头皮针刺治疗脑卒中的随机对照试验荟萃分析:系统综述

IF 2 4区 医学 Q2 INTEGRATIVE & COMPLEMENTARY MEDICINE
Young-Nim You , Min-Yeong Song , Gwang-Cheon Park , Chang-Su Na , Jae-Young Han , Myung-Rae Cho , Jae-Hong Kim
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引用次数: 10

摘要

目的对头皮针刺治疗脑卒中的临床疗效进行系统评价。方法对截至2014年8月16日的7个数据库进行文献检索,选取脑卒中患者接受SA治疗的所有随机对照试验(rct)。方法学质量采用Jadad评分、Cochrane偏倚风险评估和针灸临床试验干预措施报告标准进行评估。结果共纳入2086篇文献,共筛选出21篇rct。meta分析显示,SA组和体针(BA)组的总有效率与药物组相比有显著差异(P <0.002, P <0.000 001), SA + BA组vs BA组(P <0.001);SA + BA组与BA组运动功能差异有统计学意义(P = 0.077);SA组与SA + BA组的神经功能差异(P <0.0001)。结论系统评价结果显示,SA治疗对急慢性脑卒中患者的治疗效果和运动神经功能的恢复有一定的促进作用。然而,由于缺乏方法学质量,仍然需要彻底计划的临床研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Meta-analysis on randomized controlled trials for scalp acupuncture treatment of stroke: A systematic review

OBJECTIVE

To conduct a systematic review to assess the clinical effectiveness of scalp acupuncture (SA) for stroke.

METHODS

Literature searches were performed in 7 databases up to 16 August 2014, and all the randomized controlled trials (RCTs) in which SA therapy was administered to stroke patients were selected. Methodological quality was assessed using the Jadad score, the Cochrane risk of bias assessment, and the Standards for Reporting Interventions in Clinical Trials of Acupuncture.

RESULTS

Of a total of 2086 papers, 21 RCTs were selected. Meta-analysis revealed significant differences in the total efficacy rates of the SA group and the body acupuncture (BA) group vs the medication group (P < 0.002, P < 0.000 001, respectively), the SA plus BA group vs the BA group (P < 0.001); in the motor function of the SA plus BA group vs the BA group (P = 0.077); and in the nerve function of the SA group vs the SA plus BA group (P < 0.0001).

CONCLUSION

The results of our systematic review showed that SA therapy may exhibit effects in treatment efficacy and in the recovery of motor and nervous functions in patients with acute to chronic stroke. However, because of the lack of methodological quality, the thoroughly planned clinical studies are still required.

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来源期刊
Journal of Traditional Chinese Medicine
Journal of Traditional Chinese Medicine INTEGRATIVE & COMPLEMENTARY MEDICINE-
CiteScore
2.40
自引率
3.80%
发文量
32269
审稿时长
2 months
期刊介绍: Journal of Traditional Chinese Medicine(JTCM) is devoted to clinical and theortical research on the use of acupuncture and Oriental medicine. The main columns include Clinical Observations, Basic Investigations, Reviews, Questions and Answers, an Expert''s Forum, and Discussions of Clinical Cases. Its key topics include acupuncture and electro-acupuncture, herbal medicine, homeopathy, masseotherapy, mind-body therapies, palliative care, and other CAM therapies.
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