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电针对脊髓损伤后神经功能恢复及相关通路影响的Meta 分析

Meta-Analysis on the Effects of Electric Acupuncture on Neural Functional Recovery and Related Pathways of Rats after Spinal Cord Injury.

机构信息

Department of Neurorehabilitation, Affiliated Hospital of Inner Mongolia Minzu University, Liaotong, 028000 Inner Mongolia Autonomous Region, China.

Heilongjiang University of Chinese Medicine, Harbin, 150001 Heilongjiang Province, China.

出版信息

Biomed Res Int. 2022 Jul 29;2022:8613384. doi: 10.1155/2022/8613384. eCollection 2022.

Abstract

BACKGROUND

Spinal cord injury (SCI) is a type of damage to the central nervous system (CNS) caused by various factors. The secondary injury of SCI is more complicated. Studies have found that electroacupuncture can help the recovery of nerve function during spinal cord injury. Therefore, this study explored the efficacy of electroacupuncture on complications after spinal cord injury through meta-analysis.

METHODS

Relevant literatures published from January 2010 to March 2022 were searched with "Electric acupuncture, Spinal cord injury, Neural functional recovery, Spinal cord injury in rats, Neuronal Signaling" as search words. The risk of bias of included references was analyzed and assessed using RevMan 5.3 software and Stata software. Heterogeneity between studies was assessed using the -test and heterogeneity ( ).

RESULTS

There was no heterogeneity among the study groups. The comparison on the therapeutic effects of electroacupuncture and conventional therapy suggested that electroacupuncture was more effective for nerve recovery after spinal cord injury than conventional therapy. It can better improve the recovery of motor function after spinal cord injury in rats. On the other hand, SCI+EA had a good inhibitory effect on the expression of RhoA protein signal in rats and had a positive effect on the signal pathway. . The results of meta-analysis confirmed that electroacupuncture was more effective than conventional therapy in inhibiting pathways.

摘要

背景

脊髓损伤(SCI)是一种由多种因素引起的中枢神经系统(CNS)损伤。SCI 的继发性损伤更为复杂。研究发现,电针对脊髓损伤后的神经功能恢复有帮助。因此,本研究通过荟萃分析探讨电针对脊髓损伤后并发症的疗效。

方法

以“电针、脊髓损伤、神经功能恢复、大鼠脊髓损伤、神经元信号”为检索词,检索 2010 年 1 月至 2022 年 3 月发表的相关文献。采用 RevMan 5.3 软件和 Stata 软件对纳入文献的偏倚风险进行分析和评估。采用卡方检验和 I²检验评估研究间的异质性。

结果

各研究组间无异质性。电针与常规疗法疗效的比较表明,电针对脊髓损伤后神经恢复的疗效优于常规疗法,能更好地改善大鼠脊髓损伤后运动功能的恢复。另一方面,SCI+EA 对 RhoA 蛋白信号通路的表达有较好的抑制作用,对信号通路有积极作用。荟萃分析结果证实,电针对抑制通路的效果优于常规疗法。

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