Tan Jie, Zhang Hong, Han Guodong, Ai Kun, Deng Shifeng
Zhongguo Zhen Jiu. 2016 Apr;36(4):431-6.
With the Meta-analysis method, the clinical efficacy of acupuncture and other regular methods for aphasia was evaluated, and the acupoints selection for aphasia was explored. The acupuncture literature of clinical randomized control trials for aphasia published in CNKI, WANFANG, VIP and CBM database was searched; the statistical analysis of clinical efficacy of acupuncture and other regular methods for aphasia was performed by using software Revman 5. 2 provided by Cochrane library. A file of Microsoft Excel was established to perform the analysis of acupoints selection based on frequency analysis method, so as to summarize the characteristics and rules. Totally 385 articles were searched, and 37 articles those met the inclusive criteria was included, involving 1,260 patients in the acupuncture group and 1 238 patients in the control group. The Meta-analysis results showed OR = 3.82, 95% Cl [3.01, 4.85]; rhombus was located on the right side and the funnel plot was nearly symmetry, indicating the treatment effect of the acupuncture group for aphasia was superior to the control group (Z = 11.04, P < 0.000 01). The frequency-analysis results showed that the frequency of acupoints from top to bottom was Lian-quan (CV 23), Tongli (HT 5), Yamen (GV 15), Jinjin (EX-HN 12), Yuye (EX-HN 13), Baihui (GV 20), Yuyan II, Yuyan I and Yuyan III. The frequency of meridians from top to bottom was the governor vessel, extra channels, conception vessel, heart meridian and large intestine meridian. It is concluded that the clinical efficacy of acupuncture combined with speech rehabilitation training and medication treatment for aphasia is superior to that of speech rehabilitation training and medication treatment alone. The clinical treatment for aphasia focuses on its local effect; the main acupoints are in the head and face, and the meridians are governor vessel, extra channels and conception vessel.
采用Meta分析方法,评价针刺及其他常规方法治疗失语症的临床疗效,并探索失语症的选穴规律。检索中国知网(CNKI)、万方、维普(VIP)和中国生物医学文献数据库(CBM)中发表的失语症临床随机对照试验的针刺文献;使用Cochrane图书馆提供的Revman 5.2软件对针刺及其他常规方法治疗失语症的临床疗效进行统计分析。建立Microsoft Excel文件,采用频数分析法进行选穴分析,以总结其特点和规律。共检索到385篇文献,纳入符合纳入标准的文献37篇,其中针刺组1260例患者,对照组1238例患者。Meta分析结果显示:OR = 3.82,95%CI[3.01,4.85];菱形位于右侧,漏斗图近似对称,表明针刺组治疗失语症的效果优于对照组(Z = 11.04,P < 0.000 01)。频数分析结果显示,穴位频次由高到低依次为廉泉(CV 23)、通里(HT 5)、哑门(GV 15)、金津(EX-HN 12)、玉液(EX-HN 13)、百会(GV 20)、语咽Ⅱ、语咽Ⅰ、语咽Ⅲ。经络频次由高到低依次为督脉、经外奇穴、任脉、心经、大肠经。结论:针刺联合言语康复训练及药物治疗失语症的临床疗效优于单纯言语康复训练及药物治疗。失语症的临床治疗以局部效应为主;主要穴位在头面部,经络以督脉、经外奇穴、任脉为主。