摘要
目的系统评价温针灸与传统针灸治疗方法治疗中风后痉挛性瘫痪的疗效差异。方法对中国知网数据库、中国生物医学文献数据库、万方数据库、维普期刊数据库进行检索,收集自建库以来至2020年5月温针灸治疗中风后痉挛性瘫痪的随机对照试验。根据纳入和排除标准,选择符合研究标准的文献,根据Jadad量表计分法进行文献质量分析,采用RevMan 5.3进行Meta分析,并采用漏斗图进行偏倚分析。结果纳入12篇文献,共866例患者。Meta分析结果显示,与传统针灸相比,温针灸更能提高治疗总有效率,降低改良Ashworth痉挛评定水平,提升Fugl-Meyer运动功能评定水平,提升Barthel指数评定水平。结论温针灸在缓解中风后痉挛患者肢体痉挛程度,改善患者运动功能,提高日常生活质量等方面均优于传统针灸。
Objective To systematically evaluate the efficacy difference between warming acupuncture and traditional acupuncture methods in the treatment of spastic paralysis after stroke.Methods A computer-based retrieval was conducted at CNKI,CBM,WANFANG database and VIP database.Retrieval time was from the establishment date of database to May 2020.Randomized controlled trial(RCT)of warming acupuncture comparing with traditional acupuncture methods for the treatment of spastic paralysis after stroke were included.According to inclusion and exclusion criteria,select the literature that meets the research criteria.Literature quality was analyzed based on Jadad scale scoring method.RevMan 5.3 was used for meta-analysis,and funnel chart was used for bias analysis.Results Totally 12 RCTs were included involving 866 patients.The Meta-analysis indicated compared with traditional acupuncture methods,warming acupuncture could more improve the total effective rate,reduce Ashworth score,improve Fugl-Meyer score,and improve Barthel score.Conclusion The warming needle moxibustion has better efficacy on alleviating the degree of limb spasm,improving the motor function and improving the quality of daily life than traditional acupuncture methods.
作者
徐文昊
张文云
王敏
XU Wenhao;ZHANG Wenyun;WANG Min(Department of Acupuncture and Moxibustion,the First Affiliated Hospital of Tianjin University of Traditional Chinese Medicine,Tianjin 300193,China;National Clinical Research Center of Acupuncture and Moxibustion,Tianjin 300193,China)
出处
《中国中医药现代远程教育》
2021年第20期111-113,共3页
Chinese Medicine Modern Distance Education of China
关键词
温针灸
中风
痉挛性瘫痪
META分析
随机对照试验
述评
warming needle moxibustion
stroke
spastic paralysi
meta-analysis
randomized controlled trial
review
