论文部分内容阅读
目的：探讨针灸治疗小儿脑性瘫痪的临床疗效，为临床实践提供循证医学证据。方法：全面检索CNKI（1989-2012年）、VIP（1989-2012年）、万方（1989-2012年）等数据库，收集针灸治疗小儿脑性瘫痪的临床随机对照试验。经筛选，最终纳入符合标准的12篇文献作为Meta分析对象。用Cochrane协作网免费提供的Review Manage5.0专用软件进行统计分析。结果：12项研究经Meta分析合并，结果显示，12项研究同质性检验结果，χ2=3.12，自由度为11（P=0.99）（P>0.1），表明12项研究具有同质性，故采用固定效应模式进行分析计算、汇总统计量。OR合并后经Z检验：Z=7.11（P0.1), and 12 studies have homogeneity,so use the fixed effects model to analysis ,calculation and summary statistics. OR checked by Z test: Z=7.11 (P<0.00001), suggested that acupuncture treatment compared with other treatments, clinical curative effect of the difference has statistical significance. Conclusion: Current clinical evidence suggested that the curative effect of acupuncture treatment of cerebral palsy curative better than simple rehabilitation or medication. But with this research low methodological quality, limited sample size, it needs more large sample of reasonable design, execution, strict, scientific and standardized,high quality clinical randomized controlled trials to further verify its effectiveness.