首页|针刺治疗脑卒中后中枢性疼痛的系统评价和Meta分析

针刺治疗脑卒中后中枢性疼痛的系统评价和Meta分析

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目的 系统评价针刺治疗脑卒中后中枢性疼痛的疗效.方法 检索中国知网、万方、维普及PubMed等数据库中所有针刺治疗脑卒中后中枢性疼痛的临床随机对照试验,检索时间为建库起至2022年12月.经严格筛选,提取数据并评价纳入研究的偏倚风险后,运用Rev Man5.4软件进行Meta分析.结果 最终纳入文献12篇,病例1076例.8篇选用总有效率进行评价,结果显示:OR=3.17,95%CI(2.16,4.64),Z=5.92(P<0.0001).10篇以疼痛视觉模拟评分(VAS)作为结局指标,结果显示:MD=-1.18,95%CI(-1.53,-0.83),Z=6.58(P<0.00001).4篇采用匹兹堡睡眠质量指数(PSQI)作为结局指标,结果显示:MD=-2.63,95%CI(-3.16,-2.10),Z=9.73(P<0.00001).2 篇采用改良 Bankin 量表(MRS)作为结局指标,结果显示:MD=-0.60,95%CI(-0.78,-0.41),Z=6.93(P<0.00001).结论 针刺治疗脑卒中后中枢性疼痛可以有效缓解疼痛,改善患者睡眠质量,促进损伤神经功能的恢复.
A Systematic Review and Meta-Analysis of Acupuncture in the Treatment of Central Pain after Stroke
Objective:To systematically evaluate the effect of acupuncture in the treatment of central pain after stroke.Methods:All randomized controlled clinical trials of acupuncture in the treatment of central pain after stroke were searched from CNKI,Wanfang,VIP and PubMed databases from the database establishment to December 2022.After rig-orous screening and data extraction were made and the risk of bias in included studies were evaluated,a meta-analysis was performed by using Rev Man5.4 software.Results:12 literature with 1076 cases were included.The total effective rate of 8 articles was evaluated,and the results showed that OR=3.17,95%CI(2.16,4.64),Z=5.92(P<0.0001).The visual analogue score(VAS)in 10 articles was used as the outcome index,and the results showed that MD=-1.18,95%CI(-1.53,-0.83),Z=6.58(P<0.00001).In 4 articles,Pittsburgh Sleep Quality Index(PSQI)was used as the outcome index,and the results showed that MD=-2.63,95%CI(-3.16,-2.10),Z=9.73(P<0.00001).In two ar-ticles,the modified Bankin Scale(MRS)was used as the outcome index,and the results showed that MD=-0.60,95%CI(-0.78,-0.41),Z=6.93(P<0.00001).Conclusion:Acupuncture treatment of central pain after stroke can effec-tively relieve pain,improve sleep quality and promote the recovery of injured nerve function.

AcupunctureCentral Pain after StrokeMeta-AnalysisSystematic Evaluation

王志红、王嘉麟

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北京中医药大学,北京 100029

北京中医药大学东方医院,北京 100078

针刺 脑卒中后中枢性疼痛 Meta分析 系统评价

首都临床诊疗技术研究及示范应用项目基本科研业务费重点攻关项目(2020)

Z1911000066190742020-JYB-ZDGG-130

2024

云南中医中药杂志
云南省中医中药研究院,云南省中医药学会

云南中医中药杂志

影响因子:0.598
ISSN:1007-2349
年,卷(期):2024.45(3)
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