目的运用基于Meta分析的熵权TOPSIS法,从多个维度探讨针刺干预卒中后丘脑痛的优势方案。方法检索中国知网、万方数据库、维普数据库、中国生物医学文献数据库、PubMed、Web of Science、Cochrane及Embase等数据库,检索建库至2023年8月...目的运用基于Meta分析的熵权TOPSIS法,从多个维度探讨针刺干预卒中后丘脑痛的优势方案。方法检索中国知网、万方数据库、维普数据库、中国生物医学文献数据库、PubMed、Web of Science、Cochrane及Embase等数据库,检索建库至2023年8月收录的针刺治疗卒中后丘脑痛相关文献,运用改良Jadad量表评估文献质量,并对纳入文献进行Meta分析。根据Meta分析结果,确定将治愈率、有效率、VAS评分及治疗次数作为决策指标,运用多指标决策分析(MCDM)法、熵权法确定其权重,并运用TOPSIS法对卒中后丘脑痛针刺优势方案进行筛选。结果共纳入7篇随机对照研究,7篇文献均报道了VAS评分,结果显示,试验组VAS评分低于对照组,差异有统计学意义(MD=-1.80,95%CI:-2.45~-1.15,P<0.001)。有5篇文献报道了PRI评分,结果显示,试验组PRI评分低于对照组,差异有统计学意义(MD=-3.23,95%CI:-5.13~-1.34,P<0.001)。有5篇文献报道了PPI评分,结果显示,试验组PPI评分低于对照组,差异有统计学意义(MD=-1.22,95%CI:-2.00~-0.45,P=0.002)。有3篇文献报道了不良反应,共涉及154例患者,但患者均未出现明显不良反应。治愈率的熵值最低、效用值最高,权重系数为32.620%。VAS评分熵值最高、效用值最低,权重系数为14.352%;改良Jadad评分的熵值较小,效用值较大,权重系数为17.258%。醒脑开窍针法方案最佳,其平均治疗时间为2周,主要选穴为内关、水沟、三阴交、极泉、委中、风池、完骨、天柱、病灶侧顶颞后斜线,治疗频率为每天1次,每次30 min,疗程为28 d。结论本研究所筛选构建卒中后丘脑痛针刺优势方案可为临床应用提供一定参考,基于Meta分析的熵权TOPSIS法为临床筛选治疗优势方案提供了新思路。展开更多
帕金森病(Pakinson’s disease, PD)又称震颤麻痹,是一种临床常见病,主要表现为静止性震颤、肌强直等运动症状和认知障碍、睡眠障碍等非运动症状,严重影响患者的日常生活和生存质量。目前治疗帕金森病主要是靠药物治疗,但是长期应用药...帕金森病(Pakinson’s disease, PD)又称震颤麻痹,是一种临床常见病,主要表现为静止性震颤、肌强直等运动症状和认知障碍、睡眠障碍等非运动症状,严重影响患者的日常生活和生存质量。目前治疗帕金森病主要是靠药物治疗,但是长期应用药物会产生许多副作用。相比之下,针灸作为一种安全、简便、绿色的疗法在治疗帕金森病上具有独特优势。基于以上,本文总结了近几年针灸治疗帕金森病的文献资料,以期为临床医生治疗帕金森病提供新思路。Parkinson’s disease (PD), also known as paralysis agitans, is a common clinical disease that primarily manifests as resting tremor, muscle rigidity, and other motor symptoms, as well as cognitive impairment, sleep disorders, and other non-motor symptoms, which seriously affect the daily life and quality of life of patients. At present, the treatment of Parkinson’s disease mainly relies on drug therapy, but long-term use of drugs can produce many side effects. In contrast, acupuncture and moxibustion, as a safe, simple and green treatment, has unique advantages in treating Parkinson’s disease. Based on the above, this paper summarizes the literature on acupuncture and moxibustion treatment of Parkinson’s disease in recent years, with a view to providing new ideas for clinicians to treat Parkinson’s disease.展开更多
文摘目的运用基于Meta分析的熵权TOPSIS法,从多个维度探讨针刺干预卒中后丘脑痛的优势方案。方法检索中国知网、万方数据库、维普数据库、中国生物医学文献数据库、PubMed、Web of Science、Cochrane及Embase等数据库,检索建库至2023年8月收录的针刺治疗卒中后丘脑痛相关文献,运用改良Jadad量表评估文献质量,并对纳入文献进行Meta分析。根据Meta分析结果,确定将治愈率、有效率、VAS评分及治疗次数作为决策指标,运用多指标决策分析(MCDM)法、熵权法确定其权重,并运用TOPSIS法对卒中后丘脑痛针刺优势方案进行筛选。结果共纳入7篇随机对照研究,7篇文献均报道了VAS评分,结果显示,试验组VAS评分低于对照组,差异有统计学意义(MD=-1.80,95%CI:-2.45~-1.15,P<0.001)。有5篇文献报道了PRI评分,结果显示,试验组PRI评分低于对照组,差异有统计学意义(MD=-3.23,95%CI:-5.13~-1.34,P<0.001)。有5篇文献报道了PPI评分,结果显示,试验组PPI评分低于对照组,差异有统计学意义(MD=-1.22,95%CI:-2.00~-0.45,P=0.002)。有3篇文献报道了不良反应,共涉及154例患者,但患者均未出现明显不良反应。治愈率的熵值最低、效用值最高,权重系数为32.620%。VAS评分熵值最高、效用值最低,权重系数为14.352%;改良Jadad评分的熵值较小,效用值较大,权重系数为17.258%。醒脑开窍针法方案最佳,其平均治疗时间为2周,主要选穴为内关、水沟、三阴交、极泉、委中、风池、完骨、天柱、病灶侧顶颞后斜线,治疗频率为每天1次,每次30 min,疗程为28 d。结论本研究所筛选构建卒中后丘脑痛针刺优势方案可为临床应用提供一定参考,基于Meta分析的熵权TOPSIS法为临床筛选治疗优势方案提供了新思路。
文摘帕金森病(Pakinson’s disease, PD)又称震颤麻痹,是一种临床常见病,主要表现为静止性震颤、肌强直等运动症状和认知障碍、睡眠障碍等非运动症状,严重影响患者的日常生活和生存质量。目前治疗帕金森病主要是靠药物治疗,但是长期应用药物会产生许多副作用。相比之下,针灸作为一种安全、简便、绿色的疗法在治疗帕金森病上具有独特优势。基于以上,本文总结了近几年针灸治疗帕金森病的文献资料,以期为临床医生治疗帕金森病提供新思路。Parkinson’s disease (PD), also known as paralysis agitans, is a common clinical disease that primarily manifests as resting tremor, muscle rigidity, and other motor symptoms, as well as cognitive impairment, sleep disorders, and other non-motor symptoms, which seriously affect the daily life and quality of life of patients. At present, the treatment of Parkinson’s disease mainly relies on drug therapy, but long-term use of drugs can produce many side effects. In contrast, acupuncture and moxibustion, as a safe, simple and green treatment, has unique advantages in treating Parkinson’s disease. Based on the above, this paper summarizes the literature on acupuncture and moxibustion treatment of Parkinson’s disease in recent years, with a view to providing new ideas for clinicians to treat Parkinson’s disease.
