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Journal of Nursing ›› 2022, Vol. 29 ›› Issue (3): 1-6.doi: 10.16460/j.issn1008-9969.2022.03.001

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Bayesian Network Meta-analysis of Total Effective Rate of Different Acupuncture Methods for Post-stroke Limb Spasm

LI Jing-wen1, MEI Jin-jin1, WANG Yi-ying1, GUO Jian2, REN Bin-bin1,2, FENG Xiao-dong1,2, LI Rui-qing1,2   

  1. 1. School of Rehabilitation, Henan University of Chinese Medicine, Zhengzhou 450000, China;
    2. Rehabilitation Center, the First Affiliated Hospital of Henan University of Chinese Medicine, Zhengzhou 450000, China
  • Received:2021-11-22 Published:2022-03-04

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Abstract: Objective To comprehensively evaluate the total effective rate of various acupuncture methods for treating limb spasm after stroke with Bayesian network meta-analysis. Methods We searched for randomized controlled trials of acupuncture treatment of limb spasticity after stroke in databases of PubMed, Embase, Cochrane Library, Web of Science, CNKI, Wanfang data, VIP and China Biomedical Literature Database from the inception to October 20, 2021. Literature screening and quality evaluation were carried out according to the inclusion and exclusion criteria and the Cochrane Handbook's risk of bias tool. Statistical analysis was performed using Stata 15.0 and R 3.6.2 software gemtc and rjags packages. Results After the review of 9,324 articles, 21 studies were finally obtained, with a total sample size of 1,522 cases, including 764 cases in the experimental group and 758 in the control group, involving a total of 7 intervention methods. Network meta-analysis results showed that intervention methods with total effective rate from high to low were warm acupuncture, fire acupuncture, abdominal acupuncture, awn acupuncture, tension balance acupuncture, electroacupuncture, and filiform acupuncture. Conclusion Acupuncture has certain advantages in the treatment of post-stroke limb spasm. Warm acupuncture has the best total effective rate, followed by fire acupuncture.

Key words: stroke, spasticity, acupuncture, total effective rate, bayesian net Meta-analysis

CLC Number: 

  • R47
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