摘要
系统评价针灸治疗中风后便秘的临床疗效。通过计算机和人工方法检索关于针灸治疗中风后便秘的临床研究文献,收集符合要求的随机对照试验(RCT)文献,运用Cochrane系统评价的方法,使用RevMen 5.2软件进行Meta分析。共纳入8篇文献,总计610例中风后便秘病例,结果显示针灸治疗中风后便秘的总有效率及治愈率均优于对照组[总有效率:OR=2.10,95%CI(1.25,3.54),Z=2.78,P=0.005;治愈率:OR=2.37,95%CI(1.57,3.58),Z=4.10,P<0.0001],差异有统计学意义。说明针刺治疗中风后便秘有效,对照其他治疗方法有一定的优势,但纳入文献中RCT文献质量较低,还需高质量、大样本、多中心的随机临床研究用以进一步验证。
ABSTRACT The clinical efficacy of acupuncture and moxibustion for post-stroke constipation was systematically reviewed. By computerized and manual retrieval of clinical research literature regarding acupuncture and moxibus- tion for post-stroke constipation, the randomized control trials （RCTs） that met the inclusive criteria were collec- ted. Coehrane systematic review method was used and Revmen 5.2 software was adopted to perform this Meta a- nalysis. Totally 8 articles were included, involving 610 cases of post-stroke constipation. As a result, the total ef- fective rate and cured rate of acupuncture and moxibustion for post-stroke constipation were significantly superior to those of the control group Y-total effective rate： OR=2.10, 95% CI （1.25, 3.54）, Z=2.78, P=0. 005; cured rate： OR=2.37, 95%CI （1.57, 3.58）, Z=4. 10, P〈0. 0001]. This result indicated that acupuncture was effec- tive for post-stroke constipation and had some advantages compared with other therapies. But the quality of includ- ed RCTs was low, and high-quality, large-sample and multi-center RCTs were needed to perforrn further verifica- tion.
出处
《中国针灸》
CAS
CSCD
北大核心
2014年第8期833-836,共4页
Chinese Acupuncture & Moxibustion
基金
国家中医药管理局国家中医临床研究基地业务建设科研专项项目:JDZX 2012143
关键词
中风
便秘
针刺
META分析
stroke
constipation
acupuncture
Meta analysis
