针灸治疗中风后肩手综合征的系统评价  

Acupuncture for Post Stroke Shoulder Hand Syndrome:A Systematic Review

作　　者：卢引明[1] 傅立新[2] 牟蛟[1] 许红君[1] 祁营洲[1] 

机构地区：[1]天津中医药大学,天津300193 [2]天津中医药大学第一附属医院,天津300193

出　　处：《中国循证医学杂志》2009年第9期976-978,共3页Chinese Journal of Evidence-based Medicine

基　　金：国家科技部"十一五"支撑项目(No.2006BAI12B02-2)

摘　　要：目的评价针灸治疗中风后肩手综合征的临床疗效。方法计算机检索MEDLINE、EMbase、中国知网、中国生物医学文献数据库、万方数据库及维普数据库,检索时间截止至2008年9月。同时手工检索天津中医药大学图书馆过期刊物及相关会议论文集。纳入所有针灸治疗中风后肩手综合征的随机和半随机对照试验。对符合纳入标准的研究进行内部真实性评价,如果所有纳入研究的质量足够高并具有相似性,则进行Meta分析。结果纳入3篇随机对照试验,均为低质量研究。因其数量及试验之间的差异,达不到Meta分析的条件,故只进行了定性分析。结果显示,针灸治疗中风后肩手综合征有一定疗效。结论由于纳入试验数量及质量上的缺陷,尽管研究结果显示针灸治疗中风后肩手综合征有一定疗效,但仍需进一步开展大样本的随机双盲对照试验来确定针灸治疗中风后肩手综合征的疗效。Objective To assess the therapeutic effect of acupuncture for shoulder hand syndrome after stroke.Methods We searched MEDLINE（1966 to Sep.2008）,EMbase（1980 to Sept.2008）,CBM（1978 to Sept.2008）,VIP（1989 to Sept.2008）,WANFANG Database（1998 to Sept.2008）,CNKI（1979 to Sept.2008）and handsearched relevant journals and conference proceedings.We included all randomized controlled trials（RCTs）and quasi-RCTs of acupuncture treatment for patients with shoulder hand syndrome.We evaluated the internal validity of the RCTs and quasi-RCTs. If all included trials were of high quality and homogeneity, then the meta-analysis was conducted. Results Three RCTs were identified but due to the defects in quality and clinical differences between the trials, data from these trials were not combined through meta-analysis, and a descriptive analysis was performed. The results showed that acupuncture was effective for treating shoulder hand syndrome. Conclusions The results of our review suggest that acupuncture may be effective for treating houlder hand syndrome, but because of the defects in the methodological quality of included trials, further large sample, double-blind RCTs are urgently needed.

关 键 词：针灸 肩手综合征 随机对照试验 系统评价 

分 类 号：R246[医药卫生—针灸推拿学]