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电针治疗脑梗死的疗效与安全性:系统评价与Meta分析

Efficacy and Safety of Electroacupuncture in the Treatment of Cerebral Infarction: Systematic Review and Meta-Analysis.

作者信息

Wang Lan Xiang, Li Wei Hong, He Fang

机构信息

Department of Rehabilitation Medicine, The 8th Medical Center of Chinese PLA General Hospital, China.

Beijing University of Chinese Medicine, China.

出版信息

Appl Bionics Biomech. 2022 Jun 28;2022:1350501. doi: 10.1155/2022/1350501. eCollection 2022.

Abstract

PURPOSE

The goal of this study was to see if electroacupuncture was effective and safe in the management of cerebral infarction. PubMed, Embase, Cochrane Library, and Web of Science were used to conduct a comprehensive literature survey.

METHODS

Basic features of 7 studies were identified using the searching strategy. The investigation was found in PubMed, Embase, and Web of Science, with the most recent search being in March 2022. "Electroacupuncture," "cerebral infarction," and their permutations were among the MeSH terms and free words used. As literature, two reviewers independently used a standardized form to gather pertinent data from qualifying research.

RESULTS

157 literatures were identified and evaluated. Electroacupuncture improved the BI score in individuals with cerebral infarction (mean difference = 0.10, 95 percent CI: 0.00-0.20, = 0.04). Electroacupuncture enhanced BI score in individuals with cerebral infarction (mean difference = 0.10, 95 percent CI: 0.00-0.20, = 0.04). The effects of electroacupuncture increased Fugl-Meyer index in patients with cerebral infarction (mean difference = 25.92, 95% CI: 25.28-26.56, < 0.00001). Electroacupuncture effects decreased CSS in patients with cerebral infarction in the experiment group (mean difference = -2.10, 95% CI: -2.53--1.67, < 0.0001). Electroacupuncture also reduced CSS individuals with cerebral infarction in the control group; however, there was no statistically significant (risk difference = 0.06, 95 percent CI: 0.02-0.13, = 0.12).

CONCLUSION

This study demonstrated that electroacupuncture helped decreased CSS in patients with cerebral infarction.

摘要

目的

本研究的目的是观察电针治疗脑梗死是否有效和安全。通过检索PubMed、Embase、Cochrane图书馆和科学网进行全面的文献调查。

方法

采用检索策略确定7项研究的基本特征。该调查在PubMed、Embase和科学网中进行,最近一次检索时间为2022年3月。使用的医学主题词和自由词包括“电针”、“脑梗死”及其变体。作为文献,两名评价者独立使用标准化表格从符合条件的研究中收集相关数据。

结果

共识别和评估了157篇文献。电针改善了脑梗死患者的BI评分(平均差值=0.10,95%可信区间:0.00-0.20,P=0.04)。电针提高了脑梗死患者的BI评分(平均差值=0.10,95%可信区间:0.00-0.20,P=0.04)。电针治疗使脑梗死患者的Fugl-Meyer指数升高(平均差值=25.92,95%可信区间:25.28-26.56,P<0.00001)。电针治疗使实验组脑梗死患者的CSS降低(平均差值=-2.10,95%可信区间:-2.53--1.67,P<0.0001)。电针也降低了对照组脑梗死患者的CSS;然而,差异无统计学意义(风险差值=0.06,95%可信区间:0.02-0.13,P=0.12)。

结论

本研究表明电针有助于降低脑梗死患者的CSS。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/388f/9256421/a0a5fd637213/ABB2022-1350501.001.jpg

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