以质量求发展，以服务铸品牌

Journal of Nursing ›› 2022, Vol. 29 ›› Issue (3): 1-6.doi: 10.16460/j.issn1008-9969.2022.03.001

    Next Articles

Bayesian Network Meta-analysis of Total Effective Rate of Different Acupuncture Methods for Post-stroke Limb Spasm

LI Jing-wen1, MEI Jin-jin1, WANG Yi-ying1, GUO Jian2, REN Bin-bin1,2, FENG Xiao-dong1,2, LI Rui-qing1,2   

  1. 1. School of Rehabilitation, Henan University of Chinese Medicine, Zhengzhou 450000, China;
    2. Rehabilitation Center, the First Affiliated Hospital of Henan University of Chinese Medicine, Zhengzhou 450000, China
  • Received:2021-11-22 Published:2022-03-04

PDF (PC)

329

Like

Abstract: Objective To comprehensively evaluate the total effective rate of various acupuncture methods for treating limb spasm after stroke with Bayesian network meta-analysis. Methods We searched for randomized controlled trials of acupuncture treatment of limb spasticity after stroke in databases of PubMed, Embase, Cochrane Library, Web of Science, CNKI, Wanfang data, VIP and China Biomedical Literature Database from the inception to October 20, 2021. Literature screening and quality evaluation were carried out according to the inclusion and exclusion criteria and the Cochrane Handbook's risk of bias tool. Statistical analysis was performed using Stata 15.0 and R 3.6.2 software gemtc and rjags packages. Results After the review of 9,324 articles, 21 studies were finally obtained, with a total sample size of 1,522 cases, including 764 cases in the experimental group and 758 in the control group, involving a total of 7 intervention methods. Network meta-analysis results showed that intervention methods with total effective rate from high to low were warm acupuncture, fire acupuncture, abdominal acupuncture, awn acupuncture, tension balance acupuncture, electroacupuncture, and filiform acupuncture. Conclusion Acupuncture has certain advantages in the treatment of post-stroke limb spasm. Warm acupuncture has the best total effective rate, followed by fire acupuncture.

Key words: stroke, spasticity, acupuncture, total effective rate, bayesian net Meta-analysis

CLC Number: 

