针刺治疗中风后吞咽障碍疗效比较的系统评价与Meta分析  

The Efficacy of Acupuncture for Post-stroke Dysphagia: A Systematic Review and Meta-analysis

作　　者：王春[1] 柴铁劬[1,2] 汪伟[1] 向乔[1] WANG Chun CHAI Tie-qu WANG Wei XIANG Qiao(Guangzhou University of Traditional Chinese Medicine, Guangzhou Guangdong 510405, China The First Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine, Guangzhou Guangdong 510405, China)

机构地区：[1]广州中医药大学,广东广州510405 [2]广州中医药大学第一附属医院,广东广州510405

出　　处：《中医药导报》2017年第19期72-76,共5页Guiding Journal of Traditional Chinese Medicine and Pharmacy

摘　　要：目的:利用Meta分析评价针刺治疗中风后吞咽障碍的临床疗效。方法:计算机检索中国知网(CNKI、跨库)、万方期刊数据库、中国生物医学文献数据库(CBM)、中文期刊数据库(维普)及Pubmed、Ovid Lww数据库和Cochrane library,并辅以人工检索广州中医药大学图书馆的过刊资料库。收集2016年3月1日前关于针刺治疗中风后吞咽障碍的临床随机对照研究。制定文献纳入及排除标准,提取资料并利用Jadad质量评价标准对纳入研究进行质量评价。采用Review Manager 5.3.5软件进行Meta分析。结果:共纳入文献32篇,Meta分析显示,针刺加西药组与西药组相比总有效率[OR=5.78,95%CI(4.03,8.27),P<0.00001],针刺结合康复组与康复组比较总有效率[OR=3.84,95%CI(2.91,5.05),P<0.00001],差异均有统计学意义。结论:针刺治疗中风后吞咽障碍具有良好的临床疗效。今后仍需开展多中心大样本的随机对照研究进行验证。Objective： To investigate the clinical effect of acupuncture on post-stroke dysphagia by a metaanalysis. Methods： Domestic literature on clinical randomized controlled trials of acupuncture treatment of post- stroke dysphagia published to Mar. 1 2016 were obtained by a computer search of China National Knowledge Internet （CNKI）, Wanfang Database Journal, Chinese Periodical Databases （VIP） and Chinese Biomedical Literature Database （CBM） and Pubmed, OvidLww database and Cochrane library, combined with a manual search of Guangzhou University of Traditional Chinese Medicine library journal database. Literature inclusion and exclusion criteria were established to extract data and the qualities of the included studies were assessed using Jadad quality evaluation criteria. A meta-analysis was made using the software Review Manager 5.3.5. Results： A total of 32 articles were included. The total efficiency comparison between acupuncture and western medicine group and western medicine group showed statistical difference [OR=5.78,95% CI （4.03,8.27）, P〈0.000,01]; the total efficiency comparison between acupuncture and rehabilitation group and rehabilitation group showed statistical difference [OR=3.84, 95% CI （2.91,5.05）, P〈0.000,01]. Conclusion： Acupuncture treatment for stroke dysphagia shows better clinical efficacy. Multi-center and large-sample studies are still needed for validation.

关 键 词：中风 吞咽障碍 针刺 META分析 

分 类 号：R246.6[医药卫生—针灸推拿学]