针灸治疗脑出血的循证医学评价  

Evidence-Based Medicine Evaluation of Acupuncture Therapy for Cerebral Hemorrhage

作　　者：杨万英[1] 

机构地区：[1]成都中医药大学

出　　处：《按摩与康复医学》2016年第20期23-26,共4页Chinese Manipulation and Rehabilitation Medicine

摘　　要：目的：全面搜集2010～2015年我国针灸治疗脑出血的临床研究文献，分析我国针灸治疗脑出血的临床研究现状。方法：计算机检索维普期刊资源整合平台，以“脑出血”或“脑溢血”、“针灸”或“针灸疗法”为主题词检索2010-2015年发表的有关针灸治疗脑出血的文献，根据纳入、排除标准筛选并纳入符合针灸治疗脑出血的随机对照试验，进行质量评价。结果：检索出针灸治疗脑出血相关文献60篇，其中近5年来符合纳入和排除标准的随机对照试验文献共23篇，共治疗患者2620例，无一篇文献提及盲法设计，未有文献描述失访患者及失访原因，均为Jadad得分0～2分的低质量研究文献。结论：针灸治疗脑出血有一定优势，但受限于纳入研究的数量和质量，尚不能对其疗效和安全性得出肯定性结论，继续开展高质量、大样本的随机对照试验非常必要。Objective： To comprehensive collect the clinical research literatures about acupuncture therapy for cerebral hemorrhage from 2010 to 2015, and analyze the status of clinical research on the area of acupuncture therapy for cerebral hemorrhage. Methods： Searched the VIP Journal Resources Integration Platform with computer, retrieved the literatures about acupuncture therapy for cerebral hemorrhage that published from 2010 to 2015 with the subject words of ＂cerebral hemorrhage＂ or ＂cerebral haemorrhage＂, ＂acupuncture＂ or ＂acupuncture therapy＂, screened and incorporat- ed randomized controlled trials of cerebral hemorrhage treated with acupuncture therapy according to the inclusion and exclusion criteria and evaluat- ed their qualities. Results： 60 papers about acupuncture therapy for cerebral hemorrhage were searched out, including 23 papers of randomized controlled trials which accorded with the inclusion and exclusion criteria in recent 5 years, and totally cured 2620 cases of patients, no paper had mentioned blinded design, and patients who lost to follow-up and their lost reasons were not described in any paper, all of the research literatures were low quality that Jadad scores were 0-2 points. Conclusion： Acupuncture therapy has certain advantages in treatment of cerebral hemorrhage, but affirmative conclusion about its efficacy and safety still cannot be obtained due to the restrictions of quantity and quality of included studies, keep carrying out randomized controlled trials with high quality and large sample is very necessary.

关 键 词：脑出血 针灸疗法 随机对照试验 循证医学 

分 类 号：R246[医药卫生—针灸推拿学]