Acupuncture Treatment Of Cervical Vertigo Literature Evaluation And Meta-analysis

Cervical vertigo (CerivealVertigo CV), also known as "cervical vertigo", is due to neck disc deformation, bone hyperplasia, and herniated nucleus, nerve stimulation, chronic fatigue, trauma and inflammation and other factors that stimulate and oppression around the nerves and blood vessels, causing insufficient blood supply to the brain and main symptoms of dizziness, nausea, vomiting, and neck discomfort of a class of diseases. Clinical symptoms are dizziness, nausea, vomiting, ringing in the ears, as the material is unclear, the most prominent features of positional vertigo that is, when a change of position especially when you turn the head, dizziness increased, severe cases can be broken down, but generally do not accompanied by disturbance of consciousness. Visible, the disease is not a specific disease name, but refers to cervical spondylosis of vertebral-basilar artery insufficiency caused by the vertigo of a class of central vertigo name.With the process of social modernization, people's living habits, work has undergone great changes, many nascent "modern disease" is also increasing, cervical spondylosis is one of them. Originally for age-related cervical disease is now to expand middle-aged, and even some middle school students often have headaches and dizziness, neck pain discomfort phenomenon. If we do not control, will seriously affect people's normal work, health and life. Severe cases may be due to spinal cord compression and paralysis, can also be due to the insufficiency of long-term brain and cause brain cell dystrophy, memory loss caused by Alzheimer's disease.According to the research report shows that in recent years, vertigo in40to60years in the elderly population in the hair, and40%of the total number of cervical vertigo. The gradual development of modern society, gradually increase the work efficiency and labor intensity, and with the acceleration of widespread use of computers and the pace of life, greatly increased the incidence of cervical vertigo of young people, and long bow to state with the disease close relationship. Work efficiency and quality of life of the disease will have some impact.The etiology and pathogenesis of cervical vertigo is no unified point of view, many scholars explain on the different Domestic scholars cervical vertigo in the vertebral artery type and scope of the sympathetic cervical spondylosis. Although the domestic and foreign physical therapy, medication, surgery and other treatments. Acupuncture by virtue of simplicity, convenience, economy, green advantage more and more welcomed by patients. With the increasing number of domestic acupuncture treatment of cervical vertigo clinical randomized controlled trials, the necessary systematic and comprehensive understanding in the field of acupuncture clinical research status and bibliometric situation. In this study, evidence-based medicine and bibliometrics, a comprehensive evaluation of randomized controlled trials of acupuncture treatment of cervical vertigo Clinical Research, in order to provide a reference for fellow.In addition, randomized controlled trials to verify the efficacy of interventions to standard design, studies and reports a direct impact on the quality of the judgment of the efficacy of interventions. Therefore, this study also uses an internationally recognized test Consolidated Standards of Reporting (CONSORT statement) and international standards (The STRICTA) report on acupuncture clinical trials of interventions to evaluate the clinical acupuncture treatment of cervical vertigo to the quality of reporting randomized controlled trials of future high-quality research to provide improved basis.Objective:Based on the established search strategy, CNKI298CBM107articles, WF45, VIP46. Literature languages are Chinese. Browse topics, abstracts and full text to determine the180randomized controlled trials to study. Exclude through the screening,253articles met the inclusion criteria, including: duplicate detection literature210; Review, review, investigate the class of30; of animal experiments12;6repeat the published literature; non-randomized controlled21; of the clinical trials of six cases in the empirical literature; other does not meet the51included studies. Detailed literature screening process shown in Figure1. All literature published from1997to2011. In accordance with the principles and methods of clinical epidemiology and evidence-based medicine, this study developed the acupuncture treatment of cervical vertigo test quality evaluation information collection form (referred to as the evaluation form). Covering basic, diagnostic, inclusion and exclusion criteria, to estimate the sample size, comparability of baseline data, the random method, random program, hide, observe the indicators and efficacy standards, blinding, use the follow-up of cases, adverse reactions, statistical analysis, and conclusions deduced and so on.Results:The search strategy and data collection methods, retrieved in the first part180in the literature continue screening qualified literature, and ultimately included in the11randomized controlled trials. Are the single randomized controlled trials. In addition to four, no mention into the source of cases, the rest of the study are outpatient and/or hospitalized patients. Cervical vertigo two trials using the "Chinese disease diagnosis and efficacy standards promulgated by the State Administration of Traditional Chinese Medicine in1994, seven studies using the standards set by the Second National symposium of cervical spondylosis, a test of new herbal drugs clinical research standards of the guiding principles. Only three studies account for the inclusion criteria and six studies described in the exclusion criteria. Promulgated by the State Administration of Traditional Chinese medicine disease diagnosis and efficacy standards in terms of efficacy standards, seven studies, two other studies with vertigo symptoms and functional assessment scale, the rest are self. All studies using clinical efficiency, there are three observations of vertebral basilar artery blood flow, two cervical vertigo symptoms and functional assessment scales. By the end of2011, the randomized controlled trials of acupuncture treatment of cervical vertigo increased year by year, and continuously improve the level of research institutions, especially a few years to focus on the use of random sequence method, but there are still the following deficiencies:â‘ The random sequence generation failed to be accountable. Random sequence of clinical trials to reduce bias, the primary measures to improve the authenticity of the test results. If the random sequence is not accountable, then the users of the evidence can not determine whether it is truly randomized controlled trials of the literature.â‘¡Group baseline information on the lack of adequate description. Although most trials are accountable to the baseline data were comparable, but the detailed data and statistical value is not well represented. Such clinical trials Qi comparability will be greatly reduced.(3) blinded use missing. Blinded use and random adaptation, the main purpose is to make the observation execution and subjects are not subject to the subjective will have impact in order to reduce test bias. Although the true sense of the double-blind may be difficult to implement, but the evaluator blinding and allocation concealment can be implemented. The above points are the future, we should pay attention to the design of acupuncture treatment of cervical vertigo Intervention Trial.Acupuncture has been able to exist for a long and enduring, the extensiveness and effectiveness of the key to its prevention and control disease. Randomized controlled trial is one of the most powerful tool in the evaluation of prevention and treatment of acupuncture effect. To carry out acupuncture randomized controlled Experimental Study on understanding of the disease, the effectiveness of acupuncture control the disease, security and social economic benefits to make a more objective assessment, to provide the highest level of evidence for acupuncture-related decision-making, but also for further quality acupuncture clinical research on the methodology put forward constructive ideas. Domestic acupuncture or related fields, researchers in evidence-based medicine and clinical epidemiology training, engaged in this type of research is increasing year by year. There are randomized controlled trials of acupuncture treatment of cervical vertigo1997, then a lot of tests continue to emerge, indicating that the clinical research of acupuncture concern of cervical vertigo started earlier, the spread of increasingly widespread. This study evaluated the randomized controlled trial of180domestic journals published from1997to December2011, the acupuncture treatment of cervical vertigo. Overall, the literature than the previous clinical observation have made great progress, reflecting the specific clinical issues in the proposed multi-angle to evaluate the clinical efficacy of acupuncture, and gradually move closer to international standards, a more objective conclusions, but there are still some inadequate.