针灸治疗脑瘫的Meta分析  

Meta-analysis on Acupuncture in Treatment of Cerebral Palsy

作　　者：廖丛[1] 周江堡[1] 

机构地区：[1]重庆医科大学附属儿童医院神经内科,重庆市400014

出　　处：《中国全科医学》2011年第11期1229-1231,共3页Chinese General Practice

摘　　要：目的评价针灸治疗脑瘫的临床疗效。方法制定原始文献的纳入标准、排除标准及检索策略,检索PubMed、Ovid、FMJS、中国知网、万方数据库及维普中文科技期刊数据库,按照Cochrane系统评价员手册,在严格质量评价的基础上,采用RevMan 4.2软件对最终纳入文献进行分析。结果最终纳入8篇文献,Meta分析结果显示:针灸+基础康复治疗对患儿的独立能力提高〔OR=3.61,95%CI(1.78,7.34),P=0.0004〕、肌肉痉挛的改善效果〔加权标准差(WMD)=-0.67,95%CI(-1.05,-0.30),P=0.0005〕及日常生活能力的提高〔标准化均数差(SMD)=1.28,95%CI(1.00,1.56),P<0.00001〕明显优于单纯基础康复治疗患儿。结论针灸治疗脑瘫有一定的疗效,但由于纳入的文献研究质量较低,故尚需要进一步高质量的研究来揭示针灸治疗脑瘫的疗效。Objective To assess the therapeutic effect of acupuncture on cerebral palsy.Methods Medical electronic databases,including PubMed,Ovid,FMJS,CNKI,wanfangdata and vip were searched according to inclusion and exclusion criteria.The quality of included studies were critically evaluated and the data were analyzed by using the RevMan 4.2 software.Results 8 articles were included.Meta-analysis showed that the acupuncture plus rehabilitation group were significantly better than the rehabilitation group on improving independence ability（OR=3.61,95%CI（1.78,7.34）,P=0.0004）,muscle spasm（WMD=-0.67,95%CI（-1.05,-0.30）,P=0.0005）and ability of daily life（SMD=1.28,95%CI（1.00,1.56）,P0.00001）.Conclusion Acupuncture therapy is effective on cerebral palsy.However,most trials included in the review are of low quality,so higher quality controlled trials are needed to confirm the result.

关 键 词：脑性瘫痪 针灸 治疗结果 META分析 

分 类 号：R742.3[医药卫生—神经病学与精神病学]