浙江: 浙江中医药大学, 2015.
30. 李永超, 彭宝淦. 颈性眩晕的发病机制及诊治新进展. 中国矫形外科杂志, 2015, 23(3): 250-253.
31. Bian Z, Liu B, Moher D, et al. Consolidated standards of eporting trials (CONSORT) for traditional Chinese medicine: current situation and future development. Front Med, 2011, 5(2): 171-176.
32. 徐百兴, 马慧芳, 王凤蕊. 用 CONSORT 和 STRICTA 对针刺治疗颈性眩晕随机对照试验的质量评价. 陕西中医学院学报, 2013, 36(1): 64-67.

Chinese Journal of Evidence-Based Medicine

Efficacy and safety of bonesetting combined with acupuncture in the treatment of cervical vertigo: a meta-analysis

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