针灸治疗脑卒中后偏瘫的系统评价再评价OA

Objective:To evaluate the methodological quality and evidence quality of Meta-Analyses/Systematic Reviews(MAs/SRs)on acupuncture for post-stroke hemiplegia.Methods:MAs/SRs focusing on acupuncture for post-stroke hemiplegia were retrieved from VIP,CNKI,Wanfang,CBM,PubMed,the Cochrane Library,and Web of Science databases,with the search period up to December 2024.The Assessment of Multiple Systematic Reviews 2(AMSTAR 2)was used to evaluate methodological quality,and the Grading of Recommendations Assessment,Development and Evaluation(GRADE)system was applied for evidence quality assessment.Results:A total of 18 MAs/SRs were included.The methodological quality of all included studies was rated as"very low"by the AMSTAR 2 scale.According to the GRADE system,46 outcome indicators were evaluated,among which 1 was of high quality,5 were of low quality,and 40 were of very low quality.Conclusion:As a traditional therapy,acupuncture has shown certain efficacy in the treatment of post-stroke hemiplegia.However,the overall quality of MAs/SRs on acupuncture for this condition in recent years is low.In the future,more high-quality MAs/SRs are required to verify relevant research findings,and clinical application of acupuncture for post-stroke hemiplegia should be conducted cautiously.