电针联合特定电磁波谱治疗周围性面瘫的疗效分析：一项系统评价与Meta分析
Efficacy analysis of electroacupuncture plus TDP in the treatment of peripheral facial paralysis: a systematic review and meta-analysis.
作者信息
Gao Hua-Wei, Xia Qing-Chang, Li Zhi-Hong, Chen Wei, Lu Yan
机构信息
Department of Acupuncture Moxibustion Massage Rehabilitation and Healthcare, Shandong College of Traditional Chinese Medicine, Yantai, Shandong, China.
College of Acupuncture Moxibustion and Massage, Shandong University of Traditional Chinese Medicine, Jinan, Shandong, China.
出版信息
Front Neurol. 2024 Nov 27;15:1450312. doi: 10.3389/fneur.2024.1450312. eCollection 2024.
OBJECTIVE
This study intends to carry out a systematic review and meta-analysis of electroacupuncture combined with TDP in the treatment of peripheral facial paralysis.
METHODS
CNKI, VIP, Wanfang, PubMed, Embase and Cochrane databases were searched for literatures on randomized or quasi-randomized controlled trials of electroacupuncture combined with TDP in the treatment of peripheral facial paralysis, and the references of the included studies were searched. Meta-analysis was performed using Stata15.0 software after risk of bias, quality assessment, and data extraction of the included articles by two reviewers independently.
RESULTS
Fifteen articles were finally included, with approximately 1,568 participants (920 in the treatment group and 648 in the control group). Meta-analysis showed that the effective rate of electroacupuncture combined with TDP in the treatment of peripheral facial paralysis was not significantly different from other treatment methods ([ = 1.05, 95% (0.97, 1.12), = 0.226]), and the recovery rate was better than other treatment methods ([ = 1.14, 95% (1.05, 1.24), = 0.002]). Subgroup analysis showed that when stratified by the inclusion of minors in the study population, it was observed that in studies including minors, the combination of electroacupuncture and TDP therapy demonstrated superior efficacy in treating peripheral facial paralysis compared to other therapeutic modalities [OR = 1.14, 95% CI (1.03, 1.25), = 0.011]. Conversely, in studies where the population comprised solely adults, no significant difference was found between the combination therapy and other treatments [OR = 1.15, 95% CI (0.99, 1.33), = 0.059]; whether electroacupuncture alone or other treatment methods, the recovery rate of electroacupuncture combined with TDP in the treatment of peripheral facial paralysis was better than other methods.
CONCLUSION
Electroacupuncture combined with TDP is superior to other treatment methods in the treatment of peripheral facial paralysis.
目的
本研究旨在对电针联合特定电磁波谱（TDP）治疗周围性面瘫进行系统评价和荟萃分析。
方法
检索中国知网（CNKI）、维普资讯（VIP）、万方数据库、PubMed、Embase和Cochrane数据库中关于电针联合TDP治疗周围性面瘫的随机或半随机对照试验文献，并检索纳入研究的参考文献。由两名评价员独立对纳入文章进行偏倚风险、质量评估和数据提取后，使用Stata15.0软件进行荟萃分析。
结果
最终纳入15篇文章，共约1568例参与者（治疗组920例，对照组648例）。荟萃分析显示，电针联合TDP治疗周围性面瘫的有效率与其他治疗方法相比无显著差异（[ = 1.05，95%（0.97，1.12）， = 0.226]），但治愈率优于其他治疗方法（[ = 1.14，95%（1.05，1.24）， = 0.002]）。亚组分析显示，按研究人群中是否纳入未成年人分层时，发现在纳入未成年人的研究中，电针联合TDP疗法治疗周围性面瘫的疗效优于其他治疗方式[比值比（OR）= 1.14，95%置信区间（CI）（1.03，1.25）， = 0.011]。相反，在仅包含成年人的研究中，联合疗法与其他治疗方法之间未发现显著差异[OR = 1.15，95% CI（0.99，1.33）， = 0.059]；无论是单纯电针还是其他治疗方法，电针联合TDP治疗周围性面瘫的治愈率均优于其他方法。
结论
电针联合TDP治疗周围性面瘫优于其他治疗方法。
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