摘要
目的:评价中医传统运动疗法对中风后偏瘫患者的康复效果。方法:计算机检索国内外8个数据库,纳入4种中医传统运动疗法(太极拳、八段锦、五禽戏、易筋经)对中风后偏瘫患者康复疗效的随机对照文献,采用Cochrane协作网的偏倚风险评估工具进行质量评价,应用RevMan5.3软件进行数据分析。结果:共纳入17篇文献,1000例中风病患者。4种中医传统运动疗法组在改善肢体运动功能方面均优于对照组。在治疗30 d内、30~60 d、60 d后,中医传统运动疗法组在改善运动功能、平衡功能、日常生活能力方面均优于对照组。在改善下肢运动功能方面,治疗30 d后,中医传统运动疗法组优于对照组(4.36[3.02,5.70]);但治疗30 d内2组的评分比较差异无统计学意义(1.13[-0.34,2.61])。中风后6个月内、6个月后的中医传统运动疗法组在改善肢体运动功能、平衡功能、日常生活能力方面均优于对照组。在改善下肢运动功能方面,中风后6个月内的中医传统运动疗法组优于对照组(3.97[2.63,5.31]),但7个月内2组的评分比较差异无统计学意义(0.68[-1.14,2.50])。结论:中医传统运动疗法能够改善中风后偏瘫患者的肢体运动功能、平衡功能以及日常生活能力,但是由于下肢运动功能改善方面的文献较少,各亚组的结论不一致。因此,期望日后开展更多高质量、大样本、多个测量时点的随机对照试验进一步验证疗效。
Objective:The objective of this meta-analysis was to evaluate the effectiveness of traditional Chinese medicine(TCM)exercises on the rehabilitation of post-stroke hemiplegic patients.Methods:On retrieving eight databases on a computer,we investigated the results of randomized controlled trials(RCTs)on the efficacy of four TCM exercises(taiji,baduanjin,wuqinxi,and yijining)in the rehabilitation of post-stroke hemiplegic patients.The Cochrane risk of bias tool was used to estimate the quality of the literatures,and RevMan5.3 was utilized to analyse the data.Results:A total of 17 articles were included,encompassing 1000 stroke patients.Four TCM exercise groups were superior to the control group in improving the limb motor function.Within 30 days,30~60 days,and after 60 days of treatment,the TCM exercise group was superior to the control group in terms of improving the motor function,balance function,and daily living ability.In terms of improving the lower limb motor function,the TCM exercise group was superior to the control group after 30 days of treatment(4.36[3.02,5.70]);however,there was no significant difference in the FMA-L scores between the two groups within 30 days of treatment(1.13[-0.34,2.61]).Within 6 months and after 6 months post stroke,the TCM exercise group was better than the control group at improving the limb motor function,balance function,and daily living ability.In terms of improving the lower limb motor function,the TCM exercise group was superior to the control group within 6 months after stroke(3.97[2.63,5.31]),but no significant difference was found in the FMA-L scores of the two groups within 7 months(0.68[-1.14,2.50]).Conclusion:The results of this meta-analysis revealed that TCM exercises can improve the limb motor function,balance function,and daily living ability in patients with hemiplegia after stroke.However,because of the lack of literature on lower limb movement,the outcomes of each subgroup were inconsistent.Therefore,more RCTs with high-quality,large sample sizes,and multiple me
作者
房位昊
李博
王肖南
丁潇
张虎
魏青
FANG Weihao;LI Bo;WANG Xiaonan;DING Xiao;ZHANG Hu;WEI Qing(Shunyi Hospital of Traditional Chinese Medicine,Beijing 101300,China;Beijing Hospital of Traditional Chinese Medicine Affiliated to Beijing University of Chinese Medicine,Beijing 100010,China;Capital Medical University,Beijing 100069,China)
出处
《世界中医药》
CAS
2021年第15期2328-2337,共10页
World Chinese Medicine
基金
国家自然科学基金项目(81774146)
首都临床特色应用研究与成果推广项目(Z171100001017150)
北京市医管局培育项目(PZ2018008)。
关键词
中风
偏瘫
中医传统运动疗法
康复
META分析
Stroke
Hemiplegia
Traditional Chinese Medicine exercise
Rehabilitation
Meta-analysis
