Objective: To review the therapeutic effect of acupuncture and moxibustion on allergic rhinitis based on the network Meta-analysis.
Methods: The randomized controlled trials of acupuncture and moxibustion for allergic rhinitis were retrieved from the databases, starting from the date of establishment to August 17, 2020, i.e. the PubMed, EMbase, Cochrane Library, CNKI, Wanfang and VIP. The traditional Meta-analysis and network Meta-analysis were performed by RevMan5.3 and GeMTC0.14.3.
Results: A total of 50 RCTs were included, including 4260 patients, involving 5 kinds of acupuncture and moxibustion therapies, such as acupuncture, moxibustion, acupoint application, acupoint thread-embedding and auricular point therapy.①In term of total effective rate, acupuncture, moxibustion and acupoint thread-embedding were superior to western medication and auricular point therapy (P<0.05); moxibustion was superior to acupoint application (P<0.05); acupoint thread-embedding was superior to acupoint application (P<0.05). Acupoint thread-embedding was most likely to be the best treatment (P<0.05). ②In term of total effective rate in follow-up, acupuncture, moxibustion, acupoint thread-embedding and auricular point therapy were superior to western medication (P<0.05); acupuncture and moxibustion were superior to acupoint application (P<0.05). Moxibustion was most likely to be the best treatment (P<0.05). ③In term of total score of nasal symptom, moxibustion and acupoint thread-embedding were superior to acupuncture (P<0.05).
Conclusion: The therapeutic effect of acupuncture and moxibustion on allergic rhinitis is better than western medication, and acupoint thread-embedding has the best curative effect.
目的：运用网状Meta分析评价针灸治疗变应性鼻炎的临床疗效。方法：计算机检索PubMed、EMbase、Cochrane Library、中文期刊全文数据库（CNKI）、万方数据库（Wanfang）、维普数据库（VIP）中针灸治疗变应性鼻炎的随机对照试验（RCT），检索时间为建库至2020年8月17日，运用RevMan5.3和GeMTC0.14.3软件进行传统Meta分析和网状Meta分析。结果：最终纳入50篇文献，共4260例患者，涉及针刺、艾灸、穴位贴敷、穴位埋线、耳穴疗法5种针灸疗法。①总有效率：针刺、艾灸、穴位埋线均优于西药、耳穴疗法（P<0.05），艾灸优于穴位贴敷（P<0.05），穴位埋线优于穴位贴敷（P<0.05），且穴位埋线成为最优治疗措施的概率最大（P<0.05）；②随访总有效率：针刺、艾灸、穴位埋线、耳穴疗法均优于西药（P<0.05），针刺、艾灸优于穴位贴敷（P<0.05），且艾灸成为最优治疗措施的概率最大（P<0.05）；③鼻症状总积分：艾灸、穴位埋线优于针刺（P<0.05）。结论：针灸治疗变应性鼻炎总体疗效优于西药，且穴位埋线具有最佳疗效。.
Keywords: acupuncture and moxibustion therapy; allergic rhinitis; network Meta-analysis; systematic review.