| 引用本文: |
李妮蓉,刘玲玲,李晟,秦莉花.中药离子导入配合针灸对脑卒中肩手综合征临床疗效的系统性分析[J].湖南中医药大学学报,2020,40(5):566-570[点击复制] |
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| 中药离子导入配合针灸对脑卒中肩手综合征临床疗效的系统性分析 |
| 李妮蓉,刘玲玲,李晟,秦莉花 |
| (湖南中医药大学, 湖南 长沙 410208) |
| 摘要: |
| 目的 从循证角度系统评价中药离子导入合针灸治疗脑卒中肩手综合征的临床疗效。方法 检索维普、万方、CNKI中国知网、中国生物医学文献数据库、PubMed、Cochrane Library、Science Direct等数据库，并手工翻检湖南中医药大学图书馆期刊，搜索有关中药离子导入合针灸治疗脑卒中肩手综合征临床疗效的随机对照文献，进行数据提取，并采用RevMan 5.3软件分析。结果 结果 共纳入7项研究，涉及肩手综合征患者504人，Meta分析结果显示，与对照组相比，中药离子导入配合针灸能够提高22%的临床总有效率[RR=1.22，95% CI （1.11，1.35），Z=3.94，P<0.000 1]，缓解疼痛［MD=-1.55，95% CI （-2.08，-1.02），Z=5.72，P<0.000 01]，改善患肢运动功能［MD=6.01，95% CI （5.15，6.87），Z=13.73，P<0.000 01]，提高日常生活活动能力［MD=9.07，95% CI（5.95，12.19），Z=5.69，P<0.000 01]。结论 中药离子导入合针灸治疗肩手综合征疗效显著，能够有效缓解患者疼痛，改善患肢运动功能，提高生活质量，同时有利于中医特色技术的推广和应用。 |
| 关键词: 脑卒中 肩手综合征 中药离子导入 针灸 |
| DOI：10.3969/j.issn.1674-070X.2020.05.011 |
| 投稿时间：2019-10-21 |
| 基金项目:国家自然科学基金项目（81904180）；湖南省社会科学成果评审委员会项目（XSP19YBZ152）；湖南省自然科学基金项目（2018JJ3390）；湖南省教育厅项目（17B196，17C1215）。 |
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| Systematic Analysis of Clinical Efficacy of Chinese Materia Medica Iontophoresis Combined with Acupuncture for Stroke Shoulder-Hand Syndrome |
| LI Nirong,LIU Lingling,LI Sheng,QIN Lihua |
| (Hunan University of Chinese Medicine, Changsha, Hunan 410208, China) |
| Abstract: |
| Objective To systematically evaluate the clinical efficacy of Chinese materia medica iontophoresis combined with acupuncture for the treatment of stroke shoulder-hand syndrome from evidence-based. Methods The databases of VIP, Wanfang, CNKI, CBM, PubMed, Cochrane library, Science Direct, etc. were searched, and the journal in the library of Hunan University of Chinese Medicine were manually retrieved for literatures on the randomized controlled literature on the clinical efficacy of Chinese materia medica iontophoresis combined with acupuncture for stroke shoulder-hand syndrome. Data was extracted and analyzed using RevMan 5.3 software. Results A total of 7 studies were included, involving 504 patients with stroke shoulder-hand syndrome. Meta-analysis showed that compared with the control group, Chinese materia medica iontophoresis combined with acupuncture can improve the total clinical efficiency by 22%[RR=1.22, 95% CI (1.11, 1.35), Z=3.94, P<0.000 1], relieve pain[MD=-1.55, 95% CI (-2.08, -1.02), Z=5.72, P<0.000 01], enhance the motor function of the affected limbs[MD=6.01, 95%CI (5.15, 6.87), Z=13.73, P<0.000 01], and improve patients' ability of daily activities[MD=9.07, 95% CI (5.95, 12.19), Z=5.69, P<0.000 01]. Conclusion Chinese materia medica iontophoresis combined with acupuncture for the treatment of shoulder-hand syndrome has a significant effect, can effectively relive pain, improve patient's motor function and quality of life, and is conducive to the promotion and application of featured technology of traditional Chinese medicine. |
| Key words: stroke shoulder hand syndrome Chinese materia medica iontophoresis acupuncture |
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