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醒脑开窍针刺法治疗中风后吞咽障的系统评价与Meta分析*(PDF)

《云南中医学院学报》[ISSN:1000-2723/CN:53-1048/R]

期数:
2019年03期
页码:
53-60
栏目:
针灸研究
出版日期:
2020-04-20

文章信息/Info

Title:
Consciousness Restoring for Resuscitation Acupuncture Therapy for Dysphagia after Stroke: A Systematic Review and Meta-Analysis
文章编号:
1000-2723(2019)03-0053-08
作者:
徐连杰1张霞辉2△普天强3罗树华4罗 凌3黄丽君2施 静2
(1.云南中医药大学,云南 昆明 650500;2.云南省中医医院, 云南 昆明 650021; 3.宣威市中医医院,云南 宣威 655400;4.盘龙区人民医院,云南 昆明 650200)
Author(s):
XU Lianjie1 ZHANG Xiahui2 PU Tianqiang3 LUO Shuhua4 LUO Ling3 HUANG Lijun2 SHI Jing2
(1. Yunnan University of Chinese Medicine, Kunming 650500,China; 2.Yunnan Provincial Hospital of Traditional Chinese Medicine , Kunming 650021,China; 3. Xuanwei Hospital of Traditional Chinese Medicine,Xuanwei 655400 ,China; 4. Panlong District People's Hospital, Kunming, 650200,China)
关键词:
醒脑开窍中风吞咽障碍系统评价Meta分析
Keywords:
consciousness restoring for resuscitationstrokedysphagiasystematic reviewMeta-analysis
分类号:
R246.6
DOI:
10.19288/j.cnki.issn.1000-2723.2019.03.010
文献标识码:
A
摘要:
目的系统评价醒脑开窍针刺法治疗中风后吞咽障碍的临床疗效,为醒脑开窍针刺法治疗中风后吞咽障碍提供循证医学证据。方法 计算机检索中国期刊全文数据库(CNKI)、中国生物医学文献数据库(CBM)、万方数据知识服务平台(WANFANG )、维普期刊全文数据库(VIP)从建库以来至2018年12月发表的关于醒脑开窍针刺法治疗中风后吞咽障碍的临床随机对照试验(RCT)。由2名研究人员,依据纳入标准与排除标准,筛选文献,提取资料,按照 Cochrane 手册 5.1.0 标准对纳入的研究进行偏倚风险评估,利用Jadad 量表进行方法学质量评价,采用Review Manage5. 3 软件进行统计分析。结果 最终纳入符合标准的文献22篇,累积患者1 998例。Meta分析结果示,醒脑开窍针刺法或醒脑开窍针刺法联合其他辅助疗法治疗优于对照组,在总有效率、痊愈率、洼田饮水试验(WST)、藤岛一郎吞咽评分(FIRS)、标准吞咽功能评分(SSA)指标比较,差异比较具有统计学意义。结论 醒脑开窍针刺法治疗中风后吞咽障碍具有良好的疗效,但因纳入文献数量有限,质量偏低,仍需更多高质量的RCT试验来验证醒脑开窍针刺法治疗中风后吞咽障碍的临床疗效。
Abstract:
Objective To evaluate the efficacy of consciousness restoring for resuscitation acupuncture therapy in the treatment of dysphagia after stroke, and to provide evidence-based medical evidence for the treatment of dysphagia after stroke by consciousness restoring for resuscitation acupuncture therapy. Methods Searching the China National Knowledge Infrastructure(CNKI), the China Biomedical Medicine(CBM), the Wanfang Data Knowledge Service Platform(WANFANG ), and the Weipu Journal Full-text Database(VIP) online, all from December 2018 since the building of the library about a randomized controlled trial of consciousness restoring for resuscitation acupuncture therapy in the treatment of dysphagia after stroke.Two researchers screened the literature and extracted the data according to the inclusion and exclusion criteria. The risk of bias of the included studies was assessed according to Cochrane handbook 5.1.0, and the methodological quality was assessed by Jadad scale.Morever,the Review manager 5.3 software was used for statistical analysis. Results A total of 22 literatures meeting the standards were included, and a total of 1998 cases were accumulated.The results of Meta-analysis showed that the total effective rate, cure rate, Kubota water swallowing tes(WST), Fjishima Tchiro rating scale(FTRS), standard swallowing function evaluation score(SSA) were significantly higher than those in the control group. Conclusion Consciousness restoring for resuscitation acupuncture therapy has a good effect on dysphagia after stroke. However, due to the limited number and low quality of the included literatures, more high-quality RCT tests are needed to verify the clinical effect of activiting brain and regaining consciousness acupuncture therapy on dysphagia after stroke.

