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针刺治疗脑卒中后单侧空间忽略的疗效:一项随机对照试验的系统评价和荟萃分析。

Effect of acupuncture on unilateral spatial neglect after stroke: A systematic review and meta-analysis of randomized controlled trials.

机构信息

Nursing College, Fujian University of Traditional Chinese Medicine, No.1 Qiu Yang Road, Shangjie, Minhou, Fuzhou, Fujian 350122, China.

College of Acupuncture and Moxibustion, Fujian University of Traditional Chinese Medicine, Fuzhou, China.

出版信息

Geriatr Nurs. 2022 Jul-Aug;46:13-20. doi: 10.1016/j.gerinurse.2022.04.022. Epub 2022 May 14.

Abstract

OBJECTIVE

To systematically evaluate the effects of acupuncture in patients with unilateral spatial neglect (USN) after stroke.

DATA SOURCES

Relevant English- and Chinese- language studies published until 12th February 2022, were retrieved from China National Knowledge Infrastructure (CNKI), Wanfang, China Scientific Journals Database (VIP), SinoMed, PubMed, Cochrane Library, Embase, Web of Science and OVID.

REVIEW METHODS

Randomized controlled trials (RCTs) assessing the effects of acupuncture in patients with USN after stroke were included. Two researchers independently identified eligible studies and extracted the data. The methodological quality of the studies was evaluated using the Cochrane Handbook for Systematic Reviews of Interventions v5.1.0.

RESULTS

Twelve studies (731 participants) were included. The meta-analysis found that compared with the control group, acupuncture increased MMSE, BI, MBI, and FMA scores and reduced the USN scores (all P < 0.05). These results indicated that acupuncture improved cognitive function, activities of daily living (ADLs), and motor function and relieved the degree of USN in patients with USN after stroke.

CONCLUSION

Acupuncture could promote the rehabilitation of cognitive function, ADLs, and motor function and relieve the symptoms of USN in patients with USN after stroke. It may be a good complementary treatment to rehabilitation therapy for USN.

摘要

目的

系统评价针刺治疗脑卒中后单侧空间忽略(USN)患者的疗效。

资料来源

检索中国知网(CNKI)、万方、中文科技期刊数据库(VIP)、中国生物医学文献服务系统(SinoMed)、PubMed、Cochrane 图书馆、Embase、Web of Science 和 OVID 中截至 2022 年 2 月 12 日发表的相关英文和中文文献。

评价方法

纳入评估针刺治疗脑卒中后 USN 患者疗效的随机对照试验(RCT)。两位研究者独立识别合格研究并提取数据。采用 Cochrane 干预措施系统评价手册 5.1.0 评价研究的方法学质量。

结果

共纳入 12 项研究(731 名参与者)。Meta 分析结果显示,与对照组相比,针刺可提高 MMSE、BI、MBI 和 FMA 评分,降低 USN 评分(均 P<0.05)。这些结果表明,针刺可改善脑卒中后 USN 患者的认知功能、日常生活活动(ADL)和运动功能,并减轻 USN 程度。

结论

针刺可促进脑卒中后 USN 患者认知功能、ADL 和运动功能的康复,减轻 USN 症状。它可能是脑卒中后 USN 康复治疗的一种良好补充治疗方法。

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