Stroke. 2010 Apr;41(4):817-20. doi: 10.1161/STROKEAHA.109.566851. Epub 2010 Feb 11.
Positive effects of moxibustion for stroke rehabilitation may be seen in real clinical practice. Currently, no systematic reviews are available. The aim of this systematic review was to analyze the trial data on the effectiveness of moxibustion for stroke rehabilitation.
Fourteen databases were searched without language restriction. Randomized clinical trials were included if moxibustion was tested as the sole treatment or as an adjunct to other treatments for stroke rehabilitation.
Nine randomized clinical trials met our inclusion criteria. Three randomized clinical trials reported favorable effects of moxibustion plus standard care on motor function versus standard care alone (N=142; standardized mean difference=0.72; 95% confidence interval, 0.37 to 1.08; P<0.0001). Three randomized clinical trials compared the effects of moxibustion on activities of daily living alone but failed to show favorable effects of moxibustion.
This systematic review found limited effectiveness of moxibustion as an adjunct to standard care in stroke rehabilitation.
艾灸对脑卒中康复可能具有积极影响，这在真实临床实践中已得到证实。目前尚无系统评价。本系统评价旨在分析艾灸治疗脑卒中康复的疗效临床试验数据。
我们无语言限制地检索了 14 个数据库。如果艾灸被作为单独的治疗或作为其他脑卒中康复治疗的辅助手段进行测试，我们就将其纳入随机临床试验。
符合纳入标准的随机临床试验共有 9 项。3 项随机临床试验报告了艾灸联合常规护理在运动功能方面优于常规护理（N=142；标准化均数差值=0.72；95%置信区间，0.37 至 1.08；P<0.0001）。3 项随机临床试验比较了艾灸对日常生活活动的单独影响，但未能显示艾灸具有有利影响。
本系统评价发现艾灸作为脑卒中康复常规护理的辅助手段，疗效有限。
