头针运动疗法治疗中风后肢体运动功能障碍的系统评价  

Systematic Review and Meta-analysis of Scalp Acupuncture Exercise Therapy in the Treatment of Poststroke Limb Motor Dysfunction

作　　者：张策[1] 刘泉秀 樊旭[1] ZHANG Ce;LIU Quanxiu;FAN Xu(Liaoning University of Traditional Chinese Medicine,Liaoning Shenyang 110847,China)

机构地区：[1]辽宁中医药大学,辽宁沈阳110847

出　　处：《中医药临床杂志》2022年第11期2106-2113,共8页Clinical Journal of Traditional Chinese Medicine

基　　金：辽宁省针灸养生康复重点实验项目(辽科发[2017]41号)。

摘　　要：目的:系统评价头针运动疗法治疗中风后肢体运动功能障碍的临床疗效。方法:计算机检索建库至2021年11月30日中国知网(CNKI)、万方数据库(WF)、维普网(VIP)、中国生物医学文献数据库(CBM)、Pubmed、The Cochrane library、Embase 中头针运动疗法治疗中风后肢体运动功能障碍的随机对照试验(RCTs)。2名研究员独立进行文献检索和筛选、提取数据并对纳入文献质量进行评估,收集纳入研究的简式 Fugl-Meyer 运动功能评分法(FMA)和改良 Barthel 指数评定量表(MBI)的评分结果,采用Reviw Manager5.4进行 Meta 分析。结果:通过筛选共纳入27项研究,1963例受试患者,Meta 分析结果显示:与单纯康复治疗相比,头针运动疗法可显著改善中风后肢体运动功能障碍患者的 FMA 评分,[MD=6.65,95% CI(6.05,7.25),P<0.00001];与单纯康复治疗相比,头针运动疗法可显著改善中风后肢体运动功能障碍患者的 MBI 评分,[MD=14.86,95% CI(14.21,15.51),P<0.00001]。与先头针后康复治疗相比,头针运动疗法可显著改善中风后肢体运动功能障碍患者的 FMA 评分,[MD=5.01,95% CI(3.83,6.20),P<0.00001];与先头针后康复治疗相比,头针运动疗法可显著改善中风后肢体运动功能障碍患者的 MBI 评分[MD=6.62,95% CI(5.17,8.07),P<0.00001]。结论:Meta分析结果表明,头针运动疗法与单纯康复治疗、先头针后康复治疗这两种治疗方法相比,对中风后肢体运动功能障碍患者的运动动功能和日常生活能力有更好的疗效。由于纳入研究的样本量有限及文献质量一般,故需要更高质量的临床研究进行验证。Objective:To systematically evaluate the clinical efficacy of scalp acupuncture exercise therapy in the treatment of post-stroke limb motor dysfunction.Methods:The database was established by computer search until November 30,2021 in China National Knowledge Infrastructure (CNKI),Wanfang Database (WF),VIP Network (VIP),China Biomedical Literature Database (CBM),Pubmed,The Cochrane library,Embase Randomized controlled trials (RCTs)of scalp acupuncture exercise therapy for post-stroke limb motor dysfunction.Two researchers independently searched and screened the literature,extracted data,and assessed the quality of the included literature.The results of the short-form Fugl-Meyer Motor Function Score (FMA)and Modified Barthel Index (MBI)of the included studies were collected.Meta-analysis was performed using Reviw Manager 5.4.Results:A total of 27 studies with 1963 patients were included through screening.The results of meta-analysis showed that compared with simple rehabilitation therapy,scalp acupuncture therapy can significantly improve the FMA score of patients with post-stroke limb motor dysfunction,[MD=6.65,95% CI (6.05,7.25),P<0.00001];Compared with simple rehabilitation therapy,scalp acupuncture can significantly improve the MBI score of patients with post-stroke limb motor dysfunction,[MD=14.86,95% CI (14.21,15.51),P<0.00001].Compared with rehabilitation after scalp acupuncture,scalp acupuncture exercise therapy can significantly improve the FMA score of patients with post-stroke limb motor dysfunction,[MD=5.01,95% CI (3.83,6.20),P<0.00001];Compared with rehabilitation therapy,scalp acupuncture exercise therapy can significantly improve the MBI score of patients with post-stroke limb motor dysfunction[MD=6.62,95% CI (5.17,8.07),P<0.00001].Conclusion:Meta-analysis results show that scalp acupuncture exercise therapy has better curative effect on motor function and daily living ability of patients with post-stroke limb motor dysfunction compared with simple rehabilitation therapy and scalp acupuncture followe

关 键 词：头针运动疗法 中风 运动功能 系统评价 META分析 

分 类 号：R245.32[医药卫生—针灸推拿学]