摘要
目的:系统评价子午流注纳甲针刺法治疗中风的临床疗效。方法:电子检索Cochrane图书馆、Pubmed、中国期刊全文数据库(CNKI)、万方知识服务平台、中国科技期刊全文数据库(VIP)和中国生物医学文献数据库(CBM),收集1990年1月—2014年1月期间发表的子午流注纳甲针刺法治疗中风临床研究,按Cochrane Handbook5.1.0标准对所纳入试验进行质量评价,用Rev Man 5.0软件进行Meta分析。结果:最终纳入11个临床研究,3185例患者。Meta分析显示子午流注纳甲针刺法与非子午流注纳甲针刺法进行比较:总有效率、痊愈率均具有统计学意义,OR及95%CI分别为:[Or=2.85,95%CI(2.17,3.73)]、[Or=1.61,95%CI(1.15,2.26)]。结论:当前证据显示,子午流注纳甲针刺法在治疗中风的总有效率及痊愈率要高于非子午流注纳甲针刺法,但由于纳入研究的数量及质量有限,上述结论仍待更多大规模,高质量的研究加以证明。
Objective： To assess the clinical efficacy of Ziwuliuzhu Najia acupuncture therapy on stroke by conducting a Meta-analysis of randomized controlled trails. Method： We searched the Cochrane Library,Pubmed,CNKI,Wan Fang Database,VIP and CBM to collect clinical trails of Ziwuliuzhu Najia acupuncture therapy on stroke that were published from January 1990 to January 2014,and then assessed the methodological quality of included trails and then made a Meta-analysis with the Review Manage 5. 0 software. Results： Our study adopted 8 pieces of literature,including 11 trails and3185 participants in total. This Meta-analysis showed that comparing to the non-Ziwuliuzhu Najia acupuncture therapy,the total effective rate and the curative rate of Ziwuliuzhu Najia acupuncture therapy were respectively statistical significant[Or = 2. 85,95% CI（ 2. 17,3. 73） ],[Or = 1. 61,95% CI（ 1. 15,2. 26） ]. Conclusion： Although the current evidences show the total effective rate and the curative rate of Ziwuliuzhu Najia acupuncture therapy were higher than that of Non-Ziwuliuzhu Najia acupuncture therapy,more high quality studies with large scales and long term follow-up are still needed to verify the above conclusion because of the limited quantities and samples included in the studies.
出处
《中华中医药学刊》
CAS
北大核心
2016年第6期1374-1377,共4页
Chinese Archives of Traditional Chinese Medicine
基金
广西自然科学基金项目(2011GXNSFA018173)
广西科学研究与技术开发项目(桂科攻1140003B-58)
广西中医药民族医药继承创新工程立项项目(GZZJ13-08
GZLC14-05
GZLC14-41)
广西高等学校科学研究项目(KY2015ZD063
KY2015YB162)
广西中医药大学校级重点项目(ZD14003)
关键词
针刺
子午流注
纳甲
中风
临床研究
系统评价
acupuncture
Ziwuliuzhu
Najia
stroke
clinical research
systematic review
