摘要
目的通过对针灸治疗周围性面瘫的临床文献进行收集、分析,对疗效研究文献质量采用改良的Jadad量表评价,以筛选出高质量文献增加研究结果可信度,同时使用针灸证据推荐级别的划分标准,明确证据级别,指导临床应用。方法全面检索文献,纳入文献均为随机对照试验(RCT),采用RevMan5.0软件对痊愈率等疗效评价指标行Meta分析。结果根据2012年面瘫指南,共纳入高质量研究4项,进行Meta分析,显示目前现有的高质量文献证明针灸对照激素在治疗周围性面瘫的临床痊愈率方面具有疗效优势[RR合并=1.60,95%CI(1.29,1.98),P<0.0001]。结论现有高质量文献强证据支持针灸在治疗周围性面瘫的临床痊愈率方面优于激素,针灸治疗周围性面神经麻痹,值得临床广泛推广与应用。
Objective By collecting and analyzing the clinical literatures on the treatment of periph- eral facial paralysis with acupuncture and moxibustion, the modified Jadad scale evaluation was adopted to study the quality of literatures on therapeutic effect. The credibility was increased on the study results by se- lecting high - quality literatures. The recommended grades with acupuncture - moxibustion evidences were applied so as to determine evidence grade and guide clinical application. Methods With the overall litera- ture retrieval, all of the included literatures were on randomized controlled trial （RCT）. With RevMan 5.0 software adopted, Meta analysis was performed on the efficacy evaluation such as curative rate. Results Ac- cording to the guideline on facial paralysis, 4 high - quality studies were included. With Meta analysis, the present high - quality literatures proved that acupuncture and moxibustion therapy had the advantages on the clinical curative rate in the treatment of peripheral facial paralysis as compared with hormones [ RR merge = 1.60,95% CI（ 1. 29, 1. 98） ,P 〈 0. 0001 ]. Conclusion The evidences of high - quality literatures support that acupuncture and moxibustion therapy has the superior clinical curative rate as compared with hormones in treatment of peripheral facial paralysis. This therapy deserves to promote extensively in clinical application.
出处
《世界中西医结合杂志》
2014年第2期189-191,共3页
World Journal of Integrated Traditional and Western Medicine
