PDF(Pubmed)
Abstract：
BACKGROUND: The refractory and disabling nature of sensory disorders after stroke seriously affects patients\' daily lives and reduces hospital turnover. Acupuncture, as an alternative therapy, is commonly used in combination with rehabilitation training to improve sensory disorders. To compare the effects of different acupuncture-related treatments combined with rehabilitation training on sensory impairment and the daily living ability of patients with stroke, we conducted a network meta-analysis to provide evidence-based findings for clinical practice.
METHODS: Randomized controlled trials on the treatment of sensory disorders in patients with stroke were systematically retrieved from several databases, including China National Knowledge Infrastructure (CNKI), China Science and Technology Journal(VIP), Wanfang Database, Chinese Biological Medical (CBM), PubMed, Embase, Web of Science, Cochrane Library, and Clinical trials. The retrieval period ranged from January 2012 to December 2023. Two independent reviewers screened the included literature, extracted the data, and assessed the risk quality using Cochrane Handbook 5.1.0 and ReviewManager 5.4.1. Stata16.0 software was employed for data analysis. The study protocol was registered in PROSPERO: CRD42023389180.
RESULTS: After screening, 20 studies were included, involving a total of 1999 subjects. The network meta-analysis results indicate that, compared to standard rehabilitation, acupuncture plus massage plus rehabilitation showed the most significant reduction in Numbness Syndrome Scores (MD = -0.71(-1.11,-0.31)). Acupuncture combined with rehabilitation demonstrated the most substantial improvement in Sensory Impairment Scores (MD = -0.59,(-0.68,-0.51)) and daily living ability of patients (MD = 17.16,(12.20,22.12)).
CONCLUSIONS: In comparison to standard rehabilitation, the combination of acupuncture-related treatments and modern rehabilitation training not only improves the symptoms of sensory impairment and numbness after stroke but also enhances the daily living ability of patients, especially when acupuncture is combined with rehabilitation. However, further demonstration is required to strengthen these conclusions.
METHODS: Randomized controlled trials on the treatment of sensory disorders in patients with stroke were systematically retrieved from several databases, including China National Knowledge Infrastructure (CNKI), China Science and Technology Journal(VIP), Wanfang Database, Chinese Biological Medical (CBM), PubMed, Embase, Web of Science, Cochrane Library, and Clinical trials. The retrieval period ranged from January 2012 to December 2023. Two independent reviewers screened the included literature, extracted the data, and assessed the risk quality using Cochrane Handbook 5.1.0 and ReviewManager 5.4.1. Stata16.0 software was employed for data analysis. The study protocol was registered in PROSPERO: CRD42023389180.
RESULTS: After screening, 20 studies were included, involving a total of 1999 subjects. The network meta-analysis results indicate that, compared to standard rehabilitation, acupuncture plus massage plus rehabilitation showed the most significant reduction in Numbness Syndrome Scores (MD = -0.71(-1.11,-0.31)). Acupuncture combined with rehabilitation demonstrated the most substantial improvement in Sensory Impairment Scores (MD = -0.59,(-0.68,-0.51)) and daily living ability of patients (MD = 17.16,(12.20,22.12)).
CONCLUSIONS: In comparison to standard rehabilitation, the combination of acupuncture-related treatments and modern rehabilitation training not only improves the symptoms of sensory impairment and numbness after stroke but also enhances the daily living ability of patients, especially when acupuncture is combined with rehabilitation. However, further demonstration is required to strengthen these conclusions.
摘要：
背景：中风后感觉障碍的难治性和致残性严重影响患者的日常生活，降低医院更替率。针灸,作为替代疗法,通常与康复训练结合使用，以改善感觉障碍。比较不同针灸相关治疗联合康复训练对脑卒中患者感觉障碍及日常生活能力的影响。我们进行了网络荟萃分析,为临床实践提供循证研究结果.
方法：从几个数据库中系统地检索了治疗中风患者感觉障碍的随机对照试验，包括中国国家知识基础设施(CNKI)，中国科学技术学报(VIP),万方数据库,中国生物医药(CBM),PubMed,Embase,WebofScience,科克伦图书馆,和临床试验。检索期为2012年1月至2023年12月。两名独立审稿人筛选了收录的文献，提取数据，并使用Cochrane手册5.1.0和ReviewManager5.4.1评估风险质量。采用Stata16.0软件进行数据分析。研究方案在PROSPERO：CRD42023389180中注册。
结果：筛选后，包括20项研究，共涉及1999个科目。网络荟萃分析结果表明,与标准康复相比，针刺+按摩+康复显示麻木综合征评分降低最显著(MD=-0.71(-1.11,-0.31))。针刺结合康复治疗对患者的感觉障碍评分（MD=-0.59，（-0.68，-0.51））和日常生活能力（MD=17.16，（12.20，22.12））的改善最为明显。
结论：与标准康复相比，针灸相关治疗与现代康复训练相结合，不仅改善了中风后感觉障碍和麻木的症状，而且增强了患者的日常生活能力，尤其是当针灸与康复相结合时。然而,需要进一步的论证来加强这些结论。
方法：从几个数据库中系统地检索了治疗中风患者感觉障碍的随机对照试验，包括中国国家知识基础设施(CNKI)，中国科学技术学报(VIP),万方数据库,中国生物医药(CBM),PubMed,Embase,WebofScience,科克伦图书馆,和临床试验。检索期为2012年1月至2023年12月。两名独立审稿人筛选了收录的文献，提取数据，并使用Cochrane手册5.1.0和ReviewManager5.4.1评估风险质量。采用Stata16.0软件进行数据分析。研究方案在PROSPERO：CRD42023389180中注册。
结果：筛选后，包括20项研究，共涉及1999个科目。网络荟萃分析结果表明,与标准康复相比，针刺+按摩+康复显示麻木综合征评分降低最显著(MD=-0.71(-1.11,-0.31))。针刺结合康复治疗对患者的感觉障碍评分（MD=-0.59，（-0.68，-0.51））和日常生活能力（MD=17.16，（12.20，22.12））的改善最为明显。
结论：与标准康复相比，针灸相关治疗与现代康复训练相结合，不仅改善了中风后感觉障碍和麻木的症状，而且增强了患者的日常生活能力，尤其是当针灸与康复相结合时。然而,需要进一步的论证来加强这些结论。