  • R47
[1] Zeng H, Chen J, Guo Y, et al.Prevalence and Risk Factors for Spasticity after Stroke: A Systematic Review and Meta-Analysis[J]. Front Neurol,2021,11:616097.DOI:10.3389/fneur.2020.616097.
[2] 谢延真,李壮苗,张佳宇,等.灸法治疗脑卒中后偏瘫的文献计量学分析[J].护理学报,2020,27(11):16-20. DOI:10.1097/MRR.0000000000000440.
[3] Rochmah TN, Rahmawati IT, Dahlui M, et al.Economic Burden of Stroke Disease: A Systematic Review[J]. Int J Environ Res Public Health,2021,18(14):7552.DOI:10.3390/ijerph18147552.
[4] Palmcrantz S, Pennati GV, Bergling H, et al.Feasibility and Potential Effects of Using the Electro-dress Mollii on Spasticity and Functioning in Chronic Stroke[J]. J Neuroeng Rehabil,2020,17(1):109. DOI:10.1186/s12984-020-00740-z.
[5] Chavez LM, Huang SS, MacDonald I, et al. Mechanisms of Acupuncture Therapy in Ischemic Stroke Rehabilitation: A Literature Review of Basic Studies[J]. Int J Mol Sci,2017,18(11):2270.DOI:10.3390/ijms18112270.
[6] 马玉萍,闫晓洁,李晓华,等.针刺结合康复训练对脑卒中偏瘫患者肢体运动功能及生活质量的影响[J].中国老年学杂志,2020,40(1):25-28.DOI:10.3969/j.issn.1005-9202.2020.01.009.
[7] Zhu Y, Yang Y, Li J.Does Acupuncture Help Patients with Spasticity? A Narrative Review[J]. Ann Phys Rehabil Med,2019,62(4):297-301. DOI:10.1016/j.rehab.2018.09.010.
[8] Cai Y, Zhang CS, Liu S, et al.Electroacupuncture for Poststroke Spasticity: A Systematic Review and Meta-analysis[J]. Arch Phys Med Rehabil,2017,98(12):2578-2589.DOI:10.1016/j.apmr.2017.03.023.
[9] 严晓艺,贾丽燕,张云皎,等.针刺治疗脑卒中后肌痉挛的系统综述与Meta分析[J].北京中医药大学学报,2017,40(1):52-58.DOI:10.3969/j.issn.1006-2157.2017.01.011
[10] 游建宇,饶赟,刘福水,等.火针治疗中风后痉挛性瘫痪疗效的系统评价和Meta分析[J].中国中医基础医学杂志,2020,26(2):229-234.
[11] Qiu X, Gao Y, Zhang Z, Cheng S, Zhang S.Fire Acupuncture Versus Conventional Acupuncture to Treat Spasticity after Stroke: A Systematic Review and Meta-analysis[J]. PLoS One,2021,16(4):e0249313.DOI:10.1371/journal.pone.0249313.
[12] Yang L, Tan JY, Ma H, et al.Warm-Needle Moxibustion for Spasticity after Stroke: A Systematic Review of Randomized Controlled Trials[J]. Int J Nurs Stud, 2018, 82:129-138.DOI:10.1016/j.ijnurstu.2018.03.013.
[13] 于莉,吴培香.温针灸治疗脑卒中痉挛性偏瘫病人临床疗效的Meta分析[J].护理研究, 2019,33(13):2247-2252.DOI:10.12102/j.issn.1009-6493.2019.13.014.
[14] 叶涛,朱路文,唐强.针刺结合康复训练治疗脑卒中后肢体痉挛的meta分析[J].中国康复医学杂志, 2017,32(03):318-324.DOI:10.3969/j.issn.1001-1242.2017.03.015.
[15] 刘丹阳,任建伟.针灸联合Bobath疗法治疗脑卒中后痉挛性瘫痪的系统评价与Meta分析[J].广州中医药大学学报,2019,12:1967-1974.DOI:10.13359/j.cnki.gzxbtcm.2019.12.021.
[16] Wang K, Wu J, Wang H, et al.Comparative Efficacy of Chinese Herbal Injections for Pulmonary Heart Disease: A Bayesian Network Meta-analysis of Randomized Controlled Trials[J]. Front Pharmacol,2020,11:634.DOI:10.3389/fphar.2020.00634.
[17] Liu S, Wang H, Wang M, et al.Comparative Efficacy and Safety of Chinese Herbal Injections Combined with Cyclophosphamide and 5-Fluorouracil Chemotherapies in Treatment of Breast Cancer: A Bayesian Network Meta-Analysis[J].Front Pharmacol,2021,11:572396.DOI:10.3389/fphar.2020.572396.
