目的 系统评价火龙罐联合治疗（联合针灸、穴位按摩、中药熨烫等）在颈肩痛患者中的应用效果，为其康复治疗提供循证证据。方法 检索中国知网、万方数据库、SinoMed、PubMed、Embase等数据库中关于火龙罐联合治疗应用于颈肩痛患者的随机对照研究。由2名研究者独立对文献进行筛选、提取、评价，通过Stata 17.0和RevMan 5.4软件进行统计分析。结果 共纳入18篇文献，总样本量为1776例。Meta分析结果显示，火龙罐联合治疗能够显著减轻疼痛[ MD =-2.03,95% CI (-2.52~-1.54), P ＜0.001]，减轻患肢肿胀[ MD =-1.61,95% CI (-2.38~-0.83), P ＜0.001]，改善运动功能[ MD =0.86,95% CI (0.53~1.19), P ＜0.001]。结论 火龙罐联合治疗能有效缓解疼痛、减轻患肢肿胀并改善运动功能。护理人员可在火龙罐联合治疗的基础上制订更具针对性的护理方案。

Objective To systematically evaluate the application effect of Fire Dragon Cupping combined therapy (combined with acupuncture,acupressure,herbal hot compress,etc.) in patients with neck and shoulder pain (NSP),and to provide evidence-based evidence for its rehabilitation treatment.Methods Randomized controlled trials (RCTs) regarding Fire Dragon Cupping combined therapy for NSP were retrieved from databases including CNKI,Wanfang Data,SinoMed,PubMed,and Embase.Two researchers independently screened,extracted,and evaluated the literature.Statistical analysis was performed using Stata 17.0 and RevMan 5.4 software.Results A total of 18 studies involving 1,776 patients were included.The results of the meta-analysis showed that Fire Dragon Cupping combined therapy significantly reduced pain [ MD =-2.03,95% CI (-2.52--1.54), P ＜0.001],alleviated affected limb swelling [ MD =-1.61,95% CI (-2.38--0.83), P ＜0.001],and improved motor function [ MD =0.86,95% CI (0.53-1.19), P ＜0.001]. Conclusions Fire Dragon Cupping combined therapy can effectively relieve pain,reduce affected limb swelling,and improve motor function.Nursing staff can formulate more targeted nursing plans based on Fire Dragon Cupping combined therapy.

R473.3

2024年浙江省中医药科技计划项目（2024ZL373）