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针刺治疗周围性面瘫(急性期)的系统评价 被引量:19

Acupuncture Treatment of Peripheral Facial Paralysis(Acute Period)
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摘要 目的:评价针刺治疗周围性面瘫急性期的疗效。方法:通过对维普网、中国知网、全国硕博士论文数据库、万方数据库进行电子检索以及查阅相关的专业资料和网络信息。试验数据采取由Cochrane协作网提供的Revman4.2.7进行Meta分析。结果:共查到79篇相关文献,经过筛选,只有8篇文章符合纳入标准,采用Jadad评分标准对8篇文献的方法学质量进行评价,其中1篇文献质量高,其余均是低质量文献。Meta分析显示,周围性面瘫急性期针刺治疗结果比不使用针刺治疗的效果好,其差异有统计学意义(P<0.01)。结论:现有的临床证据表明,周围性面瘫的急性期应用针刺治疗比不使用针刺治疗更能改善病人的症状,提高治疗的效果,缩短面瘫恢复的时间。但是,由于纳入的RCT文献的质量不高,数量较少,本研究还有待进一步的大规模开展,以进一步提高证据的强度。 Objective: To systematically analyze the effectiveness of acupuncture for the treatment of peripheral facial paralysis at acute period. Methods:Through the VIP datebase, index, htm Shuofang doctoral dissertation, the national databases, Wanfang database electronic retrieval and refer to the relevant professional information and network information. The test data taken by the Cochrane pensonnel provide Revman4.2.7 on Meta analysis. Results:Through selecting, only eight articles which met criteria were chosen from total checked 79 related paper, using Jadad rating criteria for 8 articles methodological quality evaluation, including a literature which is of high quality and the rest are low quality documents. We can see that acupuncture trcatment of peripheral facial paralysis has a better efficacy. The difference was statistically significant ( Z = 5. 89, P 〈 0. 00001 ). Conclusion: Using acupuncture treatment for peripheral facial paralysis at acute period is better, and it could shorten the time. However, the quality of RCT literatures is not high, and quantity is less. This study still needs further large - scale development to further improve the intensity of evidence.
出处 《针灸临床杂志》 2011年第4期60-63,共4页 Journal of Clinical Acupuncture and Moxibustion
关键词 周围性面瘫 急性期 针刺治疗 系统评价 Peripheral facial paralysis Acute period Acupuncture treatment Systematic analysis
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