Ren Shumeng, Chen Yuhang, Liu Yu, Lv Qiuyi, Peng Jing, Song Lei, Zou Yihuai, Zhang Hua, Chen Xing
Dongzhimen Hospital, The First Affiliated Hospital of Beijing University of Chinese Medicine, Beijing, China.
Department of Neurology and Stroke Center, Dongzhimen Hospital, The First Affiliated Hospital of Beijing University of Chinese Medicine, Beijing, China.
Front Med (Lausanne). 2025 Feb 7;12:1504215. doi: 10.3389/fmed.2025.1504215. eCollection 2025.
This meta-analysis aimed to evaluate the randomized controlled trials (RCTs) of acupuncture for somatosensory deficits after stroke to provide the current best evidence for clinical practice.
A systematic search was performed for eligible articles on the acupuncture for somatosensory deficits after stroke based on 14 databases. Two reviewers independently screened the RCTs, extracted data, and evaluated the methodological quality. A meta-analysis of RCTs was conducted using STATA 11.0 software.
A total of 57 RCTs were included. Meta-analysis results showed that compared with the control group, the acupuncture group had a higher effective rate [risk ratio (RR) = 1.21, 95% CI (1.17, 1.24), = 10.6%, < 0.001] and a better sensory disturbance score [mean difference (MD) = 5.37, 95%CI (3.81, 6.92), = 93.9%, < 0.001]. The Visual Analog Scale in the acupuncture group was lower [MD = -1.44, 95%CI (-1.81, -1.07), = 94.5%, < 0.001]. The acupuncture also showed an improvement in the ability of daily living [MD = 12.19, 95% CI (8.50, 15.87), = 97.2%, < 0.001] and the symptoms of neurological deficit [Standardized Mean Difference (SMD) = -1.53, 95%CI (-2.04, -1.03), = 89.7%, < 0.001].
The current best evidence shows that acupuncture has advantages in raising the effective rate, alleviating sensory disturbance, relieving pain, enhancing the ability of daily living, and improving the symptoms of neurological deficits for somatosensory deficits after stroke compared with the control group. And the adverse reactions in acupuncture group were acceptable. However, further well-designed high-quality and multicenter international studies are needed to verify the effectiveness and safety of acupuncture for somatosensory deficits after stroke.
https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42020186040.
本荟萃分析旨在评估针刺治疗中风后躯体感觉障碍的随机对照试验（RCT），为临床实践提供当前最佳证据。
基于14个数据库对针刺治疗中风后躯体感觉障碍的合格文章进行系统检索。两名研究者独立筛选RCT，提取数据并评估方法学质量。使用STATA 11.0软件对RCT进行荟萃分析。
共纳入57项RCT。荟萃分析结果显示，与对照组相比，针刺组有效率更高[风险比（RR）=1.21，95%置信区间（CI）（1.17，1.24），P=10.6%，P<0.001]，感觉障碍评分更好[平均差（MD）=5.37，95%CI（3.81，6.92），P=93.9%，P<0.001]。针刺组视觉模拟评分更低[MD=-1.44，95%CI（-1.81，-1.07），P=94.5%，P<0.001]。针刺还显示日常生活能力有所改善[MD=12.19，95%CI（8.50，15.87），P=97.2%，P<0.001]，神经功能缺损症状也有所改善[标准化均差（SMD）=-1.53，95%CI（-2.04，-1.03），P=89.7%，P<0.001]。
当前最佳证据表明，与对照组相比，针刺在提高中风后躯体感觉障碍的有效率、减轻感觉障碍、缓解疼痛、增强日常生活能力以及改善神经功能缺损症状方面具有优势。且针刺组的不良反应可接受。然而，需要进一步设计良好的高质量多中心国际研究来验证针刺治疗中风后躯体感觉障碍的有效性和安全性。
https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42020186040。
