A META-ANALYSIS OF CLINICAL EFFICACY OF ACUPUNCTURE COMBINED WITH CUPPING IN TREATMENT OF STROKE COMBINED WITH PNEUMONIA

Authors

  • Peng Zhang Department of Acupuncture, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion, Tianjin, 300193, China.
  • Lingsu Cheng Department of Acupuncture, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion, Tianjin, 300193, China.
  • Junfeng Xu Department of Acupuncture, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion, Tianjin, 300193, China.
  • Qian Tian Department of Acupuncture, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion, Tianjin, 300193, China.
  • Guang Chen Department of Acupuncture, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion, Tianjin, 300193, China.
  • Peng Li* Department of Acupuncture, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion, Tianjin, 300193 ,China

Keywords:

Stroke-associated pneumonia; needle and jar combination; Meta-analysis

Abstract

Objective: To conduct a systematic evaluation of combined adjunctive treatment of stroke related pneumonia with needle curing. Methods: A computerized search of CBM, VIP, WF, CNKI, and PubMed databases was conducted to identify randomized controlled trials (RCTs) on use of needle cisterns in stroke-associated pneumonia, with time frames ranging from January 2000 to July 2021. The literature was screened according to inclusion and exclusion criteria, and required information was extracted and Meta-analysis of total effective rate and time to fever remission was performed using Review Manger 5.2 analysis software. Results: Fourteen RCTs on combined adjuvant treatment of stroke associated pneumonia with needle curing were obtained, with a total of 1185 patients. 14 studies evaluated efficacy and 9 studies observed time to fever remission. Meta-analysis revealed that overall efficiency of concomitant application of needle and jar combination was better than conventional Western medicine in patients with stroke-associated pneumonia (Z=7.36, P<0.000 01), and recovery time to normal temperature was shortened (Z=3.48, P<0.01), with a funnel plot showing publication bias. Conclusion: Concomitant application of acupuncture cisterns in combination with adjuvant treatment of stroke-associated pneumonia was superior to control in terms of overall efficiency and time to fever recovery, but high-quality literature is needed to verify support.

 

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Published

2024-03-19

Issue

Vol. 23 No. 90 (2023): Vol. 23, No. 90, junio / June 2023

Section

Articles