[18] 国家中医药管理局脑病急症协作组.中风病诊断与疗效评定标准(试行)[J]. 北京中医药大学学报,1996,1:55-56. DOI:10.3321/j.issn:1006-2157.1996.01.022.
[19] 中华神经科学会,中华神经外科学会.各类脑血管疾病诊断要点(1995)[J].临床和实验医学杂志,2013,12(7):559.
[20] 魏鹏绪. 关于改良Ashworth量表的探讨[J].中国康复医学杂志,2014, 29(1):67-68.DOI:10.3969/j.issn.1001-1242.2014.01.016.
[21] Higgins J, Green SE.Cochrane Handbook for Systematic Reviews of Interventions Version 5.1.0.The cochrane collaboration(Eds)[J].N-SArch Pharmacol,2011,5(2):S38.
[22] 唐欧风,黄思敏,叶欣欣,等.针灸治疗脑卒中患者便秘疗效的网状Meta分析[J].中国针灸,2020,40(9):1011-1016. DOI:10.13703/j.0255-2930.20190717-k0008.
[23] 王瑞奇,吴清忠,黄春华,等.4种针刺疗法治疗中风后肩手综合征的网状Meta分析[J].中国针灸,2021,41(5):563-569. DOI:10.13703/j.0255-2930.20200325-k0011.
[24] 龚君君. 温针灸治疗脑卒中痉挛性偏瘫90例疗效观察[J].医学信息,2016,29(26):243-243. DOI:10.3969/j.issn.1006-1959.2016.26.196.
[25] 郭建华. 温针灸治疗中风后下肢痉挛性瘫痪的临床观察[J].航空航天医学杂志,2014,25(8):1147-1148.
[26] 曾福祥. 温针灸治疗中风后遗症气虚血瘀型疗效观察[J].实用中医药杂志,2020,36(1):102-103.
[27] 刘峻,周鸿飞,战国策,等.毫火针针刺夹脊穴治疗中风后痉挛性瘫痪临床观察[J/OL]. 辽宁中医药大学学报,2021,10:1-8[2021-11-01].http://kns.cnki.net/kcms/detail/21.1543.R.20211021.1307.002.html.
[28] 付玉智. 毫火针治疗中风后痉挛性偏瘫疗效观察[J].按摩与康复医学,2016,7(1):34-35.
[29] 盛广勇,赵秋岭. 火针在中风后痉挛性偏瘫治疗中的应用[J].内蒙古中医药,2017,36(14):115. DOI:10.3969/j.issn.1006-0979.2017.14.115.
[30] 蒋海燕.腹针治疗脑血管病后痉挛性瘫痪82例的疗效观察[J].中国社区医师,2015,31(12):99,101. DOI:10.3969/j.issn.1007-614x.2015.12.60.
[31] 黎致宏. 腹针治疗中风后痉挛性瘫的临床研究[D].广州:广州中医药大学,2005.
[32] 周炜,王丽平.腹针治疗脑血管病后痉挛性瘫痪的疗效观察[J].中国针灸,2005,25(11):757-759.
[33] 高凡. 腹针治疗中风后偏瘫痉挛状态的临床研究[D].广州:广州中医药大学,2013.
[34] 余兆安,刘民权,潘江,等.张力平衡针法对脑卒中痉挛状态肢体运动功能及表面肌电的影响[J].世界中医药,2019,14(3):531-535.DOI:10.3969/j.issn.1673-7202.2019.03.004.
[35] 杨正成. 张力平衡针法治疗脑卒中后痉挛性瘫痪的临床研究[D].广州:广州中医药大学,2012.
[36] 谭启虹. 张力平衡针法治疗气虚血瘀型中风痉挛性偏瘫的临床研究[D].广州:广州中医药大学,2010.
[37] 刘东,于璐.中风后偏瘫采取芒针透刺治疗的综合临床分析[J].临床医学研究与实践,2016,1(16):37.
[38] 兰勇军. 芒针透刺治疗中风偏瘫80例[J].中国民间疗法,2014,22(8):15-16.
[39] 曾保霞. 芒针阴阳透刺治疗脑卒中痉挛性肢体功能障碍的临床观察[D].咸阳:陕西中医药大学,2020.
[40] 耿吉冬. 电针治疗中风偏瘫肢体痉挛的临床研究[J].中国伤残医学,2012,20(10):97-98.
[41] 温月贤,黄源鹏.电针夹脊穴治疗中风偏瘫痉挛状态的临床研究[J].光明中医,2010,25(10):1858-1859. DOI:10.3969/j.issn.1003-8914.2010.10.070.
[42] 曹亚中. 电针针刺经筋结点治疗中风后偏瘫不同痉挛程度的临床观察[D].哈尔滨:黑龙江中医药大学,2012.
[43] 杨金山,邢晓东.头脊电针治疗脑卒中痉挛性瘫痪的临床观察[J].黑龙江中医药,2013,42(6):61-62.
[44] 黄立辉,高维滨,苏波.电针治疗脑梗死后痉挛性瘫痪的临床观察[J].黑龙江中医药,2010,39(4):36-37.
[45] 孙苏闻,徐明,周睿娴,等.温针灸联合丁苯酞氯化钠注射液配合早期运动训练对急性脑梗死治疗效果及血清IL-10、TNF-α水平的影响[J].中华中医药学刊,2021,39(4):90-93.DOI:10.13193/j.issn.1673-7717.2021.04.025.
[46] 陈园园,楚佳梅,包烨华,等.火针治疗脑卒中后痉挛性偏瘫的研究进展[J].广州中医药大学学报,2019,178(10):1675-1678.DOI:10.13359/j.cnki.gzxbtcm.2019.10.036.
[47] 姚宇芬,唐娅琴.现阶段中医护理技术的制约因素与对策研究[J].中医药管理杂志,2019, 292(9):72-74.DOI:10.16690/j.cnki.1007-9203.2019.09.036.
[1] GUO Yu, HONG Zhen-lan, WANG Miao-miao, MA Shu-li, GAO Cong-shan, LI Xue-lian. Effect of Skin Scraping and Chinese Herbal Fumigation on Patients with Peripheral Facial Paralysis during Recovery Period [J]. Journal of Nursing, 2021, 28(9): 5-8.
