摘要
目的:评价穴位刺激疗法治疗脑卒中后吞咽困难的疗效,为临床治疗和进一步的研究提供参考依据。方法:按照循证医学(Cochrane)系统评价的方法,对穴位刺激疗法治疗脑卒中后吞咽困难的随机对照试验或半随机对照试验进行Meta分析。结果:37篇中文文献共3 697名患者被纳入分析,结果表明穴位刺激疗法对卒中后吞咽困难的有效率优于对照组[RR为1.38,95%CI(1.28,1.49),Z=8.38,P<0.01];治愈率也优于对照组[RR为2.56,95%CI(2.15,3.04),Z=10.70,P<0.01]。结论:穴位刺激疗法治疗脑卒中后吞咽困难疗效优于对照组。但需要更多设计良好的随机、双盲、对照试验加以证实。
Objective To assess the therapeutic effect of acupoint stimulating therapy on deglutition disorders after apoplexy, so as to provide basis for clinical treatment and further study. Methods According to Cochrane systematic assessment method of evidence-based medicine, Meta analysis on randomized controlled trials or half randomized controlled trials of acupoint stimulating therapy for deglutition disorders after apoplexy were made. Results In 37 Chinese literatures, 3 697 patients in total were enrolled, and the results indicated that the effective rate of acupoint stimulating therapy on deglutition disorders after apoplexy was better than that in the control group ERR was 1.38, 95%CI （1.28, 1.49）, Z=8.38, P〈0.01]; and the cured rate also was better than that of the control group ERR was 2.56, 95%CI （2. 15, 3.04）, Z= 10.70, P〈0.01]. Conclusion The therapeutic effect of aeupoint stimulating therapy on deglutition disorders after apoplexy is better than that of the control group, but more randomized, double blind, controlled trials with good designs are needed to confirm this result.
出处
《中国针灸》
CAS
CSCD
北大核心
2009年第1期66-71,共6页
Chinese Acupuncture & Moxibustion
基金
国家高技术研究发展计划(863计划)项目:2007AA02Z482
关键词
中风后遗症
穴位疗法
吞咽障碍
循证医学
Poststroke Syndrome
Acupoint Therapy
Deglutition Disorders
Evidence-Based Medicine
