针刺配合语言康复治疗运动性失语症随机对照试验的系统评价  

Systematic review of randomized controlled trials on treating motor aphasia with acupuncture combined with language rehabilitation

作　　者：孙熙罡[1,2] 周震[2] 魏倩[1] 郭家奎[2] 

机构地区：[1]天津中医药大学,天津300193 [2]天津中医药大学第二附属医院,天津300150

出　　处：《中华中医药杂志》2014年第11期3575-3580,共6页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：国家自然科学基金(No.81273942)~~

摘　　要：目的:系统评价针刺配合语言康复治疗运动性失语症的有效性。方法:计算机检索中国生物医学文献数据库(CBM,1979年-2012年)、中国知网(CNKI,1979年-2012年)、维普数据库(VIP,1989年-2012年)和万方数字化期刊群(WF,1998年-2012年)、Pubmed(1966年-2012年)、Embase(1980年-2012年)和Cochrane Library(Issue 4,2012年)等数据库,筛选及纳入针刺配合语言康复对照语言康复治疗运动性失语症的临床随机对照试验(RCT)。由两名评价者独立提取资料并按照Cochrane Review Handbook 5.0进行质量评估。数据采用Rev Man 5.1软件进行统计学分析。结果:共纳入26篇临床随机对照试验,共有1 641例。Meta分析结果显示:总有效率:ABC评分:[RR=1.24,95%CI(1.14,1.34)],BDAE评分:[RR=1.36,95%CI(1.19,1.54)],CRRCAE评分[RR=1.16,95%CI(1.01,1.33)]。针刺配合语言康复训练在ABC评分和CRRCAE评分某些方面优于单纯语言康复训练,差异均有统计学意义。结论:现有证据表明针刺配合语言康复治疗运动性失语症的疗效及症状改善优于单纯应用语言康复训练。但文献质量不高,存在发表偏倚的趋势。Objective： To evaluate the efficacy of treating motor aphasia with acupuncture combined with language rehabilitation systematically. Methods： Literatures about treating motor aphasia with acupuncture combined with language rehabilitation were searched from CBM, CNKI, VIP, WF, Pubmed, Embase and Cochrane library, then the RCTs of treating motor aphasia with acupuncture combined with language rehabilitation were screened out and included. Two valuators extracted data and evaluated the quality according to Cochrane Review Handbook independently. The RevMan 5.1 software was used to analyze data. Results： A total of 26 trials involving 1 641 cases were included. Meta-analysis results of ABC scale, BDAE scale and CRRCAE scale were [RR=1.24, 95%CI （1.14,1.34）], [RR=l.36, 95%CI （1.19,1.54）], and [RR=1.16, 95%CI （1.01,1.33）] respectively. In the aspect of improvement of ABC and CRRCAE scores, the treatment of acupuncture combined with language rehabilitation was superior to language rehabilitation training only, and the differences were statistically significant. Conclusion： In the symptom improvement and curative effect of motor aphasia, the treatment motor aphasia with acupuncture combined with language rehabilitation was superior to language rehabilitation training only.

关 键 词：针刺 语言康复训练 运动性失语症 随机对照试验 系统评价 

分 类 号：R246.6[医药卫生—针灸推拿学]