中国中医急症2025，Vol.34Issue(5)：758-762,5.DOI:10.3969/j.issn.1004-745X.2025.05.002
电针辅助常规康复治疗急性脑卒中后肢体功能障碍的Meta分析
Electroacupuncture as an Adjunctive Treatment to Conventional Rehabilitation for Limb Function Disorders after Acute Stroke:A Meta-analysis
摘要
Abstract
Objective:To evaluate the clinical efficacy of electroacupuncture as an adjunctive treatment to con-ventional rehabilitation training on limb function disorders after stroke using meta-analysis.Methods:Databases including CNKI,VIP,WanFang Data,PubMed,Embase,and Cochrane Library were searched from inception to No-vember 2024 for randomized controlled trials(RCTs).RevMan 5.3 software was used for meta-analysis,and the Cochrane risk of bias tool was employed to assess the quality of included studies.Results:A total of 16 studies were included.Meta-analysis results showed significant improvements in Fugl-Meyer Assessment(FMA)total score[MD=14.49,95％ CI(6.48,22.50),P＜0.01];upper limb FMA[MD=5.59,95％ CI(2.11,9.07),P＜0.01];low-er limb FMA score[MD=2.98,95％ CI(1.80,4.15),P＜0.01];MBI score[MD=13.67,95％ CI(-2.45,29.79),P=0.10];National Institutes of Health Stroke Scale(NHISS)score[MD=-1.87,95％ CI(-4.03,0.29),P=0.09];Barth-el Index[MD=16.73,95％ CI(8.22,25.24),P＜0.01];Berg Balance Scale(BBS)[MD=5.70,95％ CI(4.32,7.08),P＜0.01];Cerebral Stroke Inventory(CSI)score[MD=-1.19,95％ CI(-1.61,-0.77),P＜0.01];and Neurological Deficit Scale(NDS)score[MD=-2.62,95％ CI(-3.04,-2.20),P＜0.01].Conclusion:Electroacupuncture com-bined with rehabilitation treatment can effectively improve limb motor function and self-care ability in patients af-ter acute stroke,reduce the degree of neurological deficits,and enhance cognitive abilities.关键词
急性脑卒中/肢体功能障碍/电针/康复治疗Key words
Acute stroke/Limb function disorder/Electroacupuncture/Rehabilitation therapy分类
医药卫生引用本文复制引用
唐妍妍,陈文博,张丽,胡新耀,吴涛,马小兵..电针辅助常规康复治疗急性脑卒中后肢体功能障碍的Meta分析[J].中国中医急症,2025,34(5):758-762,5.基金项目
国家自然科学基金青年基金项目(81904310) （81904310）
安康市科技局项目(AK2020-SF-11) （AK2020-SF-11）
