电针作为辅助疗法对中风后失语症的影响：一项系统评价和荟萃分析。

The Effects of Electroacupuncture as an Adjunct Therapy on Poststroke Aphasia: A Systematic Review and Meta-Analysis.

作者信息

Shi Yao, Hu Caixia, Li Shuhua, Huang Tianhua, Chen Xingsheng, Li Guifu, Qin Xiaohui

机构信息

Department of Neurology, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine (Guangdong Provincial Hospital of Chinese Medicine) Guangzhou, Guangzhou, Guangdong, China.

Department of Neurosurgery, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine (Guangdong Provincial Hospital of Chinese Medicine) Guangzhou, Guangzhou, Guangdong, China.

出版信息

Evid Based Complement Alternat Med. 2022 Aug 5;2022:1271205. doi: 10.1155/2022/1271205. eCollection 2022.

DOI:10.1155/2022/1271205

PMID:35966732

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9374558/

Abstract

BACKGROUND

To systematically collate, appraise, and synthesize evidence of electroacupuncture (EA) as an adjunct therapy for poststroke aphasia (PSA) from randomized controlled trials (RCTs) through a systematic review and meta-analysis.

METHODS

An electronic search was conducted in eight databases to identify RCTs evaluating EA adjuvant therapy versus speech and language therapy (SLT). Methodological quality of the included trails was assessed by the Cochrane risk of bias. The software Review Manager 5.4 was used for data analysis.

RESULTS

Nineteen RCTs enrolling a total of 1263 subjects were identified. The use of EA combined with speech and language therapy (SLT) showed significant improvements in effective rate (RR 1.31, 95% CI [1.21, 1.41]), oral expression score (SMD 1.34, 95% CI [1.13, 1.56]), comprehension score (SMD 1.95, 95% CI [0.88, 3.03]), repetition score (SMD 1.84, 95% CI [0.75, 2.93]), naming score (SMD 1.97, 95% CI [0.81, 3.13]), and reading score (SMD 1.55, 95% CI [1.07, 2.04]) compared to the use of SLT alone.

CONCLUSIONS

The pooled data indicate that EA combined with SLT for the treatment of PSA may improve clinical effectiveness, compared with SLT alone. Future high quality RCTs with large samples are still needed to confirm and expand our findings.

摘要

背景

通过系统评价和荟萃分析，系统整理、评估和综合随机对照试验（RCT）中电针（EA）作为中风后失语（PSA）辅助治疗的证据。

方法

在八个数据库中进行电子检索，以识别评估EA辅助治疗与言语语言治疗（SLT）的RCT。纳入试验的方法学质量通过Cochrane偏倚风险进行评估。使用Review Manager 5.4软件进行数据分析。

结果

共识别出19项RCT，纳入受试者1263名。与单独使用言语语言治疗（SLT）相比，EA联合言语语言治疗（SLT）在有效率（RR 1.31，95%CI[1.21, 1.41]）、口语表达评分（SMD 1.34，95%CI[1.13, 1.56]）、理解评分（SMD 1.95，95%CI[0.88, 3.03]）、复述评分（SMD 1.84，95%CI[0.75, 2.93]）、命名评分（SMD 1.97，95%CI[0.81, 3.13]）和阅读评分（SMD 1.55，95%CI[1.07, 2.04]）方面有显著改善。