针刺治疗脑卒中后足内翻随机对照实验的文献质量评价

Literatures assessment of RCT on treating strephenopodia after stroke by acupuncture

目的:评价国内针刺治疗脑卒中后足内翻随机对照试验的质量,了解针刺治疗脑卒中后足内翻研究的现状,以进一步提高研究者临床研究设计水平,从而更好地指导临床实践。方法:全面广泛收集针刺治疗脑卒中后足内翻的随机对照实验文献,采用CONSORT声明和STRICTA标准对2013年11月份以前发表的合格文献进行系统评价。结果:检索到符合纳入标准的临床随机对照实验文献21篇,所有文献均为针刺疗法与针刺疗法的对照,疗效的统计学分析基本正确;大部分文章对病例来源,随机方法,诊断标准,疗效标准,纳入和排除标准,统计学方法等基本内容进行了描述;所有文章均未对样本估算,分配隐藏,盲法的应用,随访情况进行描述。结论:针刺治疗脑卒中后足内翻的随机对照试验文献逐年增加,特别是近几年研究者更多采用了随机对照的方法,但亦存在不足,研究者的临床研究设计水平有待提高。

Objective：In order to improve the level of clinical study design and guide clinical practice better, the current situation of strephenopodia after stroke was knew and literatures of RCT on treating strephenopodia after stroke by acupuncture were assessed. Methods：Literatures of RCT on treating strephenopodia after stroke by acupuncture before November 2013 were collected and assessed by the CONSORT statement and STRICTA standards published. Results：In eligible 21 literatures, statistical analysisof efficacy were correct;random methods, diagnostic and efficacy standards, inclusion and exclusion standards, the statistical methods are described, but the sample estimates, allocation concealment, blinding of the application, follow-up were not described. Conclusion： Literatures of acupuncture treatment are increasing every year, especially in recent years, more researchers take RCT, but their level of clinical experimental design need to be improved.