目的 通过网状Meta分析系统评价针灸和康复疗法及中医疗法联用对卒中相关性肺炎的疗效.方法 采用计算机检索Web of science、PubMed、EMbase、中国知网(CNKI)、中国生物医学文献数据库(CBM)、中文科技期刊数据库(VIP)及万方数据库(WanFang)文献.检索日期为建库至2023年4月10日,运用Stata 14.2软件进行网状Meta分析.结果 与标准治疗相比,针灸联合康复标准治疗[OR=0.81,95％CI(0.75,0.88)]在治疗卒中相关性肺炎疗效更显著.与标准治疗相比,针灸治疗[OR=2.03,95％CI(-0.83,4.89)]在美国国立卫生研究院卒中量表(NIHSS)评分改善方面更显著.与标准治疗相比,针灸联合康复标准治疗[OR=1.94,95％CI(-8.67,12.55)]在治疗卒中相关性肺炎白细胞计数(WBC)水平改善方面更显著.临床疗效不一致检验无显著性意义.结论 针灸在改善卒中相关性肺炎的NIHSS评分方面优于康复疗法和康复加针灸疗法,为临床决策卒中相关性肺炎的中医疗法提供了依据.
Clinical Efficacy of Acupuncture and Rehabilitation Therapy in Stroke-related Pneumonia:A Network Meta-analysis
Objective:To conduct systematic reviews on the efficacy of acupuncture,rehabilitation therapy and the combined traditional Chinese medicine therapies for stroke-associated pneumonia through mesh meta-analysis.Methods:A computerized search of Web of science,PubMed,EMbase,CNKI,Chinese Biomedical Literature Data-base(CBM),VIP and WanFang database literature was used.The search date was from date of databases establish-ment to April 10,2023,and Stata 14.2 software was used to perform reticulated meta-analysis.Results:Com-pared with standard treatment,acupuncture combined with rehabilitation standard treatment[OR=0.81,95％CI(0.75,0.88)]was more significant in treating stroke-related pneumonia.Acupuncture treatment[OR=2.03,95％CL(-0.83,4.89)]was more significant in treating NIHSS scores compared to standard treatment.Acupuncture combined with rehabilitation standard treatment[OR=1.94,95％CL(-8.67,12.55)]was more significant in treat-ing stroke-related pneumonia WBC levels compared to standard treatment.Clinical efficacy inconsistency tests were not significant.Conclusion:Acupuncture was superior to rehabilitation therapy and rehabilitation+acupunc-ture therapy in improving NIHSS scores,neurologic function scores in stroke-associated pneumonia,which pro-vides a basis for clinical decision-making about TCM treatments for stroke-associated pneumonia.
NETL
NSTL
万方数据
维普
