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Article: Meta-analysis of scalp acupuncture for acute hypertensive intracerebral hemorrhage

TitleMeta-analysis of scalp acupuncture for acute hypertensive intracerebral hemorrhage
Authors
Issue Date2011
PublisherMary Ann Liebert, Inc Publishers. The Journal's web site is located at http://www.liebertpub.com/acm
Citation
Journal Of Alternative And Complementary Medicine, 2011, v. 17 n. 4, p. 293-299 How to Cite?
AbstractObjectives: Scalp acupuncture (SA) is a commonly used therapeutic approach for primary intracerebral hemorrhage (ICH) in Traditional Chinese Medicine (TCM), but the efficacy and safety of SA therapy are still undetermined. The aim of this study is to systematically evaluate the efficacy and safety of SA therapy for the treatment of acute hypertensive ICH. Methods: Literature reports with randomized controlled clinical trials and controlled clinical trials on SA therapy for acute hypertensive ICH were searched, and the efficacy and safety of SA therapy were evaluated by using the Cochrane systematic review methods. The primary outcome measures were death or dependency at the end of long-term follow-up (at least 3 months) and adverse events. The secondary outcome measure was neurological deficit improvement at the end of the treatment course. Results: Seven (7) independent trials (230 patients) were included in this study. All trials described the methods of randomization in which four trials had adequate concealment of randomization at the level of grade A, but no trial included sham acupuncture as a control group. None of the trials included "death or dependency" as a primary outcome measure. Four (4) trials contained safety assessments and stated that no adverse event was found, whereas the other three trials did not provide the information about adverse events. By using random effects statistical model, it was found that patients with acute hypertensive ICH who received SA therapy had significantly improved neurological deficit scores (Z=4.97, p<0.01). Conclusions: Although SA therapy is widely used to treat acute hypertensive ICH in TCM, the efficacy and safety of SA therapy remain to be further determined. No evidence is available on whether SA therapy can be used to treat acute ICH according to the primary outcome measure. However, SA therapy appears to be able to improve neurological deficit in patients with acute hypertensive ICH. © 2011, Mary Ann Liebert, Inc.
Persistent Identifierhttp://hdl.handle.net/10722/138129
ISSN
2015 Impact Factor: 1.395
2015 SCImago Journal Rankings: 0.475
ISI Accession Number ID
Funding AgencyGrant Number
family of Dr. Wong B.L. donation
Wenzhou Municipal Science and Technology Bureau in Zhejiang Province of ChinaY20070038
Funding Information:

This work is supported by a donation from the family of Dr. Wong B.L. donation (S.J.G.) and the Key Project Grant of Wenzhou Municipal Science and Technology Bureau in Zhejiang Province of China (Y20070038, ZGQ).

References

 

DC FieldValueLanguage
dc.contributor.authorZheng, GQen_HK
dc.contributor.authorZhao, ZMen_HK
dc.contributor.authorWang, Yen_HK
dc.contributor.authorGu, Yen_HK
dc.contributor.authorLi, Yen_HK
dc.contributor.authorChen, XMen_HK
dc.contributor.authorFu, SPen_HK
dc.contributor.authorShen, Jen_HK
dc.date.accessioned2011-08-26T14:41:12Z-
dc.date.available2011-08-26T14:41:12Z-
dc.date.issued2011en_HK
dc.identifier.citationJournal Of Alternative And Complementary Medicine, 2011, v. 17 n. 4, p. 293-299en_HK
dc.identifier.issn1075-5535en_HK
dc.identifier.urihttp://hdl.handle.net/10722/138129-
dc.description.abstractObjectives: Scalp acupuncture (SA) is a commonly used therapeutic approach for primary intracerebral hemorrhage (ICH) in Traditional Chinese Medicine (TCM), but the efficacy and safety of SA therapy are still undetermined. The aim of this study is to systematically evaluate the efficacy and safety of SA therapy for the treatment of acute hypertensive ICH. Methods: Literature reports with randomized controlled clinical trials and controlled clinical trials on SA therapy for acute hypertensive ICH were searched, and the efficacy and safety of SA therapy were evaluated by using the Cochrane systematic review methods. The primary outcome measures were death or dependency at the end of long-term follow-up (at least 3 months) and adverse events. The secondary outcome measure was neurological deficit improvement at the end of the treatment course. Results: Seven (7) independent trials (230 patients) were included in this study. All trials described the methods of randomization in which four trials had adequate concealment of randomization at the level of grade A, but no trial included sham acupuncture as a control group. None of the trials included "death or dependency" as a primary outcome measure. Four (4) trials contained safety assessments and stated that no adverse event was found, whereas the other three trials did not provide the information about adverse events. By using random effects statistical model, it was found that patients with acute hypertensive ICH who received SA therapy had significantly improved neurological deficit scores (Z=4.97, p<0.01). Conclusions: Although SA therapy is widely used to treat acute hypertensive ICH in TCM, the efficacy and safety of SA therapy remain to be further determined. No evidence is available on whether SA therapy can be used to treat acute ICH according to the primary outcome measure. However, SA therapy appears to be able to improve neurological deficit in patients with acute hypertensive ICH. © 2011, Mary Ann Liebert, Inc.en_HK
dc.languageengen_US
dc.publisherMary Ann Liebert, Inc Publishers. The Journal's web site is located at http://www.liebertpub.com/acmen_HK
dc.relation.ispartofJournal of Alternative and Complementary Medicineen_HK
dc.rightsThis is a copy of an article published in the Journal of Alternative & Complementary Medicine © 2011 Mary Ann Liebert, Inc.; Journal of Alternative & Complementary Medicine is available online at: http://www.liebertonline.com.-
dc.rightsCreative Commons: Attribution 3.0 Hong Kong License-
dc.subject.meshAcupuncture Therapy - adverse effects-
dc.subject.meshIntracranial Hemorrhage, Hypertensive - complications - mortality - therapy-
dc.subject.meshNervous System Diseases - etiology-
dc.subject.meshPublication Bias-
dc.subject.meshScalp-
dc.titleMeta-analysis of scalp acupuncture for acute hypertensive intracerebral hemorrhageen_HK
dc.typeArticleen_HK
dc.identifier.emailShen, J: shenjg@hku.hken_HK
dc.identifier.authorityShen, J=rp00487en_HK
dc.description.naturepublished_or_final_version-
dc.identifier.doi10.1089/acm.2010.0156en_HK
dc.identifier.pmid21438797-
dc.identifier.scopuseid_2-s2.0-79955005363en_HK
dc.identifier.hkuros190858en_US
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-79955005363&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume17en_HK
dc.identifier.issue4en_HK
dc.identifier.spage293en_HK
dc.identifier.epage299en_HK
dc.identifier.isiWOS:000289616600005-
dc.publisher.placeUnited Statesen_HK
dc.identifier.scopusauthoridZheng, GQ=23969618100en_HK
dc.identifier.scopusauthoridZhao, ZM=8873750800en_HK
dc.identifier.scopusauthoridWang, Y=36672121500en_HK
dc.identifier.scopusauthoridGu, Y=37014467100en_HK
dc.identifier.scopusauthoridLi, Y=36671636100en_HK
dc.identifier.scopusauthoridChen, XM=36670920600en_HK
dc.identifier.scopusauthoridFu, SP=49061099400en_HK
dc.identifier.scopusauthoridShen, J=7404929947en_HK

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