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Updated: Feb 12, 2026

Optimized Management of Endovascular Treatment for Acute Ischemic Stroke
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Acupuncture for acute stroke.

Mangmang Xu1, Dan Li, Shihong Zhang

  • 1Department of Neurology, West China Hospital, Sichuan University, Chengdu, China, 610041.

The Cochrane Database of Systematic Reviews
|April 3, 2018
PubMed
Summary
This summary is machine-generated.

This review found that acupuncture may reduce death or dependency after stroke, but the evidence is of low quality. More high-quality trials are needed to confirm acupuncture

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Area of Science:

  • Neurology and Traditional Chinese Medicine
  • Evidence-based healthcare and systematic reviews

Background:

  • Acupuncture, a Traditional Chinese Medicine therapy, is used to treat stroke patients.
  • This is an updated Cochrane Review assessing acupuncture's efficacy post-stroke.

Purpose of the Study:

  • To evaluate if acupuncture reduces death or dependency after acute ischemic or hemorrhagic stroke.
  • To determine if acupuncture improves quality of life in stroke survivors.

Main Methods:

  • Systematic search of multiple databases for randomized clinical trials (RCTs) of acupuncture in acute stroke.
  • Inclusion criteria: RCTs of acupuncture within 30 days of stroke onset, compared to placebo, sham, or open controls.
  • Data extraction and quality assessment using the GRADE approach; primary outcome: death or dependency.

Main Results:

  • 33 RCTs (3946 participants) were included; evidence quality was low to very low.
  • Acupuncture showed uncertain benefits for reducing death or dependency compared to any control.
  • Findings were not confirmed when compared to sham acupuncture; adverse events were minor.

Conclusions:

  • Observed benefits of acupuncture in acute stroke may be confounded by bias from open controls.
  • Further high-quality trials are necessary to validate acupuncture's effects on stroke outcomes.
  • Future studies require rigorous reporting of randomization, allocation concealment, and blinding.