中药、针刺治疗中风后丘脑痛的Meta分析

发布时间：2018-07-28 10:44

【摘要】：目的:系统评价中药、针刺治疗中风后丘脑痛的临床疗效。方法:通过计算机和人工方法检索关于中药、针刺治疗中风后丘脑痛的临床研究文献,收集符合要求的随机对照试验(RCT)文献,运用Cochrane系统评价的方法,使用Rev Men 5.3软件进行Meta分析。结果:共纳入10篇文献,总计627例中风后丘脑痛病例,结果显示中药、针刺治疗中风后便秘的总有效率优于对照组[总有效率:OR=3.32,95%CI(2.25~4.90),Z=6.02,P0.000 01;针刺治疗有效率:OR=2.72,95%CI(1.29~5.73),Z=2.62,P=0.009;恶化率:OR=0.24,95%CI(0.08~0.69),Z=2.63,P=0.009],差异有统计学意义。结论:中药、针刺治疗中风后丘脑痛有效,对照其他治疗方法有一定的优势,但纳入文献中RCT文献质量较低,还需高质量、大样本、多中心的随机临床研究用以进一步验证。
[Abstract]:Objective: to evaluate the clinical effect of traditional Chinese medicine and acupuncture on thalamic pain after stroke. Methods: the clinical literatures of traditional Chinese medicine and acupuncture on thalamic pain after stroke were searched by computer and artificial methods. The (RCT) documents of randomized controlled trial were collected and evaluated by Cochrane system. Rev Men 5.3 software was used for Meta analysis. Results: a total of 627 cases of thalamic pain after stroke were included in 10 literatures. The total effective rate of acupuncture in treatment of constipation after stroke was better than that in the control group [the total effective rate was 3.32.95 CI (2.25 卤4.90), the effective rate of acupuncture was 2.02P0.00001, and the effective rate of acupuncture treatment was 2.7225.73 CI (1.295.73) Z2.62P0.009; the deterioration rate was 0.24c95CI (0.080.69) Z2.63P0. 009, the difference was statistically significant. Conclusion: traditional Chinese medicine and acupuncture are effective in the treatment of thalamic pain after stroke, compared with other treatment methods, but the quality of RCT literature included in the literature is low, and needs high quality, large sample, multi-center randomized clinical study to further verify.
【作者单位】：锦州市中医医院;辽宁中医药大学;
【基金】：国家自然科学基金项目(81373718)
【分类号】：R255.2

【相似文献】