摘要
目的评价体外冲击波疗法(ESWT)对脑卒中后痉挛的治疗效果的Meta分析。方法采用主题词检索Cochrane Library、PubMed、Web of Science、MEDLINE(Ovid)、中国知网数据库、万方数据库,数据库检索时间为自建库起至2024年5月。纳入ESWT治疗(干预组)与假刺激或常规治疗(对照组)比较的随机对照研究。结果共纳入11篇文献,426例脑卒中痉挛患者。干预组与对照组治疗脑卒中后痉挛短期效应及长期效应比较,差异均有统计学意义(P<0.05);干预组与对照组治疗脑卒中后上肢及下肢痉挛情况比较,差异均有统计学意义(P<0.05)。结论ESWT对脑卒中后痉挛的短期及长期治疗、上下肢痉挛缓解均有效果。
Objective A Meta-analysis of the efficacy of extracorporeal shock wave therapy(ESWT)for spasticity after stroke.Methods The Cochrane Library,PubMed,Web of Science,MEDLINE(Ovid),China National Knowledge Infrastructure,and Wanfang databases were searched from their inception to May 2024.Randomized controlled trials comparing ESWT treatment(intervention group)with sham stimulation or conventional treatment(control group)were included.Results A total of 11 articles were included,including 426 stroke patients with spasticity.The short-term and long-term effects of treatment on spasticity after stroke were compared between the intervention group and the control group,the differences were statistically significant(P<0.05).The upper and lower limb spasticity after stroke were compared between the intervention group and the control group,the differences were statistically significant(P<0.05).Conclusion ESWT is effective in short-term and longterm treatment of spasticity after stroke and in the relief of spasticity in upper and lower limbs.
作者
孙建淼
权宏磊
刘睿
赵雨亭
李树杰
武瑞森
SUN Jian-miao;QUAN Hong-lei;LIU Rui;ZHAO Yu-ting;LI Shu-jie;WU Rui-sen(Department of Rehabilitation Medicine,Tangdu Hospital Affiliated of Air Force Army,Xi'an 710038,China)
出处
《创伤与急危重病医学》
2025年第3期173-177,共5页
Trauma and Critical Care Medicine
基金
空军军医大学临床研究项目(2022LC2235)。
