Efficacy Of Acupuncture For Acute Lumbar Sprain:A Meta Analysis

Objective:Meta-analysis was used to evaluate the clinical effect of acupuncture on acute lumbar sprain.Methods:A computer search was conducted on CNKI,VIP,WANFANG Data,CBM,PubMed,Embase,Plus one,and Cochrane Library.Randomized controlled trials of acupuncture in the treatment of acute lumbar sprain were also collected by hand,the retrieval time is 1 January 2010 solstice 1 January 2020.Two researchers independently screened the literature in strict accordance with the inclusion and exclusion criteria,assessed the risk of bias in the final included literature,and accurately extracted the data and basic information required by the research.Finally,Revman5.3 software was used for meta-analysis of included studies,and GRADE system was used for quality grading.Results:1.A total of 1503 articles were retrieved;2.15 articles were included,including 1206 patients with acute lumbar sprain;3.Results of meta-analysis:(1)Total clinical efficacy was reported in 13 studies:OR=2.86,95%CI(1.85,4.43),p <0.00001;(2)Recovery rates were reported in 12 studies:OR=2.11,95%CI(1.49,2.99),p < 0.0001;(3)VAS pain scores were reported in 3 studies: MD=-2.08,95% CI(-2.33,-1.82),p <0.00001;(4)There were 2 reports of Schoder sign(forward flexion)spacing between two markers:MD=1.43,95%CI(1.12,1.74),p < 0.00001.Conclusion:Acupuncture is effective and safe in treating acute lumbar sprain.