Young-Nim You, Gwang-Cheon Park, Myung-Rae Cho, Min-Yeong Song, Chang-Su Na, Jae-Young Han, Jae-Hong Kim
Clinical Research Center, Dong-Shin University Gwangju Oriental Hospital, Gwangju City 61619, Republic of Korea.
Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Dong-Shin University, Naju City 58245, Republic of Korea.
J Tradit Chin Med. 2018 Aug;38(4):465-479.
To conduct a systematic review to assess the clinical effectiveness of scalp acupuncture (SA) for stroke.
Literature searches were performed in 7 databases up to 16 August 2014, and all the randomized controlled trials (RCTs) in which SA therapy was administered to stroke patients were selected. Methodological quality was assessed using the Jadad score, the Cochrane risk of bias assessment, and the Standards for Reporting Interventions in Clinical Trials of Acupuncture.
Of a total of 2086 papers, 21 RCTs were selected. Meta-analysis revealed significant differences in the total efficacy rates of the SA group and the body acupuncture (BA) group vs the medication group (P < 0.002, P < 0.000 001, respectively), the SA plus BA group vs the BA group (P < 0.001); in the motor function of the SA plus BA group vs the BA group (P = 0.077); and in the nerve function of the SA group vs the SA plus BA group (P < 0.0001).
The results of our systematic review showed that SA therapy may exhibit effects in treatment efficacy and in the recovery of motor and nervous functions in patients with acute to chronic stroke. However, because of the lack of methodological quality, the thoroughly planned clinical studies are still required.
进行一项系统评价，以评估头皮针治疗中风的临床疗效。
截至2014年8月16日，在7个数据库中进行文献检索，选择所有对中风患者实施头皮针治疗的随机对照试验（RCT）。采用Jadad评分、Cochrane偏倚风险评估和针灸临床试验干预措施报告标准评估方法学质量。
在总共2086篇论文中，选择了21项RCT。荟萃分析显示，头皮针组和体针组与药物治疗组的总有效率存在显著差异（分别为P < 0.002，P < 0.000 001），头皮针加体针组与体针组存在显著差异（P < 0.001）；头皮针加体针组与体针组在运动功能方面存在显著差异（P = 0.077）；头皮针组与头皮针加体针组在神经功能方面存在显著差异（P < 0.0001）。
我们的系统评价结果表明，头皮针治疗可能对急性至慢性中风患者的治疗效果以及运动和神经功能恢复有作用。然而，由于方法学质量不足，仍需要进行精心设计的临床研究。
