针和针治疗儿童脑:对随机对照试验的元分析
Ya-Yun Cheng1, Ying-Yu Huang2, Tsung-Hsien Yang2,3
1Division of Chinese Acupuncture and Traumatology, Center of Traditional Chinese Medicine, Chang Gung Memorial Hospital, Taoyuan 333008, Taiwan.
Healthcare (Basel, Switzerland)
|September 14, 2024
概括
针在改善脑 (CP) 儿童的运动功能和有效性方面表现有前途. 使用特定的核心针点可以进一步提高治疗结果,以控制CP症状.
科学领域:
- 综合医学是一个整体的医学.
- 儿科神经学 儿科神经学
- 康复疗法 康复疗法
背景情况:
- 大脑麻 (CP) 管理通常涉及补充疗法.
- 针是儿科CP的常见干预方法.
- 更新的证据对于指导儿科CP针的临床实践和研究至关重要.
研究的目的:
- 系统地审查针治疗儿童脑的疗效.
- 为了评估针对运动功能的影响,疗效率,以及CP的儿童的性.
- 确定最佳的针方法,如使用核心针点.
主要方法:
- 从1994年到2023年6月,在七个数据库中进行了全面的文献搜索.
- 包括使用身体,头皮或耳朵针治疗CP的随机对照试验 (RCT).
- 排除包括针注射,猫肠嵌入,电针和激光针.
主要成果:
- 分析了20个涉及1797名参与者的RCT.
- 针显著改善了总运动功能测量 (GMFM) 评分 (5%) 和有效率 (16%更高的概率).
- 在修改后的阿什沃思尺度 (MAS),伯格平衡尺度 (BBS) 和日常生活活动 (ADL) 中观察到积极影响,使用八个核心针点的研究显示出更好的有效率.
结论:
- 针在治疗与儿科脑相关的症状方面显示出潜在的有效性.
- 使用特定的核心针点可能会提高治疗的有效性.
- 进一步的研究和针的临床整合对于儿科CP管理是有必要的.
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