Institute of Acupuncture and Moxibustion, Tianjin University of Traditional Chinese Medicine, Tianjin, China.
Top Stroke Rehabil. 2012 May-Jun;19(3):226-33. doi: 10.1310/tsr1903-226.
To provide an overview of evidence from systematic reviews and meta-analysis on the effectiveness, safety, and cost of acupuncture for stroke.
Two authors selected the articles according to inclusion and exclusion criteria, and 2 authors extracted data from the reviews. Potentially relevant systematic reviews were searched through the Cochrane Library, MEDLINE, EMBASE, AMED, CISCOM, Chinese Biological Medicine Database (CBMD), Chinese Scientific Journal Database (VIP), Chinese periodicals in the China National Knowledge Infrastructure (CNKI), and Chinese Evidence-Based Medicine Database. The evidence was based on the reviews and meta-analysis.
Nine articles were indentified: 1 focused on acute stroke; 1 focused on subacute or chronic stroke; 5 focused on stroke (the interval after stroke onset was variable in these studies); and 2 addressed dysphagia after stroke. There is a split among reviewers regarding the effectiveness of acupuncture for stroke recovery. The most reliable evidence showed that there was no clear benefit of acupuncture for stroke patients in acute, subacute, or chronic stages. There was not a single economic analysis of acupuncture for treatment of stroke.
Acupuncture treatment seems to be relatively safe. The evidence for the effectiveness of acupuncture for stroke was inconclusive, mainly due to poor methodological quality and small samples. For future research, further high-quality, randomized controlled trials with long-term follow-up are needed, as well as economic analysis.
对针灸治疗中风的有效性、安全性和成本的系统评价和荟萃分析证据进行概述。
两位作者根据纳入和排除标准选择文章，两位作者从综述中提取数据。通过 Cochrane 图书馆、MEDLINE、EMBASE、AMED、CISCOM、中国生物医学文献数据库（CBMD）、中国科学引文数据库（VIP）、中国期刊全文数据库（CNKI）和中国循证医学数据库检索潜在相关的系统评价。证据基于综述和荟萃分析。
确定了 9 篇文章：1 篇关注急性中风；1 篇关注亚急性或慢性中风；5 篇关注中风（这些研究中风发作后的间隔时间不同）；2 篇涉及中风后的吞咽困难。评论员对针灸治疗中风恢复的有效性存在分歧。最可靠的证据表明，针灸对急性、亚急性或慢性中风患者没有明显益处。没有一项关于针灸治疗中风的经济分析。
针灸治疗似乎相对安全。针灸治疗中风的疗效证据尚不确定，主要是由于方法学质量差和样本量小。未来的研究需要进一步进行高质量、长期随访的随机对照试验，以及经济分析。
