【作者】 李忠； 何扬子；

【Author】 Li Zhong~1,He Yang-zi~2 (1.Conec Chinese Medical Centre,Hong Kong; 2.First Affiliated Hospital to Jinan University,Guangdong,Guangzhou 510630)

【机构】 康力中医诊疗中心； 暨南大学附属第一医院；

【摘要】 目的:本研究从循证医学的角度出发,评价针刺治疗缺血性中风的临床疗效,为针灸临床提供可靠的依据。方法:采用循证医学的方法,全面检索近10年来针刺治疗缺血性中风的临床研究文献共98篇。Meta分析采用RevMan 4.2根据文献异质性检验结果,采用选择随机效应模型或采用固定效应模型进行计算。对于二分类变量资料计算相对危险度RR及合并效应量假设检验及95%可信区间(CI)估计。结果:Meta分析不分级的资料文献中发现针刺治疗缺血性中风的针刺合并其它治疗对比单一非针刺治疗、针刺加西药对比西药之有效率、总显效率及痊愈率有差异,有统计学意义(P<0.01),显示针刺合并其它治疗方案、针刺加西药治疗方案较优胜。结论:根据1998至2008年文献中的统计数据显示:针刺治疗缺血性中风是有效的,缺血性中风非针刺疗法只要加入针刺治疗一般也可把其疗效提高。更多还原

【Abstract】 Objective:In view of evidence-based medicine(EBM) analysis,the purpose of this study is to systematically assesses the efficacy of Ischemic Stroke(IS) Patients by acupuncture so as to providing the reliable scientific evidence for medical health care practice.Methods:The study first captures extensive literature reviews on the clinical trials(RCTs) that use acupuncture as the main intervention to treat Ischemic Stroke in recent 10 years.98 reports were collected for the study. Statistical heterogeneity among these RCTs was performed by using the statistical software Review Manager(RevMan 4.2),and a fixed effect model or random effect model was selected with combined RR and 95%CI calculated.Results:The findings disclose that there were highly significant statistical difference between two groups in excellence and total effective rates(P<0.01),the therapeutic effect of acupuncture with other treatments to treat IS was better than that of non-acupuncture.With the same reason,acupuncture with western medicine treatments was superior to western medicine. Conclusion:According to statistic analysis of literature from 1998 to 2008 statistics:acupuncture treatment of ischemic stroke is effective,the non-acupuncture therapy of ischemic stroke could general improve its curative effect as treatment with acupuncture.更多还原