中藥、針刺治療中風(fēng)后丘腦痛的Meta分析
發(fā)布時(shí)間：2018-07-28 10:45
【摘要】：目的:系統(tǒng)評價(jià)中藥、針刺治療中風(fēng)后丘腦痛的臨床療效。方法:通過計(jì)算機(jī)和人工方法檢索關(guān)于中藥、針刺治療中風(fēng)后丘腦痛的臨床研究文獻(xiàn),收集符合要求的隨機(jī)對照試驗(yàn)(RCT)文獻(xiàn),運(yùn)用Cochrane系統(tǒng)評價(jià)的方法,使用Rev Men 5.3軟件進(jìn)行Meta分析。結(jié)果:共納入10篇文獻(xiàn),總計(jì)627例中風(fēng)后丘腦痛病例,結(jié)果顯示中藥、針刺治療中風(fēng)后便秘的總有效率優(yōu)于對照組[總有效率:OR=3.32,95%CI(2.25~4.90),Z=6.02,P0.000 01;針刺治療有效率:OR=2.72,95%CI(1.29~5.73),Z=2.62,P=0.009;惡化率:OR=0.24,95%CI(0.08~0.69),Z=2.63,P=0.009],差異有統(tǒng)計(jì)學(xué)意義。結(jié)論:中藥、針刺治療中風(fēng)后丘腦痛有效,對照其他治療方法有一定的優(yōu)勢,但納入文獻(xiàn)中RCT文獻(xiàn)質(zhì)量較低,還需高質(zhì)量、大樣本、多中心的隨機(jī)臨床研究用以進(jìn)一步驗(yàn)證。
[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 鹵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.
【作者單位】： 錦州市中醫(yī)醫(yī)院;遼寧中醫(yī)藥大學(xué);
【基金】：國家自然科學(xué)基金項(xiàng)目(81373718)
【分類號】：R255.2
本文編號：2149846
[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 鹵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.
【作者單位】： 錦州市中醫(yī)醫(yī)院;遼寧中醫(yī)藥大學(xué);
【基金】：國家自然科學(xué)基金項(xiàng)目(81373718)
【分類號】：R255.2
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