针刀治疗中风后痉挛性偏瘫的Meta分析  

Application of Needle-knife in Spastic Paralysis after Stroke:a Meta-analysis

作　　者：谢雨龙 付思思[1] 余兆安[2] 叶勇[2] 邵湘宁[2] XIE Yulong;FU Sisi;YE Yong;SHAO Xiangning(Hunan University of Traditional Chinese Medicine,Hunan Changsha 410208,China;The First Affiliated Hospital of Hunan University of Traditional Chinese Medicine,Hunan Changsha 410007,China)

机构地区：[1]湖南中医药大学,湖南长沙410208 [2]湖南中医药大学第一附属医院,湖南长沙410007

出　　处：《中医药临床杂志》2020年第7期1274-1278,共5页Clinical Journal of Traditional Chinese Medicine

基　　金：湖南中医药大学第一附属医院湖南省院士专家工作站(石学敏)开放基金项目重点课题(编号:2018YSZJJ01);湖南省中医药科研计划课题项目一般课题(编号:201959)。

摘　　要：目的:系统评价针刀对中风后痉挛性偏瘫的疗效。方法:计算机检索主要数据库中发表的运用针刀治疗痉挛性偏瘫的随机对照试验。2名研究人员独立进行文献检索和筛选,对最终纳入文献进行资料提取及质量评价。采用RevMan5.3进行Meta分析。结果:共纳入8篇文献,共计690例患者。Meta分析结果表明针刀在改善临床痉挛指数(CSI)和简易运动功能评定量表(Fugl-Meyer评分,FMA)上优于对照组,且在总有效率方面优于对照组(P<0.05)。结论:运用针刀治疗痉挛性偏瘫能改善痉挛状态,提高临床疗效。但由于所纳入文献整体质量偏低,结论有待进一步证实。Objective:To systematically evaluate the curative effect of acupuncture on spastic hemiplegia after stroke.Methods:The computer searched a randomized controlled trial published in the main database using a needle knife to treat spastic hemiplegia.Two researchers independently conducted literature search and screening,and extracted data and evaluated the quality of the finally included literature.Use RevMan5.3 for Meta analysis.Results:A total of 8 articles were included,with a total of 690 patients.Meta analysis results showed that the needle knife was better than the control group in improving the clinical spasm index(CSI)and the simple motor function rating scale(Fugl-Meyer score,FMA),and was better than the control group in terms of total effectiveness(P<0.05).Conclusion:Acupuncture treatment of spastic hemiplegia can improve spasticity and improve clinical efficacy.However,due to the low overall quality of the included literature,the conclusion needs to be further confirmed.

关 键 词：痉挛性瘫痪 针刀 META分析 

分 类 号：R247[医药卫生—中医临床基础]