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单纯针刺联合氟西汀治疗脑卒中后抑郁的系统评价与 Meta 分析方案

Simple acupuncture combined with fluoxetine in the treatment of poststroke depression: A protocol for systematic review and meta-analysis.

机构信息

Weihai Municipal Third Hospital (Mental Health Center of Weihai City), Weihai, Shandong Province, China.

出版信息

Medicine (Baltimore). 2021 Mar 12;100(10):e24968. doi: 10.1097/MD.0000000000024968.

Abstract

BACKGROUND

Poststroke depression is a common secondary mental disorder after stroke, which increases the recurrence rate and mortality rate after stroke and hinders the recovery of function. As a combination therapy, simple acupuncture combined with fluoxetine has achieved good clinical effect, but there is a lack of evidence-based medicine. The purpose of this study is to evaluate the efficacy and safety of acupuncture combined with fluoxetine in the treatment of poststroke depression by meta-analysis.

METHODS

Search Chinese and English databases: China national knowledge infrastructure, VP information Chinese Journal Service Platform, Wanfang, the China Biomedical Database, PubMed, Embase, the Cochrane Library, and web of science. A randomized controlled trial of simple acupuncture combined with fluoxetine in the treatment of poststroke depression will be selected. The retrieval time is of the establishment of the database in January 2021. Selected literature is extracted and deleted by 2 researchers, and the quality of the included literature is evaluated. The included literature is analyzed by Meta with RevMan5.3 software.

RESULTS

In this study, the efficacy and safety of acupuncture combined with fluoxetine in the treatment of post-stroke depression are evaluated by Hamilton Depression scale (HAMD) and its reduction rate, Treatment Emergency Symptom Scale, Self-rating Depression Scale, and Activities of Daily living scale.

CONCLUSION

This study will provide reliable evidence-based evidence for the clinical application of acupuncture combined with fluoxetine in the treatment of post-stroke depression.

OSF REGISTRATION NUMBER

DOI 10.17605/OSF.IO/5J896.

摘要

背景

脑卒中后抑郁是脑卒中后常见的继发性精神障碍,增加了脑卒中后的复发率和死亡率,阻碍了功能的恢复。作为一种联合治疗方法,单纯针刺联合氟西汀已取得较好的临床疗效,但缺乏循证医学证据。本研究旨在通过Meta 分析评价针刺联合氟西汀治疗脑卒中后抑郁的疗效和安全性。

方法

检索中、英文数据库:中国知网、维普中文期刊服务平台、万方、中国生物医学文献数据库、PubMed、Embase、Cochrane 图书馆、Web of Science。选择单纯针刺联合氟西汀治疗脑卒中后抑郁的随机对照试验,检索时间为 2021 年 1 月数据库建立时间。由 2 位研究者提取并剔除纳入文献,并对纳入文献质量进行评价,采用 Meta 分析 RevMan5.3 软件对纳入文献进行分析。

结果

本研究采用汉密尔顿抑郁量表(HAMD)及其减分率、治疗急症量表、抑郁自评量表、日常生活活动量表评价针刺联合氟西汀治疗脑卒中后抑郁的疗效和安全性。

结论

本研究将为针刺联合氟西汀治疗脑卒中后抑郁的临床应用提供可靠的循证医学证据。

OSF 注册号:DOI 10.17605/OSF.IO/5J896。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c51f/7969235/98d3ae6e85f1/medi-100-e24968-g001.jpg

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