针刺结合康复训练治疗中风后足内翻的Meta分析

A Meta-analysis of treating strephenopodia following apoplexia by acupuncture by rehabilitation training

目的:分析针刺结合康复训练治疗中风后足内翻的疗效。方法:通过电子检索,并且结合专业资料以及网络上的信息,采用Rev Man5软件(由Cochrane协作网提供)实行Meta分析。结果:共查及了115篇文献,只有5篇文献符合纳入标准。采用Jadad评分标准对纳入文章的方法和结果进行评价,5篇均属低质量文献,共收入病人324人,Mate分析显示,针刺结合康复训练治疗中风后足内翻总有效率优于对照组,其汇总OR=3.15,95%CI(1.74,5.71),其差异有统计学意义(Z=3.79,P=0.0001)。结论:现有的临床研究证据显示,针刺结合康复训练治疗中风后足内翻在总有效率方面优于单纯康复训练,纳入文献均属RCT但治疗较低,需要大规模的高质量临床试验研究以期得到强度更高的证据。

Objective： To analyze the efficacy of acupuncture by rehabilitation training on strephenopodia following apoplexia. Methods： Via electronic retrieval, and combine the information on the professional data and networking. By using RevMan5 software （provided by the Cochrane Collaboration） Meta-analysis of the implementation. Results： A total of 115 investigations and literature, only five met the inclusion criteria. Using Jadad scoring criteria included articles on the methods and results were evaluated, five are low-quality literature, a total income of 324 patients, Mate analysis showed that acupuncture combined with rehabilitation after stroke total strephenopodia efficient than the control group its summary OR=3.15,95% CI （1.74,5.71） and the difference was statistically significant （Z = 3.79,P= 0.0001）. Conclusion： Existing clinical research evidence shows that acupuncture combined with rehabilitation Strephenopodia after stroke in terms of total efficiency due to simple rehabilitation training, included literature are RCT but lower treatment, high-quality clinical trials research needs to scale evidence obtain higher strength.