关键词: Jingjin acupuncture cerebral palsy meridian spasticity tendon

来  源:   DOI:10.3389/fneur.2024.1358732   PDF(Pubmed)

Abstract:
UNASSIGNED: This study aimed to systematically evaluate the clinical efficacy of Jingjin (muscle region of the meridian, sinew/tendon/fascia) acupuncture therapy for the treatment of spastic cerebral palsy.
UNASSIGNED: Computer searches of the Cochrane Library, Web of Science, PubMed, Embase, Chinese Biomedical Literature (CBM) Database, Wanfang database, Wipu (VIP) database, and China National Knowledge Infrastructure (CNKI) database for published randomized controlled trial (RCT) studies on Jingjin acupuncture treatment of cerebral palsy from the beginning of the database construction until 30 November 2023 were performed, and the quality of the papers was assessed through independent data extraction by two individuals and then meta-analyzed using RevMan5.4 software. A total of 20 RCTs involving 1,453 patients were included.
UNASSIGNED: The overall effective rate of Jingjin acupuncture therapy was better than that of conventional therapy, with a combined odds ratio (OR) of 4.70 and a 95% confidence interval (CI) of [3.05, 7.24]. The Modified Ashworth Spasticity (MAS) Scale, Gross Motor Function Measure (GMFM), Fine Motor Function Measure (FMFM), and Comprehensive Spasticity Scale (CSS) scores are superior to conventional therapy.
UNASSIGNED: Jingjin acupuncture therapy is effective in treating spastic cerebral palsy and has better overall efficacy than conventional therapy. Due to the low quality of some of the literature in this study type, more high-quality, well-designed clinical studies are needed to validate it.
摘要:
本研究旨在系统评估经筋(经络肌肉区域,筋膜/肌腱/筋膜)针灸疗法治疗痉挛型脑瘫。
计算机搜索Cochrane图书馆,WebofScience,PubMed,Embase,中国生物医学文献(CBM)数据库,万方数据库,Wipu(VIP)数据库,和中国国家知识基础设施(CNKI)数据库,从数据库建设开始到2023年11月30日进行了关于静津针刺治疗脑瘫的随机对照试验(RCT)研究,通过两个个体独立提取数据评估论文质量,然后使用RevMan5.4软件进行荟萃分析。共纳入20个RCT,涉及1,453名患者。
经筋针疗法的总有效率优于常规疗法,综合比值比(OR)为4.70,95%置信区间(CI)为[3.05,7.24]。改良的Ashworth痉挛(MAS)量表,粗大运动功能测量(GMFM),精细电机功能测量(FMFM),综合痉挛量表(CSS)评分优于常规治疗。
京津针灸疗法治疗痉挛型脑瘫疗效确切,总体疗效优于常规疗法。由于这种研究类型的一些文献质量低,更高质量,需要精心设计的临床研究来验证它。
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