针灸治疗中风后肩痛系统评价

目的评价针灸治疗中风后肩痛的临床疗效。方法用计算机和人工方法进行文献检索,对所有符合标准的针灸治疗中风后肩痛的随机对照试验（RCT）和半随机对照试验（RCT）进行文献质量评价,所有试验结果采用RevMan4.2软件进行Meta分析。结果针灸疗法在缓解疼痛、提高上肢运动功能、改善日常生活能力等方面优于对照组,但纳入的研究均为低质量文献。结论研究结果提示针灸治疗中风后肩痛可能有效,但由于纳入研究存在选择性偏倚和测量性偏倚的高度可能性,影响了论证强度,尚不能对其疗效得出肯定结论。

Systematic Review of Acupuncture for Treatment of Post-stroke Shoulder Pain

Objective To evaluate the effectiveness of acupuncture therapy on post-stroke shoulder pain.Methods The review assessed the methodological quality of all eligible randomized or quasi-randomized trials of acupuncture for the treatment of post-stroke shoulder pain that identified by computerized and hand searches of the literature.The data was analysed by Review Manager software program.Results The evidence from randomised controlled trials so far confirmed that acupuncture therapy was effective in treating shoulder pain after stroke and benefited for limb motor recovery.But the quality of involved literature was low.Conclusion Acupuncture is effective in treating post-stroke shoulder pain,but the possibity of selectionbias and measurement bias reduced the reliability of conclusion.