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气功练习对中风后精神障碍和睡眠障碍的疗效:系统评价与荟萃分析方案

The efficacy of Qigong exercises for post-stroke mental disorders and sleep disorders: Protocol for a systematic review and meta-analysis.

作者信息

Dong Xing, Zhang Renyan, Guo Ying, Chen Longfang, Liu Yuan

机构信息

College of Basic Medicine, Chengdu University of Traditional Chinese Medicine, Chengdu, China.

出版信息

Medicine (Baltimore). 2020 Aug 21;99(34):e21784. doi: 10.1097/MD.0000000000021784.

Abstract

BACKGROUND

Post-stroke mental disorders (PSMDs) and post-stroke sleep disorders (PSSDs) are quite common condition in stroke's patients. Qigong has been widely applied as a replaced and useful treatment for PSMDs and PSSDs. However, the exact effects and safety of Qigong have yet be systematically investigated. Our study focused on summary of efficacy and safety of Qigong for the treatment of advanced PSMDs and PSSDs through the systematic analysis and meta-analysis, in order to provide scientific reference for the clinical.

METHODS

The protocol followed Preferred Reporting Items for Systematic Review and Meta-Analyses Protocols. Relevant randomized controlled trials were only considered. Search strategy will be performed in 4 English database including Cochrane Library, PubMed, Web of Science, Excerpt Medical Database, 4 Chinese Database including Chinese Biomedical Literature Database, China National Knowledge Infrastructure, China Scientific Journal Database, Wanfang Database, and WHO International Clinical Trials Registry Platform. Papers in English or Chinese published from their inception to 30 June 2020. Study selection and data extraction will be performed independently by 2 investigators. The clinical outcomes including overall Hamilton depression scale, Hamilton anxiety scale, the mental health part of the MOS item short from health survey, Generic Quality of Life Inventory-74, Center for Epidemiologic Studies Depression Scale, Pittsburgh sleep quality index. Based on the Cochrane Assessment tool and Physiotherapy Evidence Database scale, a modified assessment form should be used to evaluate the methodological quality. Review Manager 5.3 was used for data analysis and risk of bias.

RESULTS AND CONCLUSION

We provide some more practical and targeted results examine the effect of Qigong exercises for PSMDs and PSSDs in the relative meta-analysis. We find out defects or inadequacies of Qigong in previous studies. The findings of this research will provide more evidence-based guidance in clinical practice and more rigorous study.International Platform of Registered Systematic Review and Meta-Analysis Protocols (INPLASY) registration number: INPLASY202070051.

摘要

背景

中风后精神障碍(PSMDs)和中风后睡眠障碍(PSSDs)在中风患者中相当常见。气功已被广泛应用于PSMDs和PSSDs的替代治疗且效果显著。然而,气功的确切疗效和安全性尚未得到系统研究。我们的研究旨在通过系统分析和荟萃分析总结气功治疗晚期PSMDs和PSSDs的疗效和安全性,为临床提供科学参考。

方法

本方案遵循系统评价和荟萃分析方案的首选报告项目。仅纳入相关随机对照试验。检索策略将在4个英文数据库(包括考克兰图书馆、PubMed、科学引文索引数据库、医学文摘数据库)、4个中文数据库(包括中国生物医学文献数据库、中国知网、维普数据库、万方数据库)以及世界卫生组织国际临床试验注册平台中进行。检索从各数据库建库至2020年6月30日发表的中英文文献。由2名研究者独立进行研究筛选和数据提取。临床结局指标包括汉密尔顿抑郁量表总分、汉密尔顿焦虑量表、健康调查简表中精神健康部分、生活质量综合评定问卷-74、流调中心抑郁量表、匹兹堡睡眠质量指数。基于考克兰评估工具和物理治疗证据数据库量表,使用改良评估表评估方法学质量。采用Review Manager 5.3进行数据分析和偏倚风险评估。

结果与结论

我们在相对的荟萃分析中提供了一些更具实用性和针对性的结果,以检验气功练习对PSMDs和PSSDs的效果。我们发现了以往研究中气功的缺陷或不足。本研究结果将为临床实践提供更具循证性的指导,并开展更严谨的研究。国际注册系统评价和荟萃分析方案平台(INPLASY)注册号:INPLASY202070051。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d53c/7447379/112ae6289be1/medi-99-e21784-g002.jpg

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