The Effect of Different Acupuncture Therapies on Neurological Recovery in Spinal Cord Injury: A Systematic Review and Network Meta-Analysis of Randomized Controlled Trials
The Effect of Different Acupuncture Therapies on Neurological Recovery in Spinal Cord Injury: A Systematic Review and Network Meta-Analysis of Randomized Controlled Trials
复制标题
不同针灸疗法对脊髓损伤神经恢复的影响：随机对照试验的系统回顾和网络荟萃分析
DOI：
10.1155/2019/2371084
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发表时间：
2019-10-27
影响因子：
--
通讯作者：
Wei, Quan
中科院分区：
文献类型：
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作者：
Xiong, Feng;Fu, Chenying;Wei, Quan
许多针灸疗法被用于治疗脊髓损伤（SCI）及其并发症。尚未评估这些疗法之间的疗效差异。为了比较不同针灸疗法治疗SCI的疗效，我们检索了2019年6月之前的数据库（PubMed、Embase、科克伦图书馆、中国知网和万方）中报告针灸疗法与SCI相关性的中英文相关RCT。随机对照试验根据所用穴位的位置进行分类。采用美国脊髓损伤协会（ASIA）运动评分评定神经功能，采用改良Barthel指数（MBI）评定日常生活能力。总共纳入了22项试验，涉及1644名受试者。采用配对Meta分析和随机效应模型网络Meta分析。结果表明，运动配合电针治疗对改善ASIA运动评分的效果优于运动不配合电针治疗。除了头+四肢和四肢的EA外，EA与MBI评分的改善显著高于单独锻炼。此外，头+背和背+前（胸部和腹部）电针在增加ASIA运动评分和MBI评分方面均排名第一。针刺能显著提高脊髓损伤患者的运动功能和日常生活能力，尤其是前背部针刺或头背部针刺。有证据支持背部+前部或头部+背部的针灸作为SCI的有效治疗方法。
Many acupuncture therapies were used to treat spinal cord injury (SCI) and its complications. The difference in efficacy among these therapies has not been assessed. To compare the efficacy of different acupuncture therapies for SCI, we searched databases (PubMed, Embase, Cochrane Library, CNKI, and WanFang) for relevant RCTs in both English and Chinese before June 2019 that reported the association between acupuncture therapies and SCI. The RCTs were categorized according to the location of the acupoints used in them. The neural function was assessed by American Spinal Injury Association (ASIA) motor score, and daily living ability was accessed by Modified Barthel Index (MBI) after SCI. In total, 22 trials involving 1644 participants were included. The pairwise meta-analysis and random effects model network meta-analysis were conducted. The results indicated that exercise combined with electro-acupuncture (EA) is superior to exercise without acupuncture in improving the ASIA motor score. EA was associated with a significantly higher improvement in the MBI score than exercise alone, except for EA of head + limbs and limbs. Additionally, EA on the head + back and back + front (chest and abdomen) rank the top in both increasing the ASIA motor score and the MBI score. Acupuncture can significantly increase motor function and daily living ability of individuals who suffer from SCI, especially acupuncture of the back + front or the head + back. The evidence supports acupuncture of the back + front or the head + back as an effective treatment for SCI.