文献类型：期刊文献

中文题名：头针联合语言康复训练治疗卒中后运动性失语疗效的系统评价与Meta分析

英文题名：Effect of scalp acupuncture combined with language rehabilitation training in treating poststroke motor aphasia:A systematic review and meta-analysis

作者：陈志秀[1];毛忠南[2];吴育庄[1];蔺小珍[1];雷琴[1]

第一作者：陈志秀

机构：[1]甘肃中医药大学,甘肃兰州730000;[2]甘肃中医药大学附属医院,甘肃兰州730000

第一机构：甘肃中医药大学

年份：2023

卷号：29

期号：1

起止页码：63

中文期刊名：海南医学院学报

外文期刊名：Journal of Hainan Medical University

收录：CSTPCD

基金：甘肃省自然科学基金(1610RJZA078);甘肃省中医药管理局科研立项课题(GZK-2017-19);2019年甘肃省重点人才项目(甘组通字[2019]39号)。

语种：中文

中文关键词：头针;语言康复训练;卒中;运动性失语;Meta分析

外文关键词：Scalp acupuncture;Language rehabilitation training;Stroke;Motor aphasia;Meta-analysis

摘要：目的:系统评价头针联合语言康复训练治疗卒中后运动性失语的疗效。方法:计算机检索知网、维普、万方、MEDLINE,Cochrane Library,Embase,Web of Science等数据库,检索头针联合语言康复训练治疗卒中后运动性失语的随机对照试验(randomized controlled trial,RCT)。检索时限为各库建库时间至2021年3月,采用Review Manager 5.3对符合条件的文献进行Meta分析。结果:共纳入16篇RCT,共计1323名患者。Meta分析结果表明:(1)头针联合语言康复训练治疗卒中后运动性失语的有效率明显优于单纯语言康复训练[OR=3.94,95%CI(2.73,5.68),P<0.00001];(2)在语言功能评价中,与单纯语言康复训练相比,头针联合语言康复训练能明显提高卒中后运动性失语患者阅读能力[MD=7.22,95%CI(3.55,10.89),P=0.0001]、书写能力[MD=6.51,95%CI(3.61,9.41),P<0.0001]、语言表达能力[MD=4.13,95%CI(2.37,5.89),P<0.0001]、复述能力[MD=5.00,95%CI(2.38,7.63),P=0.0002]、听理解能力[MD=5.36,95%CI(3.12,7.61),P<0.00001]、命名能力[MD=5.60,95%CI(4.20,7.00),P<0.00001];(3)与单纯语言康复训练相比,头针联合语言康复能显著提高卒中后运动性失语症患者的日常生活语言沟通能力,且差异具有统计学意义[MD=30.01,95%CI(11.30,48.72),P=0.002]。结论:头针联合语言康复训练治疗卒中后运动性失语具有显著疗效,但由于样本量较小,仍需更多RCTs证实。
Objective:To evaluate the efficacy of scalp acupuncture combined with language rehabilitation training in the treatment of motor aphasia.Methods:CNKI,VIP,Wan Fang Database,MEDLINE,Embase,Web of Science and Cochrane Library were searched for published researches up to March,2021.Randomized controlled trials RCTs that focused on scalp acupuncture combined with language rehabilitation training in the treatment of motor aphasia were included.We managed the data analysis with RevMan 5.3 software.Results:A total of 16 RCTs with 1323 patients were involved.The results of meta-analysis showed that:(1)The effective rate of scalp acupuncture combined with language rehabilitation training in the treatment of motor aphasia after stroke was significantly better than that of simple language rehabilitation training[OR=3.94,95%CI(2.73,5.68),P<0.00001];(2)In the evaluation of language function,compared with the language rehabilitation training,the scalp acupuncture combined with language rehabilitation training can significantly improve the reading ability of the patients with motor aphasia after stroke[MD=7.22,95%CI(3.55,10.89),P=0.0001],writing ability[MD=6.51,95%CI(3.61,9.41),P<0.0001],expressive ability[MD=4.13,95%CI(2.37,5.89),P<0.0001],retelling ability[MD=5.00,95%CI(2.38,7.63),P=0.0002],listening comprehension ability[MD=5.36,95%CI(3.12,7.61),P<0.00001]and naming ability[MD=5.60,95%CI(4.20,7.00),P<0.00001];(3)Compared with simple language rehabilitation training,scalp acupuncture combined with language rehabilitation can significantly improve the daily life language communication ability of patients with motor aphasia,and the difference was statistically significant[MD=30.01,95%CI(11.30,48.72),P=0.002].Conclusion:Scalp acupuncture combined with language rehabilitation training has a significant effect on motor aphasia.However,due to the small sample size,more RCTs are needed to confirm that.