关键词: 蜡疗, 脑瘫, 痉挛, Meta分析

Abstract: Objective To systematically evaluate the clinical effect of wax therapy on spastic cerebral palsy in children, in order to provide reference for the treatment of spastic cerebral palsy. Methods Studies on the clinical effect of wax therapy on spastic cerebral palsy published till December 31st, 2019 were systematically searched through CMB, CNKI and Wanfang,VIP,PubMed, Embase and Cochrane Library. Two evaluators performed document screening, data extraction and quality evaluation according to inclusion and exclusion criteria. Meta-analysis was performed by using the Review Manager 5.3 software. Results Totally 13 studies involving1 063 patients were included, with 552 cases in the wax therapy group and 511 cases were in the control group. Meta analysis result showed that the effective rate (OR=5.72, 95%CI: 3.6—9.11, Z=7.36, P＜0.001), MAS score (MD=0.54, 95%CI: 0.35—0.73, Z=5.57, P＜0.001), GMFM-88 score (MD=5.46,95%CI: 2.84—8.07, Z=4.09, P＜0.001), joint mobility (MD=10.89, 95%CI: 3.47—18.3, Z=2.88, P＜0.004) in the wax therapy group were significantly superior to the control group. Conclusions Wax therapy can improve clinical effectiveness, muscle spasm, grossmotor function and joint mobility of children with spastic cerebral palsy, and it is an effective method for treating spastic cerebral palsy. However, temperature should be strictly controlled during wax therapy.

Key words: wax therapy, cerebral palsy, spasm, Meta analysis