针灸治疗中风后痉挛瘫痪的系统评价  

Systematic evaluation on treating spastic paralysis after stroke by acupuncture

作　　者：于川 申斌 许世闻 

机构地区：[1]北京市平谷区中医医院,北京101200

出　　处：《中医临床研究》2016年第22期12-15,共4页Clinical Journal Of Chinese Medicine

基　　金：2013北京市中医药科技项目青年项目--不同留针时间对针刺治疗中风后痉挛初期运动功能障碍的作用影响研究;编号为QN2013-24;北京市平谷区优秀人才培养D类资助项目;编号为2014D-04

摘　　要：目的:评价针刺治疗脑卒中后痉挛瘫痪的疗效。方法:采用计算机网络及手工方法进行文献检索,对符合标准的随机对照试验(RCT)运用Cochrane协作网推荐的方法进行系统评价,采用Rev Man5.3软件对试验结果进行Meta分析。结果:共纳入8个研究,804例脑卒中后痉挛瘫痪患者;试验组在总有效率[RR=0.23,95%CI(0.15,0.34),Z=7.10,P<0.00001]、Ashworth评分(Z=7.17,P<0.00001)、日常生活活动能力评分(Z=14.62,P<0.00001)方面优于对照组,差异有统计学意义。结论:针刺治疗脑卒中后痉挛瘫痪有良好疗效,但仍需高质量、大样本的临床随机对照试验予以验证。Objective: To evaluate efficacy of acupuncture on spastic paralysis after stroke. Methods: Documents were retrieved bycomputer network and manual methods; RCTs were evaluated by the Cochrane collaboration methods; then the test results were Metaanalyzedby RevMan5.3. Results: 8 studies (804 cases) were included. In the experimental group, the total efficiency [RR=0.23, 95% CI(0.15, 0.34), Z=7.10, P<0.00001], Ashworth scale (Z=7.17, P<0.00001), activities of daily living score (Z=14.62, P<0.00001) were betterthan the control group, with a statistical difference. Conclusion: Acupuncture on spastic paralysis after stroke has a good effect; the resultstill need further verified by high-quality, large sample of clinical test.

关 键 词：脑卒中 痉挛瘫痪 针灸疗法 系统评价 

分 类 号：R246[医药卫生—针灸推拿学]