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手法治疗肩周炎临床报告的循证医学评价 被引量:16

Evaluation of clinical reports in treating periarthritis of shoulder by manipulation with the theory of evidence-based medicine
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摘要 目的 :通过临床文献用循证医学理论评价手法治疗肩周炎的疗效。方法 :检索几个主要文献数据库 ,得到近 5年来关于手法治疗肩周炎的文献 2 4 2篇。用纳入标准鉴定后 ,对其中 10篇文献进行循证医学评价。结果 :手法单独应用或 /和其他疗法联合应用对肩周炎有一定的疗效 ;所评价的文献均为低质量文献。结论 :由于低质量的试验和潜在的发表偏倚 ,现有证据不足以推荐手法治疗取代其他疗法 ;所评价文献的低质量说明手法治疗肩周炎的临床试验存在一些应引起注意的方法学问题。 Objective: To explore the effect of treating periarthritis of shoulder with manipulation through evaluating clinical reports with the theory of evidence-based medicine (EMB). Methods:By retrieval of some main medical literature databases in the past 5 years, 242 articles on treating periarthritis of shoulder with manipulation were available. Selected by admission standard, 10 of them were evaluated with EBM theory. Results:Both single-application and union-application of manipulation were effective to periarthritis of shoulder, but the evaluated articles were all low-quality articles. Conclusion: Because of low-quality clinic test and larvaceous publication bias, the extant evidence is not enough to recommend replacing other therapeutic methods by manipulation. The low quality of evaluated articles suggests that there exist some methodology problems in the clinic test on treating periarthritis of shoulder with manipulation.
作者 胡军 严隽陶
出处 《中西医结合学报》 CAS 2004年第3期185-188,共4页 Journal of Chinese Integrative Medicine
关键词 手法 治疗 肩周炎 循证医学 肩关节活动度 periarthritis of shoulder manipulation evaluation studies
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