关键词: 中药熏蒸, 肩手综合征, 系统评价, Meta 分析, 随机对照试验

Abstract: Objective:To systematically evaluate the Clinical efficacy of traditional Chinese medicine fumigation in the treatment of shoulder hand syndrome. Methods: Literature search was conducted in such databases as Cochrane Library,EMbase,PubMed,CNKI,CBM,WanFang Data and VIP from the dates of establishment to March 2018. Two reviewers independently screened the literature according to the inclusion and exclusion criteria, extracted the data and assessed the risk of bias of included studies. Then, meta-analysis was performed using RevMan 5.3 sofware. Results:A total of 13 studies involving 880 patients were included. The results of meta-analysis showed that the Traditional Chinese medicine fumigation group was superior to the control group in effectiveness［RR=1.23，95%CI（1.15，1.32），P<0.01］, FMA score［MD=8.1，95%CI（4.95，11.25），P<0.000 01］，VAS score［MD=-1.74，95%CI（-2.23，-1.25），P<0.01］，shoulder mobility ［MD=-0.64，95%CI（-0.89，-0.38），P<0.01］，with statistically signifcant differences. However, There was no statistically difference in subgroup of FMA scores intervention in 2~3 weeks between the two groups［MD= 7.02，95%CI（-1.00，15.05），P=0.09］.Conclusion:Chinese medicine fumigation can improve the upper extremity motor function of patients with shoulder hand syndrome, relieve pain and improve shoulder mobility. However, due to the limitation of quality and quantity of the included studies, this aforementioned conclusion should be further verified by conducting more large-scale high quality RCTs.

Key words: Traditional Chinese medicine fumigation, Shoulder hand syndrome, Systematic review, Meta-analysis, Randomized controlled trial