針刺治療腦卒中后中樞性疼痛的系統(tǒng)評(píng)價(jià)和Meta分析

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關(guān)鍵詞：針刺；腦卒中后中樞性疼痛；Meta分析；系統(tǒng)評(píng)價(jià)

中圖分類號(hào)：R743.9文獻(xiàn)標(biāo)志碼：A文章編號(hào)：1007-2349（2024）03-0078-06A Systematic Review and Meta-Analysis of Acupuncture in the

Treatment of Central Pain after Stroke

WANG Zhi-hong1，WANG Jia-lin2

（1. Beijing University of Chinese Medicine，Beijing 100029，China;

2. Dongfang Hospital，Beijing University of Chinese Medicine，Beijing 100078，China）

【Abstract】Objective： To systematically evaluate the effect of acupuncture in the treatment of central pain after stroke. Methods： All randomized controlled clinical trials of acupuncture in the treatment of central pain after stroke were searched from CNKI，Wanfang，VIP and PubMed databases from the database establishment to December 2022. After rigorous screening and data extraction were made and the risk of bias in included studies were evaluated，a meta-analysis was performed by using Rev Man5.4 software. Results： 12 literature with 1076 cases were included. The total effective rate of 8 articles was evaluated，and the results showed that OR=3.17，95%CI（2.16，4.64），Z=5.92（P<0.0001）. The visual analogue score（VAS） in 10 articles was used as the outcome index，and the results showed that MD=-1.18，95%CI（-1.53，-0.83），Z=6.58（P<0.00001）. In 4 articles，Pittsburgh Sleep Quality Index（PSQI） was used as the outcome index，and the results showed that MD=-2.63，95%CI（-3.16，-2.10），Z=9.73（P<0.00001）. In two articles，the modified Bankin Scale（MRS） was used as the outcome index，and the results showed that MD=-0.60，95%CI（-0.78，-0.41），Z=6.93（P<0.00001）. Conclusion： Acupuncture treatment of central pain after stroke can effectively relieve pain，improve sleep quality and promote the recovery of injured nerve function.

【Key words】Acupuncture; Central Pain after Stroke; Meta-Analysis; Systematic Evaluation腦卒中后中樞性疼痛（central post-stroke pain，CPSP）是一種由腦卒中導(dǎo)致的中樞性神經(jīng)病理性疼痛，可發(fā)生于丘腦、皮質(zhì)感覺(jué)、脊髓等的任意體感通路損傷之后［1］，但當(dāng)延髓、丘腦損傷時(shí)其發(fā)病率較高［2］。（剩余7064字）