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针刺治疗中风后运动障碍的科学证据:系统评价和荟萃分析综述方案。

Scientific evidence of acupuncture for post-stroke motor impairment: protocol for an overview of systematic reviews and meta-analyses.

机构信息

Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, China.

Chengdu Fifth People's Hospital, Chengdu, Sichuan, China.

出版信息

BMJ Open. 2024 Sep 17;14(9):e086427. doi: 10.1136/bmjopen-2024-086427.

DOI:10.1136/bmjopen-2024-086427
PMID:39289014
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11409255/
Abstract

INTRODUCTION

Several systematic reviews and meta-analyses (SRs/MAs) of clinical trials showed the efficacy of acupuncture for post-stroke motor impairment. To systematically estimate and synthesise these results, we aimed to conduct an overview of SRs/MAs to summarise the evidence and evaluate the methodological quality regarding the effectiveness and safety of acupuncture for post-stroke motor impairment.

METHODS AND ANALYSIS

This is a protocol for an overview of SRs/MAs. A literature search will be conducted in PubMed, Embase, Web of Science and Cochrane Central Registry of Controlled Trials from the construction of the database to March 2024. SRs/MAs evaluating the efficacy of acupuncture in post-stroke motor impairment patients will be included. Two independent investigators will screen and evaluate related SRs/MAs back-to-back. We will extract data into a predefined form designed to summarise the key characteristics of each study. The evaluation of methodological quality of the included SRs/MAs will be assessed using AMSTAR-2, the PRISMA 2020 checklist and the GRADE grading system.

ETHICS AND DISSEMINATION

Ethics approval is not required for this overview as we will only analyse published literature. The results will be published in a peer-reviewed journal.

PROSPERO REGISTRATION NUMBER

CRD42024502006.

摘要

简介

几项临床试验的系统评价和荟萃分析(SRs/MAs)表明针灸对中风后运动功能障碍的疗效。为了系统地评估和综合这些结果,我们旨在进行一项 SRs/MAs 的综述,以总结证据,并评估针灸治疗中风后运动功能障碍的有效性和安全性的方法学质量。

方法和分析

这是一项 SRs/MAs 综述的方案。将从数据库建立到 2024 年 3 月,在 PubMed、Embase、Web of Science 和 Cochrane 对照试验中心注册库中进行文献检索。将纳入评估针灸治疗中风后运动功能障碍患者疗效的 SRs/MAs。两名独立的研究者将背靠背地筛选和评估相关的 SRs/MAs。我们将数据提取到一个预定义的表格中,用于总结每个研究的关键特征。纳入的 SRs/MAs 的方法学质量评估将使用 AMSTAR-2、PRISMA 2020 清单和 GRADE 分级系统进行。

伦理和传播

由于本综述仅分析已发表的文献,因此不需要伦理批准。结果将发表在同行评议的期刊上。

PROSPERO 注册号:CRD42024502006。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/91fb/11409255/a7f287323715/bmjopen-14-9-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/91fb/11409255/a7f287323715/bmjopen-14-9-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/91fb/11409255/a7f287323715/bmjopen-14-9-g001.jpg

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Eur Rev Med Pharmacol Sci. 2023 Nov;27(22):10985-10993. doi: 10.26355/eurrev_202311_34467.
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Abdominal Acupuncture as an Adjunctive Therapy for the Recovery of Motor Function After Stroke: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.腹针作为中风后运动功能恢复的辅助治疗:随机对照试验的系统评价和荟萃分析
Front Neurol. 2021 Sep 28;12:705771. doi: 10.3389/fneur.2021.705771. eCollection 2021.
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Cost-effectiveness of speech and language therapy plus scalp acupuncture versus speech and language therapy alone for community-based patients with Broca's aphasia after stroke: a post hoc analysis of data from a randomised controlled trial.
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BMJ Open. 2021 Sep 6;11(9):e046609. doi: 10.1136/bmjopen-2020-046609.
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Global burden of 369 diseases and injuries in 204 countries and territories, 1990-2019: a systematic analysis for the Global Burden of Disease Study 2019.204 个国家和地区 1990-2019 年 369 种疾病和伤害导致的全球负担:2019 年全球疾病负担研究的系统分析。
Lancet. 2020 Oct 17;396(10258):1204-1222. doi: 10.1016/S0140-6736(20)30925-9.
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