针刺治疗脑卒中后中枢性疼痛的系统评价和Meta分析

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關键词：针刺；脑卒中后中枢性疼痛；Meta分析；系统评价

中图分类号：R743.9文献标志码：A文章编号：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脑卒中后中枢性疼痛（central post-stroke pain，CPSP）是一种由脑卒中导致的中枢性神经病理性疼痛，可发生于丘脑、皮质感觉、脊髓等的任意体感通路损伤之后［1］，但当延髓、丘脑损伤时其发病率较高［2］。（剩余7064字）