[2] GUO Ya-juan, LIU Li-shuang, HUO Juan-juan, ZHANG Hui, WANG Yong-jun. Medicating Effect of Anhedonia on Self-compassion and Post-traumatic Stress Disorder in Elderly Stroke Patients [J]. Journal of Nursing, 2021, 28(8): 72-76.
[3] LIU Qing-xuan, ZHANG Zhen-xiang, GUO Yun-fei, ZHANG Le-yun, LIN Bei-lei, MEI Yong-xia. Post-traumatic Growth and Related Factors of Stroke Patients in China and Abroad: A Systematic Evaluation [J]. Journal of Nursing, 2021, 28(8): 1-7.
[4] WANG Ya-ling, WANG Bing-han, ZHANG Yan, YIN Xue, JIANG Xin, XIONG Xiao-ming, LI Hua-li. Best Evidence Summary for Prevention of Hemorrhagic Transformation after Thrombolysis in Patients with Acute Ischemic Stroke [J]. Journal of Nursing, 2021, 28(3): 46-52.
[5] LI Ke-xuan, SHEN Li-teng, LIANG Yi, XIANG Wei-xu, YING Yu-ai, LI Ling. Effect of Experiential Health Education in Patients with Hypertension [J]. Journal of Nursing, 2021, 28(3): 74-78.
[6] LIU Rui, HAN Xue-na, YANG Fu-guo, GENG Wen-yao, DING Yao-yao, LI Meng-fei. Barriers to Returning to Work after Stroke: A Qualitative Meta-synthesis [J]. Journal of Nursing, 2021, 28(24): 36-41.
[7] HUANG Cui-hong, LIU Dao-qing, ZHU Jun-ying, YUAN Jing, LI Chun-chang, LI Xin-yun, DAI Cheng-bo. Effect of Multi-disciplinary Diagnosis and Treatment on Patients with Acute Ischemic Stroke [J]. Journal of Nursing, 2021, 28(21): 62-66.
[8] TONG Yun-jie, LIU Yan-mei, LV Mei-fang, LU Dan-dan, TAN Shi-yun. Self-acceptance of Convalescent Stroke Patients and Its Influence Factors [J]. Journal of Nursing, 2021, 28(19): 13-16.
[9] LU shu-ying, LIU ning, LIAN Min-xue. Best Evidence Summary of Blood Glucose Monitoring and Management in Diabetes Patients with Acute Stroke [J]. Journal of Nursing, 2021, 28(15): 42-47.
[10] WANG Run, ZHOU Chun-lan, YU Mei, ZHOU Jun-gui, LIU Yu, YANG Li-xiao, YE Xiao-ling. Evidence Summary of Speech and Language Rehabilitation Management in Patients with Post-stroke Aphasia [J]. Journal of Nursing, 2021, 28(11): 16-20.
[11] YE Li, HUANG Hou-Qiang, GUO Sheng-min, LIU Yan, ZHENG Si-Lin. Best Evidence Summary for Post-stroke Neurogenic Bladder Management [J]. Journal of Nursing, 2021, 28(10): 40-44.
[12] WANG Jia-rui, LI Yan-li. Effect of Wrist-ankle Acupuncture on Primary Dysmenorrhea of Cold Dampness Stagnation Type [J]. Journal of Nursing, 2021, 28(1): 1-3.
[13] DENG Li-ping, XIE Xiao-hua, WANG Ya-ping, YANG Jie, PAN Lu, MA Jia-hui, XIAO Jing-yi, XIONG Xiao-yun. Development of Protection Motivation Questionnaire for High Risk Population of Stroke and Its Reliability and Validity [J]. Journal of Nursing, 2020, 27(8): 1-5.
[14] SUN Wen-yu, BI Hong-yan. Effects of Visual Tracking Training on Walking Function and Daily Living Ability in Patients with Stroke [J]. Journal of Nursing, 2020, 27(7): 7-10.
[15] HUANG Hou-qiang, GUO Sheng-min, YE Li, ZHENG Si-lin. Best Evidence Summary of Prevention and Management of Hemiplegic Shoulder Pain in Stroke Patients [J]. Journal of Nursing, 2020, 27(23): 37-41.
Viewed
Full text


