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机构地区:[1]Tianjin University of Traditional Chinese Medicine [2]First Teaching Hospital of Tianjin University of Traditional Chinese Medicine
出 处:《Journal of Acupuncture and Tuina Science》2015年第6期391-397,共7页针灸推拿医学(英文版)
摘 要:Objective: To evaluate the literature quality of randomized controlled trials of acupuncture plus rehabilitation for post-stroke limb spasm in the recent ten years in China.Methods: By searching four databases of China National Knowledge Internet(CNKI), Wanfang Academic Journal Full-text Database(Wanfang), Chongqing VIP Database(CQVIP) and Chinese Biomedical Literature Database(CBM), randomized controlled trial(RCT) of acupuncture plus rehabilitation for the treatment of post-stroke limb spasm were screened and selected. In accordance with 2010 edition of the consolidated standards of reporting trials(CONSORT) and standards for reporting interventions in clinical trials of acupuncture(STRICTA), the quality evaluation was processed for RCT documents. Results: Finally, 50 documents were selected. The issues of titles, sample size calculation, application of randomization and blind method, subject's procedure, conclusion and estimated value, explanation of trial limitation, auxiliary intervention measures and therapeutic plans, and background of therapists exist in most documents. Conclusion: Currently, RCT documents about acupuncture plus rehabilitation for the treatment of post-stroke limb spasm are generally of low quality. In the future, it is necessary to standardize the reports of the clinical trials based upon CONSORT and STRICTA, in order to enhance the document quality.目的:评价国内近十年针刺结合康复治疗脑卒中后肢体痉挛随机对照试验的文献质量。方法:通过检索中国期刊全文数据库(China National Knowledge Internet,CNKI)、万方学术期刊全文数据库(Wanfang)、重庆维普数据库(CQVIP)和中国生物医学文献数据库(Chinese Biomedical Literature Database,CBM)4个数据库,筛选针刺结合康复治疗脑卒中后肢体痉挛随机对照试验(randomized controlled trial,RCT)的文献。依据2010版的临床试验报告统一标准(consolidated standards of reporting trials,CONSORT)和针刺临床对照试验中干预措施报告标准(standards for reporting interventions in clinical trials of acupuncture,STRICTA)进行RCT文献的质量评价。结果:最终共纳入50篇文献,大部分文献都存在文题、样本量估算、随机化及盲法的使用、受试者流程、结局和估计值、试验局限性的说明、辅助干预措施治疗方案及治疗师背景等问题。结论:目前针刺结合康复治疗脑卒中后肢体痉挛的RCT文献质量普遍偏低。今后应参照CONSORT和STRICTA进行规范临床试验报告,以提高文献的质量。
关 键 词:Poststroke Syndrome HEMIPLEGIA Myospasm Acupuncture Therapy REHABILITATION Randomized Controlled Trial Literature
分 类 号:R246.6[医药卫生—针灸推拿学]
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