醒脑开窍针法治疗脑卒中的临床疗效Meta分析

A Meta-analysis of treating cerebral stroke by the Xingnao Kaiqiao therapy

目的:汇总醒脑开窍针法对脑卒中偏瘫患者功能恢复的临床疗效。方法:检索中国知网、万方数据库、维普数据库、Pubmed、The cochrane library数据库2015年3月以前有关醒脑开窍针法治疗偏瘫的文献,并对有关文献进行筛选,符合标准的文献运用Cochrane协作网推荐的风险偏倚评估表进行评估。同时采用Cochrane协作网提供的Rev Men5.2软件制作森林图。结果:共检索到534篇文献,进行查重后剩余259篇相关文献,其中纳入22篇作分析,结果提示醒脑开窍针法治疗脑神相对有效。结论:醒脑开窍针法治疗脑卒中相对有效,但由于研究证据的质量欠佳,有必要进行规范性大规模的临床试验。

Objective: To collect clinical efficacy of the Xingnao Kaiqiao therapy on hemiplegia after cerebral stroke. Methods: Therelevant literatures on treating hemiplegia after cerebral stroke by the Xingnao Kaiqiao therapy before March 2015 were searched in CNKI,Wanfang database, VIP, Pubmed, The cochrane library database. Standards-compliant documents were evaluated by risk bias assessmentwhich recommended by cochrane collaborative network. Forest plots were produced with RevMen5.2 software which provided by cochranecollaborative network. Results: 534 literatures were retrieved in total; 259 relevant literatures were remained after duplication checking;22 literatures were incorporated and analyzed; the result suggests that the Xingnao Kaiqiao therapy is relatively effective. Conclusion:The Xingnao Kaiqiao therapy was relatively effective on hemiplegia after cerebral stroke; however, due to low quality of literature, theconclusion needs to be supported with high-quality literature.