针灸治疗中风偏瘫的疗效评价Meta分析  

A Meta analysis of treating stroke hemiplegia by acupuncture

作　　者：王园园[1] 戴丽雯[1] 秦妍萍 李菲[1] 郁洁[1] 

机构地区：[1]湖南中医药大学,湖南长沙410208

出　　处：《中医临床研究》2017年第35期8-11,共4页Clinical Journal Of Chinese Medicine

摘　　要：目的:对中风偏瘫的临床疗效进行Meta分析评估。方法:以针灸治疗中风偏瘫为检索词,查阅中国知网、Pubmed、维普、万方数据库近5年在国内公开发表的针灸治疗中风偏瘫的临床随机对照试验,并纳入所有有关针灸治疗中风偏瘫的临床随机对照试验。依据Meta分析评价方法,由两名研究人员运用Rev Man 5.2软件进行Meta分析,其内容包括Meta分析中的偏倚风险、Jadad质量评估和纳入文献的经络穴位使用情况。结果:共10篇针灸治疗中风偏瘫的临床对照试验文献符合纳入标准,其中共1032例中风偏瘫患者。Meta分析结果表明,在中风偏瘫临床综合疗效方面治疗组明显优于对照组,差异具有显著的统计学意义。结论:Meta分析结果表明,针灸治疗中风偏瘫的疗效明显优于其他治疗方法,但由于本次研究所纳入的针灸治疗中风偏瘫的文献样本量比较小,并且试验未采用盲法,因此还需要更多更全面的有关高质量的随机对照试验文献来进行验证。objective： To evaluate the efect of acupuncture on stroke hemiplegia by Meta analysis. Methods： Acupuncture treating apoplectic hemiplegia as key words, through reviewing PubMed, CNKI, VIP, Wanfang database for nearly 5 years, the randomized clinical trials of treating apoplectic hemiplegia by acupuncture were selectod; the Meta analysis included the risk of bias, Jadad quality assessment and application of acupuncture. Results： 10 randomized clinical trials of treating stroke hemiplegia by acupuncture were selected, including 1032 stroke patients. The efcacy in the treatment group was signifcantly better than the control group, with a statistically signifcant diference. Conclusion： Compared with other diferent treatment, the efect of acupuncture on stroke hemiplegia was signifcantly better. In the Meta analysis, the sample size is relatively small, and the experiment does not use the blind method; so more randomized controlled trials of high quality should be done.

关 键 词：中风偏瘫 随机对照试验 针灸 META分析 

分 类 号：R255.2[医药卫生—中医内科学]