针刺治疗中风后假球麻痹的文献系统评价  

Systematic Review of Acupuncture for Treatment of Pseudobulbar Palsy Due to Wind Stroke in Clinical Studies

作　　者：李胜[1] 傅立新[2] 黄小冬[1] 赵然[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：《针灸临床杂志》2011年第1期1-6,共6页Journal of Clinical Acupuncture and Moxibustion

基　　金：国家科技部"十一五"支撑项目;编号:2006BAI12B02-2

摘　　要：目的:评价针刺治疗中风后假球麻痹的有效性。方法:按照循证医学的要求,以针刺、针灸、假球麻痹、假性延髓麻痹等为主题词,检索了国内相关医学数据库,以随机临床对照试验为纳入标准,治疗组以针刺治疗为主,对照组以药物治疗为主,以假球麻痹痊愈率及总有效率为测量指标,共纳入52篇文献,并对其中7篇文献采用RevMan 4.2进行Meta分析。结果:7个研究总有效率的合并RR=1.73,95%CI[1.37,2.20];7个研究痊愈率合并RR=3.30,95%CI[2.07,5.25],针刺组对假球麻痹的疗效均优于药物组(P<0.01),差异具有显著性意义。结论:从纳入的国内文献来看,针刺治疗假球麻痹有效,但是需要更多的高质量文章来证实。Objective：To assess the effectiveness of acupuncture for treatment of pseudobulbar palsy due to wind stroke.Methods：According to the requirement of evidence-based medicine,acupuncture,moxibustion,pseudobulbar palsy,etc.were selected as subject words to retrieve the relative medical database at home,and clinically randomized controlled trials were used as enrolled criteria,and the treatment group was treated with the main therapy of acupuncture,and the control group with medicine,the total effective rate and cured rate for pseudobulbar palsy were used as assessment indexes.Altogether 52 papers were enrolled.Among them 7 papers were conducted for Meta-analysis by RevMan 4.2.Results：The total RR was1.73 with 95%CI [1.37,2.20] of the total effective rate in the 7 studies;and the total RR was 3.30 with 95% CI [2.07,5.25] of the cure rate in the 7 studies;Each index in the acupuncture group on pseudobulbar palsy was superior to that of the western medicine（P0.01）.Conclusion：Acupuncture therapy for pseudobulbar palsy is effective,but more high-quality studies are required to prove this viewpoint.

关 键 词：假球麻痹 针刺疗法 系统评价 

分 类 号：R246.1[医药卫生—针灸推拿学]