Ernst E, White A R
Department of Complementary Medicine, Postgraduate Medical School, University of Exeter, United Kingdom.
Wien Med Wochenschr. 1996;146(21-22):556-8.
The optimal treatment during stroke rehabilitation has not yet been identified. Several recent reports claim that acupuncture may be a useful addition to conventional stroke rehabilitation. The aim of this paper is to critically review these data. All controlled trials published on this subject were identified by systematic literature searches. Without exception, these trials suggest positive effects of acupuncture on functional recovery. None of them, however, attempted to account for a possible placebo effect. Several other methodological flaws must be considered as well. It is therefore concluded that, according to the data published to date, the evidence that acupuncture is a useful adjunct for stroke rehabilitation is encouraging but not compelling. More and better trials are required to clarify this highly relevant issue.
中风康复期间的最佳治疗方法尚未确定。最近的几份报告称，针灸可能是传统中风康复的有益补充。本文的目的是对这些数据进行批判性综述。通过系统的文献检索确定了所有关于该主题发表的对照试验。毫无例外，这些试验表明针灸对功能恢复有积极作用。然而，它们都没有试图解释可能的安慰剂效应。还必须考虑其他几个方法学上的缺陷。因此得出结论，根据迄今为止发表的数据，针灸作为中风康复有益辅助手段的证据令人鼓舞，但并不具有说服力。需要更多更好的试验来阐明这个高度相关的问题。
