推拿治疗脑卒中后痉挛的Meta分析

Meta-analysis on Tuina for Treatment of Spasm after Stroke

目的:系统评价推拿治疗脑卒中后痉挛的疗效。方法:在中国知网、Cochrane Library等数据库检索至2014年4月推拿治疗脑卒中后痉挛的随机对照试验,应用Rev Man 5.0软件进行Meta分析。结果:推拿治疗脑卒中后痉挛在F ugl-Meyer运动评分及改良Barthel指数方面优于对照组,而在改良Ashworth量表评分方面疗效差异无统计学意义。结论:推拿可明显提高脑卒中后痉挛患者的运动功能及日常生活能力,但对痉挛程度的改善无明显疗效。

Objective： To assess the therapeutic effect of Tuina on spasm after stroke. Methods; The knowledge network in China,the Cochrane Library databases such as retrieval from building up to 4 months in 2014 about the massage randomized controlled trials for the treatment of seizures after stroke. Meta analysis using Rev Man 5. 0 software. Results In20 randomized controlled trial,a total of 1720 patients. Meta analysis results showed that the massage treatment of seizures after stroke in F ugl- Meyer movement score [WMD value = 4. 72（ 95% CI,2. 96 to 6. 48） ],and the modified Barthel[WMD value = 10. 39（ 95% CI,8. 92 to 11. 86） ] is better than that in control group,and the modified Ashworth scale score [WMD value = 1. 42（ 95% CI,3. 19 - 0. 36） ] the curative effect of the differences have no statistical significance.Conclusion： The massage treatment of patients with seizures after stroke in improving motor function and daily life has significant curative effect,but has no obvious effect on the improvement of the patient spasm degree.