针治疗缺血性中风后四肢运动功能障碍的临床影响和促成因素:系统性审查和探索性网络元分析
Tie-Chun Zhang1, Zhao-Liang Luo2, Jing Yuan1
1Acupuncture and Moxibustion School, Chengdu University of Traditional Chinese Medicine, No. 1166 Liutai Avenue, Chengdu, 611137, Sichuan, China.
Complementary therapies in medicine
|January 15, 2026
概括
针与传统治疗相结合,在缺血性中风后改善四肢运动功能. 手动针和更高的剂量显示了最大的益处,尽管证据的确定性很低.
科学领域:
- 神经学 神经学
- 综合医学是一个整体的医学.
- 康复科学 康复科学 康复科学
背景情况:
- 缺血性中风经常导致四肢运动功能障碍.
- 有效的康复策略对于中风后的康复至关重要.
研究的目的:
- 评估针治疗肢体运动功能障碍后缺血性中风的临床疗效.
- 评估针干预的类型和剂量如何影响结果.
主要方法:
- 在2024年12月之前对71项试验进行系统审查和元分析.
- 主要结局:用Fugl-Meyer评估评估的四肢运动功能.
- 使用RevMan,ADDIS,STATA分析数据;通过类内相关系数检查审查员一致性.
主要成果:
- 针加上常规治疗的效果优于单独使用常规治疗.
- 手动针与传统治疗相结合是最有效的.
- 高剂量的针加上常规治疗产生了最大的益处.
- 证据的确定性从低到极低不等.
结论:
- 针与传统治疗相结合,有助于在缺血性中风患者中恢复四肢运动功能.
- 手动针和更高剂量似乎是最有前途的,需要进一步严格的研究.
- 这些发现表明一种潜在的治疗策略,由于证据的局限性,需要谨慎解释.
相关概念视频
Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation
764
Clinical manifestationsPeripheral Arterial Disease (PAD) manifests through a range of symptoms, from the characteristic intermittent claudication to atypical presentations and severe complications in advanced stages. Intermittent claudication, a hallmark symptom of PAD, presents as exercise-induced muscle pain that typically resolves within minutes of rest. This pain is reproducible and stems from inadequate blood flow, leading to the accumulation of lactic acid produced during anaerobic...
764
Peripheral Artery Disease III: Interprofessional Care
655
Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
655
Peripheral Artery Disease IV: Nursing Management
702
The nursing management of a patient with peripheral artery disease (PAD) begins with a thorough assessment of the patient’s health history and clinical manifestations.AssessmentHealth History: Evaluate the patient’s history of hypertension, hyperlipidemia, family history of cardiovascular issues, and lifestyle factors such as dietary patterns, smoking, and physical activity.Physical Examination:Assess the affected extremity for decreased or absent peripheral pulses,...
702
Peripheral Artery Disease V: Postoperative Nursing Management
630
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
630
Venous Thrombosis IV: Nursing Management
415
Nursing management begins with a thorough assessment of the patient's health history. Key factors include trauma to veins, peripherally inserted central catheters, varicose veins, recent pregnancy or childbirth, surgery, bacteremia, prolonged bed rest, atrial fibrillation, COPD, heart failure, cancer, coagulation disorders, myocardial infarction, spinal cord injury, stroke, prolonged travel, recent bone fractures, and dehydration. Review medication intake, particularly oral contraceptives,...
415