Abstract

Cited
  Shared   
[1] ZHOU Li-xue, JIANG Yun-xia, ZHOU Yun-ping, FENG Hong-yan, SUN Xue-xia, YU Peng-li. Mediating Effect of Self-efficacy between Social Support and Experiential Avoidance in Patients with Rheumatoid Arthritis[J]. Journal of Nursing, 2022, 29(3): 7 -11 .
[2] JIAO Zi-shan, ZHANG Xin-yue, SHA Kai-hui. Value of Risk Assessment Models Based on Decision Tree C5.0 or Logistic Regression in Predicting Postpartum Stress Urinary Incontinence[J]. Journal of Nursing, 2022, 29(3): 12 -18 .
[3] ZHANG Li-li, ZHAO Yang, LIU Huan, LUO Chen-ling. Construction of National First-class Undergraduate Specialty and Its Effect: A Case Study of Nursing Major in Southern Medical University[J]. Journal of Nursing, 2022, 29(3): 19 -23 .
[4] ZHANG Na, CHEN Hai-qin, SHAO Lei, ZHU Yue-li, SHEN Yin-ping. Effect of Micro-video of Anti-violence Skills in Training of Psychiatric Junior Nurses[J]. Journal of Nursing, 2022, 29(3): 24 -28 .
[5] LIU Guo-qing, HAN Jing-yi, SONG Wen-jing, WANG Ying. Key Words in the Application of Virtual Reality in Field of Nursing Based on CiteSpace: A Visual Analysis[J]. Journal of Nursing, 2022, 29(3): 29 -34 .
[6] . [J]. Journal of Nursing, 2022, 29(3): 35 -39 .
[7] ZHOU Yi-feng, YANG Ji-ping, PENG Yao-li, YUAN Hao, SHI Ze-ya. Evidence-based Body Temperature Management in Cardiopulmonary Bypass Surgery[J]. Journal of Nursing, 2022, 29(3): 40 -45 .
[8] XIANG Yu-ting, CHU Jie, YAN Min, LE Qu, YU Jia-xin. Best Evidence Summary of Risk Assessment of Venous Thromboembolism during Pregnancy and Puerperium[J]. Journal of Nursing, 2022, 29(3): 46 -51 .
[9] ZHANG Ying, MENG Ying-tao, SHANG mei-mei, YANG De-yan, ZHU Yu-fang, WANG Qian. Best Evidence Summary of Assessment and Management of Cancer-related Cognitive Impairment[J]. Journal of Nursing, 2022, 29(3): 52 -56 .
[10] HU Hui-ju, GUO Xue-qi, TANG Qi-qun, CHENG Jie, LI Hui-yuan, LI Tian-tian. Mediating Effect of Cognition of Aging between Perceived Social Support and Inner Strength of the Elderly in Nursing Homes[J]. Journal of Nursing, 2022, 29(3): 57 -61 .