摘要
Objective To explore the effectiveness of applying scalp acupuncture in treating child cerebral palsy. Method Computer was adopt to retrieve relevant literature about scalp acupuncture based therapy in treating children cerebral palsy published during 2999-2024 in PubMed, China National Knowledge Infrastructure （CNKI）, China Biology Medicine Disc （CBM）, VIP database, Wan fang database, Longyuan Electronic Journal and People＇s University Copying Periodical Resources Full-Text Database. The quality of literature about scalp acupuncture based therapy in treating children cerebral palsy was systematically evaluated and Meta analysis was conducted for integrated data by adopting evidence-based medicine and bibliometrics and through RevMan 5.2 statistical software. Results Two hundred and thirty-four literature were retrieved in total, within which, 7 of them were included. There were 796 cases in included literature, which were divided into a treatment group （416 cases） and a control group （380 cases）. The total effective cases in the treatment group was 378, with the total effective rate of 90.9%, and the total effective cases of the control group was 282, with the total effective rate of 73.9%, which could provide evidence for the fact that the treatment of scalp acupuncture has increased the effective rate of child cerebral palsy by 17%. It is shown by Meta analysis that： OR is 0.16, 95% CI is （0.22, 0.22） and combined effect test is Z=6.27, P〈0.02, indicating that the combined effect size of several studies included is of statistical significance, and the difference between the control group and the treatment group is statistically significant. Conclusion The total effective rate of scalp acupuncture based therapy in treating children cerebral palsy is higher than that of modern medicine comprehensive rehabilitation treatment, and the treatment method of scalp acupuncture could be widely applied to clinic; but since articles about scalp acupuncture based therapy in treating children cerebral palsy published domestically are not qualified enough, only a few literature are included, hence, more power and strong evidences shall be verified by literature with higher quality.
目的:探讨头针为主治疗小儿脑瘫的有效性。方法:采用计算机交叉检索1999年至2014年在PubMed、中国期刊全文数据库(CNKI)、中国生物医学文献数据库(CBM)、维普期刊数据库(VIP)、万方数据库、龙源电子期刊、人大复印报刊资源全文数据库中已发表的关于头针治疗小儿脑瘫的相关文献,通过循证医学和文献计量方法,运用RevMan 5.2统计软件,对针灸治疗小儿脑瘫的文献进行系统质量评价与综合数据的Meta分析。结果:合计检索到234篇文献,最终纳入7篇。所入选文献共796例病例,其中治疗组416例,对照组380例,治疗组总有效例数378例,总有效率为90.9%,对照组总有效例数为281例,总有效率为73.9%。可认为头针对小儿脑瘫的治疗结果增加了17%的有效率。Meta分析显示:OR为0.16,95%CI为(0.11,0.21),合并效应检验Z=6.27,P<0.01,表明本次纳入的多个研究的合并效应量有统计学意义,说明治疗组和对照组之间的差异具有统计学意义。结论:头针为主的综合疗法的总有效率高于现代医学综合康复疗法,可广泛应用于于临床。但由于国内发表的关于头针治疗小儿脑瘫的文章质量普遍偏低等原因,致所纳入的文献量偏少,故更加确凿有力的证据尚需更多高质量的文献来进一步证实。
