- Volume 27 Issue 2
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The State of Clinical Trials on Acupotomy for Lumbar Disc Herniation in China
요추 추간판 탈출증에 대한 중국 내 도침 임상 연구의 현황 분석
- Jun, Purumea (Clinical Research Division, Korea Institute of Oriental Medicine) ;
- Liu, Yan (Beijing Zhengyuantang Chienese Medicine Clinic) ;
- Park, Ji-Eun (Mibyeong Research Center, Korea Institute of Oriental Medicine) ;
- Jung, So-Young (Clinical Research Division, Korea Institute of Oriental Medicine) ;
- Han, Chang-Hyun (Clinical Research Division, Korea Institute of Oriental Medicine)
- 전푸르메 (한국한의학연구원 임상연구부) ;
- 류연 (정원당중의클리닉) ;
- 박지은 (한국한의학연구원 미병연구단) ;
- 정소영 (한국한의학연구원 임상연구부) ;
- 한창현 (한국한의학연구원 임상연구부)
- Received : 2017.03.22
- Accepted : 2017.04.12
- Published : 2017.04.30
Objectives This study aimed to search the Chinese literature on acupotomy for lumbar disc herniation and to analyze their methodologies. Methods Using 4 Chinese databases (CBM [www.sinomed.ac.cn], CNKI [www.cnki.net], WANFANG [www.wanfangdata.com], and WEIPU [www.cqvip.com]), we searched for clinical trials conducted in China over the past 10 years on acupotomy for lumbar disc herniation. The search terms used were "(腰椎椎間板脫出症 or 椎間板脫出症 or 椎間板脫出) and (针刀or 针刀松解术)" and we selected only meta-analyses that were published before December 2016. From among these meta-analyses, we excluded duplicates and selected the remaining 36 randomized controlled trials (RCTs) for our final analysis. Results The largest numbers of acupotomy papers were published in 2008 and 2013 (8 papers each). The average number of subjects was 120; the most common treatment method used for the control group was standard acupuncture (in 11 papers), and the most common concurrent treatment in the treatment group was massage (in 10 papers). The most common site of needle insertion was between the spinous processes, or at less than 0.5 cm on either side of the spinous processes (in 24 papers). The most common site of adhesion lysis was at the transverse process (in 24 papers). Two studies were blinded, and the mean Jadad score was 1.17. Conclusions A large number of RCTs on the use of acupotomy for lumbar disc herniation are conducted every year in China, and the procedure has been shown to be very effective, with few adverse effects. However, the average quality of the studies was not very high. Based on our study, we expect several high-quality clinical trials on acupotomy to be conducted in Korea in the future.
Supported by : Korea Institute of Oriental Medicine
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