康复训练联合针刺治疗脑出血后失语症的疗效：一项随机对照试验的系统评价方案
Effectiveness of rehabilitation training combined with acupuncture on aphasia after cerebral hemorrhage: A systematic review protocol of randomized controlled trial.
作者信息
Dong Xin-Shu, Song Guang-Fu, Wu Cheng-Ji, Zou Chun-Yin, Sun Guang-Tao, Huang Zuo-Yi
机构信息
Rehabilitation Unit of Fourth Department of Neurology.
Brain Surgery Unit of Fourth Department of Neurology.
出版信息
Medicine (Baltimore). 2019 Jun;98(24):e16006. doi: 10.1097/MD.0000000000016006.
BACKGROUND
This study aims to systematically evaluate the effectiveness of rehabilitation training (RT) combined with acupuncture on aphasia after cerebral hemorrhage (CH).
METHODS
PUBMED, Cochrane Central Register of Controlled Trials, EMBASE, Web of Science, Ovid, Cumulative Index to Nursing and Allied Health Literature, Allied and Complementary Medicine Database, Chinese Biomedical Literature Database, and China National Knowledge Infrastructure will be searched to identify any potential studies from inception to March 1, 2019, without language restrictions. All randomized controlled trials and case-controlled studies assessing the effectiveness of RT combined with acupuncture for the treatment of aphasia following CH will be included in this study. Cochrane risk of bias tool will be used to determine the methodological quality for included studies. RevMan 5.3 software (Cochrane Community, London, UK) will be utilized to perform statistical analysis.
RESULTS
This study will systematically evaluate the effectiveness of RT and acupuncture for aphasia post CH. Primary outcome includes aphasia, which can be measured by Aachener Aphasia Test or Communicative Activity Log or other related scales. Secondary outcomes consist of speech performance, as assessed by Western Aphasia Battery-Revised; measure of skill in Supported Conversation scales; measure of Participation in Conversation scales; types of strategies used in conversation; occurrence and repair of conversation breakdowns; as well as any adverse events.
CONCLUSION
The results of this study will provide present evidence on assessing effectiveness of RT and acupuncture after CH.
DISSEMINATION AND ETHICS
The findings of this study are expected to be published in peer-reviewed journals. It does not require ethical approval, because no individual data will be utilized in this study.
SYSTEMATIC REVIEW REGISTRATION
PROSPERO CRD42019131587.
背景
本研究旨在系统评价康复训练（RT）联合针刺治疗脑出血（CH）后失语症的有效性。
方法
检索PUBMED、Cochrane对照试验中心注册库、EMBASE、科学引文索引、Ovid、护理学与健康相关文献累积索引、补充与替代医学数据库、中国生物医学文献数据库和中国知网，以识别从创刊至2019年3月1日的所有潜在研究，无语言限制。所有评估RT联合针刺治疗CH后失语症有效性的随机对照试验和病例对照研究均纳入本研究。采用Cochrane偏倚风险工具确定纳入研究的方法学质量。使用RevMan 5.3软件（英国伦敦Cochrane社区）进行统计分析。
结果
本研究将系统评价RT和针刺治疗CH后失语症的有效性。主要结局包括失语症，可通过亚琛失语症测试、交流活动日志或其他相关量表进行测量。次要结局包括：经修订的西方失语症成套测验评估的言语表现；支持性对话量表中的技能测量；对话参与量表的测量；对话中使用的策略类型；对话中断的发生和修复；以及任何不良事件。
结论
本研究结果将为评估CH后RT和针刺的有效性提供现有证据。
传播与伦理
本研究结果预计将发表在同行评审期刊上。本研究不需要伦理批准，因为本研究不会使用个体数据。
系统评价注册
PROSPERO CRD42019131587。
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