治疗中风后疼痛的针相关疗法:范围审查和证据地图
Zhuo Zhou1, Chao Ke1, Wenying Shi1
1The First Hospital of Hunan University of Chinese Medicine, Changsha, China.
Frontiers in neurology
|August 22, 2025
概括
针治疗有效缓解中风后的疼痛. 然而,研究质量很低,这表明证据缺口很大,需要更严格的研究来支持基于证据的实践.
科学领域:
- 神经学
- 治疗疼痛
- 综合医学
背景情况:
- 脑卒中后疼痛 (PSP) 是中风后的一个常见并发症.
- 基于针的疗法提供了一个潜在的非药物治疗方法.
研究的目的:
- 绘制有关PSP针的现有临床研究.
- 识别研究缺口并为未来的研究设计提供信息.
主要方法:
- 系统搜索八个随机对照试验 (RCT) 和系统审查/元分析 (SRs/MAs) 的数据库.
- 分析研究特征,方法质量 (偏差风险,AMSTAR2) 和出版趋势.
- 包括346项研究的证据映射 (339项RCT,7项SR/ MA).
主要成果:
- 自1994年以来,对PSP针的研究增加了,在2021年达到顶峰,大多数研究来自中国.
- 常见的干预包括身体针,电针和头皮针,针对LI15,SJ14和LI11等针点.
- 研究主要集中在康复阶段的肩部疼痛,常见的设计是针和康复. 系统性审查表明针对PSP的有效性.
结论:
- 与针相关的疗法在缓解中风后的疼痛方面表现出有效性.
- 显著的证据缺口和整体研究质量低下需要在未来的研究中提高方法严格性.
- 标准化方案和严格的标准对于推进基于证据的针实践至关重要.
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