| 邢范雨,王兆庆,刘志桐,尹丽丽.腹针治疗脑卒中后痉挛性偏瘫疗效的Meta分析[J].,2025,34(24):112-118 |
| 腹针治疗脑卒中后痉挛性偏瘫疗效的Meta分析 |
| Meta - analysis of the Efficacy of Abdominal Acupuncture in Treating |
| 投稿时间：2025-03-20 |
| DOI： |
| 中文关键词: 脑卒中 痉挛性偏瘫 腹针 Meta 分析 |
| 英文关键词: Stroke Spastic Hemiplegia Abdominal Acupuncture Meta - Analysis |
| 基金项目:国家中医针灸临床医学研究中心开放课题（编号：NCRCoP20230016)。 |
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| 中文摘要: |
| 目的：研究旨在评估腹针对脑卒中后痉挛性偏瘫的治疗效果，从而为其在临床中的应用提供科学支持。方法：计算机检索中国知网(CNKI)、万方数据库、维普中文期刊库(VIP)、中国生物医学数据库(CBM)、中国临床试验注册平台、PubMed、Embase、CochraneLibrary和WebofScience数据库中所有关于腹针治疗脑卒中后痉挛性偏瘫的随机对照临床试验(RCTs)。检索时间为各数据库自建库以来至2025年2月。使用Cochrane偏倚风险工具进行质量评估，运用RevMan5.4.1软件进行Meta分析。结果：最终共纳入16篇文献，共1202例患者。Meta分析结果显示：①MAS评分：腹针组[MD=-0.25,95%CI(-0.43,-0.07),P=0.007]；联合组[MD=-0.24,95%CI(-0.40,-0.08),P=0.004]。②FMA评分：腹针组[MD=6.33,95%CI(3.75,8.91),P<0.00001]；联合组[MD=10.06,95%CI(6.77,13.35),P<0.00001]。③MBI评分：腹针组[MD=8.88,95%CI(5.68,12.07),P<0.00001]；联合组[MD=12.19,95%CI(9.33,15.06),P<0.00001]。④BI评分：腹针组优于对照组(P<0.001)；联合组[MD=7.20,95%CI(3.76,10.65),P<0.0001]。⑤CSI评分：腹针组优于对照组[MD=-1.30,95%CI(-2.04,-0.56),P=0.0006]。上述指标均表现出显著性差异。结论：腹针疗法在减轻脑卒中患者的肢体痉挛症状方面表现出显著效果，同时还能增强其运动能力和日常活动能力。 |
| 英文摘要: |
| Objective To evaluate the therapeutic effects of abdominal acupuncture on spastic hemiplegia following stroke and pro- vide scientific evidence for its clinical application. Methods All randomized controlled clinical trials (RCTs) on abdominal acupunc- ture for spastic hemiplegia after stroke were retrieved from the China National Knowledge Infrastructure (CNKI) , Wanfang Database , VIP Chinese Journal Library ( VIP) , China Biomedical Database ( CBM) , China Clinical Trial Registration Platform , PubMed , Embase , Cochrane Library and Web of Science databases . The retrieval time was from the establishment of each database to Septem- ber 2024 . The Cochrane bias risk tool was used for quality assessment , and the RevMan5 . 4. 1 software was used for meta - analy- sis. Results A total of 16 articles with a total of 1202 patients were included . The results of Meta - analysis showed that : ①MAS score : abdominal acupuncture group [ MD = - 0. 25 , 95% CI ( - 0. 43 , - 0. 07) , P = 0. 007] ; combined group [ MD = - 0. 24 , 95% CI ( - 0. 40 , - 0. 08) , P = 0. 004] . ②FMA score : abdominal acupuncture group [ MD = 6. 33 , 95% CI (3 . 75 , 8. 91) , P < 0. 00001] ; combined group [ MD = 10. 06 , 95% CI (6. 77 , 13 . 35 ) , P < 0. 00001] . ③MBI score : abdominal acupuncture group [ MD = 8 . 88 , 95% CI (5 . 68 , 12. 07 ) , P < 0. 00001 ] ; combined group [ MD = 12. 19 , 95% CI (9. 33 , 15. 06) , P < 0. 00001] . ④BI score : the abdominal acupuncture group was better than the control group (P < 0. 001) ; combined group [ MD = 7. 20 , 95% CI (3 . 76 , 10. 65) , P < 0. 0001] . ⑤CSI score : the abdominal acupuncture group was better than the control group[ MD = - 1 . 30 , 95% CI ( - 2. 04 , - 0. 56) , P = 0. 0006] . All the above indicators showed significant differences . Conclusion Abdominal acupuncture therapy shows significant effect in alleviating limb spasticity symptoms in stroke patients , and can also enhance their motor ability and daily activities . |
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