Ke Chao, Shi Wenying, Zhou Zhuo, Xie Zhengrong, Sun Mengzi, Yu Juli, Shan Shengtao, Zhang Wei
The First Hospital of Hunan University of Chinese Medicine, Changsha, China.
Front Neurosci. 2024 Nov 25;18:1495435. doi: 10.3389/fnins.2024.1495435. eCollection 2024.
Stroke is a neurological condition characterized by high rates of disability and mortality. Magnetic resonance imaging (MRI) is widely used to examine the mechanisms of acupuncture in stroke treatment.
This review provides neuroimaging evidence for the efficacy of acupuncture in treating stroke using MRI.
We conducted a comprehensive search of databases, including PubMed, Embase, Cochrane Library, China National Knowledge Infrastructure (CNKI), Wan Fang Data, Chinese BioMedical Literature Database (CBM), and Chonqing VIP (CQVIP), from inception to April 2024. Relevant neuroimaging studies on acupuncture for stroke were included, and the research findings were presented through charts and textual analyses.
A total of 158 studies were included, and the overall methodological quality of the included studies was moderate to high. The results were divided into three categories: basic characteristics, clinical characteristics, and quality assessment of the included literature.
We elucidated the neural mechanisms underlying the effects of acupuncture on stroke; however, the evidence remains preliminary. There is a need for large-scale, well-designed, multimodal neuroimaging trials. This review represents the first active use of an evidence map to systematically review and illustrate the current state of neuroimaging research on the acupuncture treatment of stroke, thereby providing a valuable reference for future research.
中风是一种以高致残率和高死亡率为特征的神经系统疾病。磁共振成像（MRI）被广泛用于研究针刺治疗中风的机制。
本综述使用MRI为针刺治疗中风的疗效提供神经影像学证据。
我们对包括PubMed、Embase、Cochrane图书馆、中国知网（CNKI）、万方数据、中国生物医学文献数据库（CBM）和重庆维普（CQVIP）在内的数据库进行了全面检索，检索时间从建库至2024年4月。纳入了关于针刺治疗中风的相关神经影像学研究，并通过图表和文本分析展示研究结果。
共纳入158项研究，纳入研究的总体方法学质量为中等至高。结果分为三类：纳入文献的基本特征、临床特征和质量评估。
我们阐明了针刺治疗中风作用的神经机制；然而，证据仍然是初步的。需要进行大规模、设计良好的多模态神经影像学试验。本综述首次积极使用证据图谱系统回顾和阐述针刺治疗中风的神经影像学研究现状，从而为未来研究提供有价值的参考。
