穴位按摩治疗脑卒中后吞咽障碍的系统评价
作者: |
1吴茜,
1赵利梅,
1宫尚群,
1范银萍,
1李璐琪,
2孟繁洁
1 天津中医药大学研究生院,天津 300193 2 天津中医药大学教师发展与评价中心,天津 300193 |
通讯: |
孟繁洁
Email: mfj127@tjutcm.edu.cn |
DOI: | 10.3978/j.issn.2095-6959.2018.02.026 |
摘要
目的:系统评价穴位按摩对脑卒中后吞咽障碍的治疗效果。方法:用计算机在中国知网,维普,万方,中国生物医药数据库,Cochrane,EMBASE,PubMed,Web of Science,OVID,EBSCO中检索从建库至2017年6月关于穴位按摩治疗脑卒中后吞咽障碍的随机对照试验。由2名评价者独立检索,筛查文献,提取信息,评价文献质量并进行交叉核对后,通过RevMan 5.3行Meta分析。结果:共纳入14篇随机对照研究,包括1 182例患者。Meta分析结果显示,穴位按摩结合常规康复护理在提高治疗脑卒中后吞咽障碍的有效率(RR=1.27,95% CI:1.16~1.39)和降低洼田饮水试验评分(MD=−0.72,95% CI:−0.94~−0.50)方面均优于常规康复护理组,差异有统计学意义(均P<0.01)。结论:穴位按摩有利于改善脑卒中后吞咽障碍。受纳入研究数量和质量限制,上述结论尚需开展更多高质量研究予以证实。
关键词:
穴位按摩;脑卒中;吞咽障碍;系统评价;随机对照试验
Massage for swallowing disorders after stroke: A systematic review
CorrespondingAuthor: MENG Fanjie Email: mfj127@tjutcm.edu.cn
DOI: 10.3978/j.issn.2095-6959.2018.02.026
Abstract
Objective: To systematically evaluate the clinical effects of acupoint massage on post-stroke swallowing disorders. Methods: The relevant randomized controlled trials (RCTs) which investigated the effects of massage therapy in the swallowing disorders after stroke were searched in CNKI, VIP, WanFang, CBM, Cochrane, EMBASE, PubMed, Web of Science, OVID and EBSCO from start date to June 2017. After searching, screening was executed, information was extracted, and methodological quality evaluation were accomplished by two reviewers separately. Through RevMan 5.3, Meta-analysis was carried out. Results: Totally 14 RCTs were incorporated, including 1 182 participants. As for the overall effective rate, the experimental group (massage combined with rehabilitation care group) had an advantage over the control group (rehabilitation care group) (RR=1.27, 95% CI: 1.16–1.39). As for the Kubota drinking water test score, the experimental group is better than the control group (MD=−0.72, 95% CI: −0.94 to −0.50), and differences are statistically significant (P<0.05). Conclusion: The current evidence indicates that massage combined with rehabilitation care is beneficial to post-stroke swallowing disorders. Due to the limited quantity and quality of included studies, more high-quality studies are needed to verify the above conclusion.
Keywords:
massage; stroke; swallowing disorders; systematic review; randomized controlled trial