Objective:To observe the clinical efficacy of back-Shu and front-Mu points combination needling on balance and walking function in patients after stroke and its mechanism.Methods:A total of 79 patients with post-strok...Objective:To observe the clinical efficacy of back-Shu and front-Mu points combination needling on balance and walking function in patients after stroke and its mechanism.Methods:A total of 79 patients with post-stroke balance and walking dysfunction were randomly divided into a control group and an observation group.Both groups received conventional treatments such as dietary guidance and oral medications as well as rehabilitation training.On this basis,the control group was treated with additional conventional acupuncture,and the observation group was treated with additional back-Shu and front-Mu points combination needling.Both groups were treated for 4 consecutive weeks.The thickness of abdominal muscle group(transverse abdominal muscle,rectus abdominis,obliquus internus abdominis,and obliquus externus abdominis),the scores of Berg balance scale(BBS),Fugl-Meyer assessment(FMA),and functional ambulation categories(FAC),and walking velocity and stride were compared between the two groups.Results:During the trial,there was 1 dropout case in the control group and 4 dropout cases in the observation group.Before treatment,there were no statistical differences in the abdominal muscle group thickness,scores of BBS,FMA,and FAC,and walking velocity and stride between the two groups(P>0.05).After 4 weeks of treatment,the thickness of abdominal muscle groups,scores of BBS,FMA,and FAC,and walking velocity and stride in both groups were improved(P<0.01),and the observation group was superior to the control group(P<0.05).Conclusion:Both conventional acupuncture and back-Shu and front-Mu points combination needling are conducive to the improvement of balance and walking function in patients after stroke.The back-Shu and front-Mu points combination needling method has better curative efficacy.Strengthening the core muscle group strength may be one of the mechanisms of back-Shu and front-Mu points combination needling treatment.展开更多
目的运用网状Meta分析的方法评价经典名方及中成药治疗慢性咽炎的疗效与安全性。方法检索中国知网、维普、万方、PubMed、Web of Science数据库中从建库至2020年10月份的中成药及经典名方治疗慢性咽炎的临床随机平行对照试验(RCT)。根...目的运用网状Meta分析的方法评价经典名方及中成药治疗慢性咽炎的疗效与安全性。方法检索中国知网、维普、万方、PubMed、Web of Science数据库中从建库至2020年10月份的中成药及经典名方治疗慢性咽炎的临床随机平行对照试验(RCT)。根据纳入标准筛选并提取相关数据,运用Review Manger 5.3软件进行纳入研究筛选流程图的制作以及质量评价,运用Stata14.0软件进行网状Meta分析。结果最终纳入27项RCT研究,涉及7个经典名方,9个中成药,共3924个病例。网状Meta分析结果显示:临床总有效率方面,麦门冬汤>新癀片>十味龙胆花颗粒>补中益气汤>金莲清热泡腾片>黄连阿胶汤>金嗓利咽丸>口炎清颗粒>半夏散及汤>养阴清肺汤>清开灵滴丸>会厌逐瘀汤>一清胶囊>双黄连>猪肤汤>蓝芩口服液;咽痛、咽养改善情况方面,口炎清颗粒>会厌逐瘀汤;干咳改善情况方面,会厌逐瘀汤>口炎清颗粒;不良反应发生率方面,清开灵滴丸>蓝芩口服液>金莲清热泡腾片;复发率方面,猪肤汤>会厌逐瘀汤>双黄连>清开灵滴丸。结论经典名方及中成药治疗慢性咽炎疗效显著,不良反应发生率及复发率低,可明显改善慢性咽炎患者咽痛、咽痒、干咳等症状,其中麦门冬汤在慢性咽炎的治疗上有巨大的潜力。展开更多
文摘Objective:To observe the clinical efficacy of back-Shu and front-Mu points combination needling on balance and walking function in patients after stroke and its mechanism.Methods:A total of 79 patients with post-stroke balance and walking dysfunction were randomly divided into a control group and an observation group.Both groups received conventional treatments such as dietary guidance and oral medications as well as rehabilitation training.On this basis,the control group was treated with additional conventional acupuncture,and the observation group was treated with additional back-Shu and front-Mu points combination needling.Both groups were treated for 4 consecutive weeks.The thickness of abdominal muscle group(transverse abdominal muscle,rectus abdominis,obliquus internus abdominis,and obliquus externus abdominis),the scores of Berg balance scale(BBS),Fugl-Meyer assessment(FMA),and functional ambulation categories(FAC),and walking velocity and stride were compared between the two groups.Results:During the trial,there was 1 dropout case in the control group and 4 dropout cases in the observation group.Before treatment,there were no statistical differences in the abdominal muscle group thickness,scores of BBS,FMA,and FAC,and walking velocity and stride between the two groups(P>0.05).After 4 weeks of treatment,the thickness of abdominal muscle groups,scores of BBS,FMA,and FAC,and walking velocity and stride in both groups were improved(P<0.01),and the observation group was superior to the control group(P<0.05).Conclusion:Both conventional acupuncture and back-Shu and front-Mu points combination needling are conducive to the improvement of balance and walking function in patients after stroke.The back-Shu and front-Mu points combination needling method has better curative efficacy.Strengthening the core muscle group strength may be one of the mechanisms of back-Shu and front-Mu points combination needling treatment.
文摘目的运用网状Meta分析的方法评价经典名方及中成药治疗慢性咽炎的疗效与安全性。方法检索中国知网、维普、万方、PubMed、Web of Science数据库中从建库至2020年10月份的中成药及经典名方治疗慢性咽炎的临床随机平行对照试验(RCT)。根据纳入标准筛选并提取相关数据,运用Review Manger 5.3软件进行纳入研究筛选流程图的制作以及质量评价,运用Stata14.0软件进行网状Meta分析。结果最终纳入27项RCT研究,涉及7个经典名方,9个中成药,共3924个病例。网状Meta分析结果显示:临床总有效率方面,麦门冬汤>新癀片>十味龙胆花颗粒>补中益气汤>金莲清热泡腾片>黄连阿胶汤>金嗓利咽丸>口炎清颗粒>半夏散及汤>养阴清肺汤>清开灵滴丸>会厌逐瘀汤>一清胶囊>双黄连>猪肤汤>蓝芩口服液;咽痛、咽养改善情况方面,口炎清颗粒>会厌逐瘀汤;干咳改善情况方面,会厌逐瘀汤>口炎清颗粒;不良反应发生率方面,清开灵滴丸>蓝芩口服液>金莲清热泡腾片;复发率方面,猪肤汤>会厌逐瘀汤>双黄连>清开灵滴丸。结论经典名方及中成药治疗慢性咽炎疗效显著,不良反应发生率及复发率低,可明显改善慢性咽炎患者咽痛、咽痒、干咳等症状,其中麦门冬汤在慢性咽炎的治疗上有巨大的潜力。
