Contralateral acupuncture versus ipsilateral acupuncture in the rehabilitation of post-stroke hemiplegic patients: a systematic review.
Contralateral acupuncture versus ipsilateral acupuncture in the rehabilitation of post-stroke hemiplegic patients: a systematic review.
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DOI：
10.1186/1472-6882-10-41
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发表时间：
2010-07-30
影响因子：
--
通讯作者：
Han CH
中科院分区：
文献类型：
--
作者：
Kim MK;Choi TY;Lee MS;Lee H;Han CH
侧针灸（CAT）涉及在疾病位置对面的经络中插入针头，通常用于中风后康复。本系统综述的目的是总结和批判性地评价与同侧针刺（IAT）相比，CAT对卒中后康复有效性的证据。检索了17个数据库，从其成立到2010年6月。如果CAT作为卒中后康复的唯一治疗或作为其他治疗的辅助治疗并与IAT进行比较，则纳入前瞻性临床试验。8项随机临床试验（RCT）符合我们的纳入标准。其中4人报告了CAT与IAT相比对至少一种结局的有利影响。一项荟萃分析显示，与IAT相比，CAT对恢复率的影响上级（n = 361;风险比（RR），1.12; 95%置信区间（CI），1.04至1.22，P = 0.005）。亚组分析也显示使用CAT对脑梗死患者有良好的影响（n = 261; RR，1.15; 95% CI，1.04 - 1.27，P = 0.006）。然而，包括脑梗死和颅内出血患者的进一步分析未能显示这些优势（n = 100; RR，1.11; 95% CI，0.85至1.46，P = 0.43）。我们的系统回顾和荟萃分析的结果表明，在治疗脑梗死方面，CAT上级IAT的证据有限。然而，我们分析中纳入的RCT总数很低，并且纳入的RCT具有较高的偏倚风险。未来的RCT似乎是必要的。
Contralateral acupuncture (CAT) involves inserting needles in the meridian on the side opposite the disease location and is often used in post-stroke rehabilitation. The aim of this systematic review is to summarize and critically evaluate the evidence for and against the effectiveness of CAT for post-stroke rehabilitation as compared to ipsilateral acupuncture (IAT). Seventeen databases were searched from their inceptions through June 2010. Prospective clinical trials were included if CAT was tested as the sole treatment or as an adjunct to other treatments for post-stroke rehabilitation and compared to IAT. Eight randomized clinical trials (RCTs) met our inclusion criteria. Four of them reported favorable effects of CAT compared to IAT for at least one outcome. A meta-analysis showed superior effects of CAT compared to IAT on recovery rate (n = 361; risk ratio (RR), 1.12; 95% confidence intervals (CIs), 1.04 to 1.22, P = 0.005). Subgroup analysis also showed favorable effects of using CAT on patients with cerebral infarction (n = 261; RR, 1.15; 95% CIs, 1.04 to 1.27, P = 0.006). Further analysis including patients with cerebral infarction and intracranial hemorrhage, however, failed to show these advantages (n = 100; RR, 1.11; 95% CIs, 0.85 to 1.46, P = 0.43). The results of our systematic review and meta-analysis suggest that there is limited evidence for CAT being superior to IAT in the treatment of cerebral infarction. The total number of RCTs included in our analysis was low, however, and the RCTs included had a high risk of bias. Future RCTs appear to be warranted.
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影响因子：
1.7
作者：
Lo, YL;Cui, SL
通讯作者：
Cui, SL
影响因子：
2.6
作者：
Woo, Young-Min;Lee, Myeong Soo;Shin, Byung-Cheul
通讯作者：
Shin, Byung-Cheul
DOI：
10.1016/s0197-2456(97)00150-5
发表时间：
1998-04-01
期刊：
CONTROLLED CLINICAL TRIALS
影响因子：
--
作者：
Vickers, A;Goyal, N;Rees, R
通讯作者：
Rees, R
影响因子：
8.3
作者：
Brown, RD;Ransom, J;Leibson, CL
通讯作者：
Leibson, CL
DOI：
10.1002/0470870168
发表时间：
2005-01-01
期刊：
PUBLICATION BIAS IN META-ANALYSIS: PREVENTION, ASSESSMENT AND ADJUSTMENTS
影响因子：
--
作者：
Rothstein, Hannah R.;Sutton, Alexander J.;Borenstein, Michael
通讯作者：
Borenstein, Michael