摘要
目的:探讨经皮穴位电刺激治疗脑卒中后肢体功能障碍的有效性。方法:计算机检索中国知网、万方数据库、维普全文期刊数据库、the Cochrane Library、PubMed、Web of Science、Foreign Medical Journal Service(FMRS)中有关经皮穴位电刺激治疗脑卒中后肢体功能障碍的所有随机对照试验(RCT)。由2名研究员分别进行文献筛选和资料提取,借助RevMan 5.4软件进行Meta分析。结果:纳入10篇随机对照试验,涉及735例病人。分析结果显示,干预4周、6周、12周均能够提高脑卒中病人肢体的运动功能[WMD=7.29,95%CI(5.17,9.42),P<0.00001],且对上肢和下肢的运动功能恢复均有效[WMD=7.29,95%CI(5.17,9.42),P<0.00001]。此外,此干预对病人日常生活能力也有提高[WMD=8.21,95%CI(5.27,11.14),P<0.00001]。结论:现有证据表明,经皮穴位电刺激可以改善脑卒中后肢体功能障碍病人的运动功能,提高日常生活能力。
Objective:To explore the efficacy of transcutaneous electrical acupoints stimulation in the treatment of limb dysfunction after stroke.Methods:Randomized controlled trials(RCT)on transcutaneous electrical acupoints stimulation in the treatment of limb dysfunction after stroke were searched from CNKI,WanFang Datebase,VIP,the Cochrane Library,PubMed,Web of Science,Foreign Medical Journal Service(FMRS).Two researchers respectively conducted literature screening and data extraction,and conducted Meta-analysis with the help of RevMan 5.4 software.Results:10 randomized controlled trials were included,involving 735 patients.The analysis results showed that the intervention for 4 weeks,6 weeks and 12 weeks could improve the motor function of the limbs of stroke patients[WMD=7.29,95%CI(5.17,9.42),P<0.00001],and had curative effects on the recovery of motor function of upper and lower limbs[WMD=7.29,95%CI(5.17,9.42),P<0.00001].In addition,this intervention also improved the daily living ability of patients[WMD=8.21,95%CI(5.27,11.14),P<0.00001].Conclusion:Current evidence shows that transcutaneous electrical acupoint stimulation can improve the motor function of limbs after stroke and improve the ability of daily life.
作者
张蕊
庄玲玲
ZHANG Rui;ZHUANG Lingling(School of Nursing,Fujian University of Traditional Chinese Medicine,Fujian 350000 China)
出处
《循证护理》
2023年第4期579-585,共7页
Chinese Evidence-Based Nursing
基金
福建省自然科学基金资助项目,编号:2021J01902。
关键词
经皮穴位电刺激
脑卒中
肢体功能障碍
运动功能
日常生活能力
META分析
transcutaneous electrical acupoint stimulation
stroke
limb dysfuntion
motor function
activity of daily living
Meta-analysis
