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针药结合治疗注意缺陷多动障碍的Meta分析

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目的 系统评价针药结合治疗注意缺陷多动障碍(attention deficit hyperactivity disorder,ADHD)的疗效.方法 检索中国知网、万方数据、维普、中国生物医学文献服务系统、PubMed、Cochrane Library、Embase、Medline等数据库中有关针药结合治疗ADHD的随机对照研究,检索时限为2003年10月至2023年10月,根据纳入、排除标准筛选文献并提取数据,进行质量评价,采用RevMan 5.4.1软件进行Meta分析.结果 共纳入13篇文献,合计941例患儿.与单纯药物治疗比较,针药结合治疗在总有效率、降低SNAP-Ⅳ(Swanson,Nolan,and pelham scale version Ⅳ)评分、改善多动指数、降低不良反应发生率方面具有一定优势,差异有统计学意义(P<0.05).结论 针药结合治疗ADHD具有显著疗效,可降低SNAP-Ⅳ评分,改善多动指数,减少不良反应的发生.
A Meta-analysis of acupuncture combined with drug in treatment of attention deficit hyperactivity disorder
Objective To systematically evaluate the efficacy of acupuncture combined with drug in treatment of attention deficit hyperactivity disorder(ADHD).Methods Randomized controlled studies on acupuncture combined with drug in treatment of ADHD were searched from CNKI,Wanfang Data,VIP,SinoMed,PubMed,Cochrane Library,Embase,Medline from October 2003 to October 2023.Literatures were screened according to inclusion and exclusion criteria and data were extracted for quality evaluation.Meta-analysis was performed using RevMan 5.4.1 software.Results A total of 13 literatures were included,with a total of 941 children.Compared with drug therapy alone,acupuncture combined with drug therapy has certain advantages in total effective rate,reducing SNAP-Ⅳ(Swanson,Nolan,and pelham scale version Ⅳ)score,improving hyperactivity index,and reducing the incidence of adverse reactions,and the differences were statistically significant(P<0.05).Conclusion Acupuncture combined with drug in treatment of ADHD has a significant effect,can reduce SNAP-Ⅳ score,improve the hyperactivity index,reduce the occurrence of adverse reactions.

Attention deficit hyperactivity disorderChildrenAcupuncture combined with drugRandomized controlled trialMeta-analysis

伍静、杨青

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安徽中医药大学附属芜湖市中医医院儿童保健科,安徽芜湖 241000

注意缺陷多动障碍 儿童 针药结合 随机对照试验 Meta分析

安徽省芜湖市卫生健康委科研项目

WHWJ2023y047

2024

中国现代医生
中国医学科学院

中国现代医生

影响因子:1.571
ISSN:1673-9701
年,卷(期):2024.62(25)