参考文献/References

[1] 方锋. 脑血管侧支循环建立程度与介入治疗脑动脉硬化狭窄患者预后的关系分析[J]. 实用医院临床杂志,2018, 15(2):113-117.
[2] MENGN N H, WANG T G, LIEN I N. Dysphagia in patients with brainstem stroke:incident and outcome[J] . Am J Phys Med Rehabil,2000,79(2):170-175.
[3] UMAY E K, YAYLACI A, SAYLAM G, et al. The effect of sensory level electrical stimulation of the masseter musclein early stroke patients with dysphagia:a randomized controlled study[J] . Neurol India,2017,65(4):734-742.
[4] LI Y, REN K, XING R, et al. Clinical research of the five needles combined with rehabilitation training dysphagia after stroke[J] . Pak J Pharm Sci,2016,29(Suppl. 5):1745-1748.
[5] 覃亮,张选平,杨信才,等. 深刺廉泉与翳风穴对脑卒中后吞咽障碍的影响[J]. 针刺研究,2019,44(2):144-147.
[6] LI C M, WANG T G, LEE H Y,et al. Swallowing training combined with gamebased biofeedback in post-stroke dysphagia[J]. PM R,2016,8(8):773-779.
[7] HIGGINS J P T, ALTMAN D G. Chapter 8:assessing risk of bias in included studies[M]. John Wiley & Sons,Ltd,2008.
[8] 司书凯. “醒脑开窍”针刺法治疗中风病吞咽障碍 60 例[J]. 中国医学创新,2012,9(27):138-139.
[9] 王英. “醒脑开窍”针法配合吞咽康复训练治疗中风后假性球麻痹疗效观察[J]. 山西中医,2017,33(2):43-45.
[10] 向连,刘霞. 吞咽治疗仪结合醒脑开窍针治疗脑卒中后吞咽障碍的效果[J]. 心血管康复医学杂志,2017,26(4):437-441.
[11] 邓行行,吴灿. 醒脑开窍针刺法联合 Vitalstim 吞咽治疗仪治疗脑卒中吞咽障碍临床研究[J]. 中医学报,2017,32(3):466-469.
[12] 刘洋. 醒脑开窍针刺法联合吞咽功能训练改善脑卒中后假性球麻痹吞咽功能疗效观察[J]. 实用中医药杂志,2017,33(12):1423-1424.
[13] 田德龙,孟凡峰,陈洪芳,等. 醒脑开窍针刺法联合吞咽康复训练治疗卒中后吞咽障碍临床研究[J]. 中国基层医药,2018,25(3):287-290.
[14] 洪登攀,乔建国,杨飞,等. 醒脑开窍针刺法配合吞咽障碍治疗仪治疗卒中后吞咽障碍 34 例[J]. 现代中医药,2018,38(4):26-28.
[15] 王建英. 醒脑开窍针刺法治疗脑卒中后假性球麻痹的疗效观察[J]. 医学理论与实践,2017,30(3):351-352.
[16] 石岩丽. 醒脑开窍针刺法治疗脑卒中后假性球麻痹吞咽障碍68例[J]. 山东中医药大学学报,2013,37(2):131-132.
[17] 张茜. 醒脑开窍针刺法治疗脑卒中后假性延髓麻痹吞咽障碍的临床效果[J]. 世界临床医学,2017,11(9):145.
[18] 陈香妹,林慧娟. 醒脑开窍针刺法治疗脑卒中后吞咽障碍 59 例[J]. 江西中医药,2016,47(8):71-73.
[19] 熊涛. 醒脑开窍针刺法治疗中风后假性球麻痹所致吞咽困难[J]. 光明中医,2016,31(19):2855-2856.
[20] 苏瑜,韩宝杰. 醒脑开窍针刺法治疗中风后假性球麻痹吞咽困难 47 例[J]. 四川中医,2012,30(11):127-128.
[21] 葛俊领,田建军,沈凤梅,等. 醒脑开窍针刺法治疗中风后吞咽困难 50 例[J]. 河南中医,2014,34(12):2319-2320
[22] 熊杨,田甜,龚泽辉. 醒脑开窍针刺法治疗中风后吞咽障碍的疗效观察[J]. 中西医结合心脑血管病杂志,2018,16(13):1812-1814.
[23] 俞国尧. 醒脑开窍针法结合常规疗法治疗脑卒中吞咽障碍临床研究[J]. 新中医,2018,50(9):199-201.
[24] 温瑞丽. 醒脑开窍针灸法联合功能训练对脑卒中后吞咽障碍患者疗效及并发症的影响[J]. 中国医药科学,2017,7(9):49-51.
[25] 尹丽丽. 针刺配合康复疗法治疗中风后吞咽障碍57例临床研究[J]. 中医杂志,2013,54(9):766-768.
[26] 尹丽丽. 针刺治疗中风后吞咽障碍 37 例疗效观察[J]. 国医论坛,2013,28(3):45-46.
[27] 栾晓康,倪光夏. 醒脑开窍针刺法治疗脑卒中后假性球麻痹 30 例临床观察[J]. 江苏中医药,2014,46(7):61-62
[28] 赵瑞珍,熊杰,丁淑强,等. 醒脑开窍针刺法治疗中风后假性延髓麻痹 34 例疗效观察[J]. 新中医. 2006,(3):61-62.
[29] 安晓妍. 针剌治疗中风后吞咽障碍临床观察[J]. 健康必读杂志,2011(3):316-318.
[30] SMITHARD D G, SMEETON N C, WOLFE C D A. Long-term outcome after stroke:does dysphagia matter?[J]. Age and Ageing,2007,36(1):90-94.
[31] 石学敏,杨兆钢,周继增,等. 针刺治疗假性延髓麻痹 325 例临床机理研究[J]. 中国针灸,1999(8):44-46.
[32] 陈倢,梁伟雄,刘琼,等. 醒脑开窍针刺法治疗脑卒中后吞咽困难的有效性与安全性的系统评价[J]. 广州中医药大学学报,2015,32(4):607-614.

备注/Memo

备注/Memo:
收稿日期: 2019 - 05- 22
* 基金项目: 云南省卫生科技计划项目(2018NS0033,2016NS166)
第一作者简介: 徐连杰(1994-),男,在读硕士研究生,研究方向:针灸防治脑病的临床与机理研究。
△通信作者: 张霞辉,E-mail:754258082@qq.com
更新日期/Last Update: 2020-05-06