針刺治療中風(fēng)失語癥療效的系統(tǒng)評價.pdf

1、目錄中文摘要一一一一一一一一一一一2英文摘要一一一一一一一一一一一一一3引言4正文一一’一51資料與方法一511循證醫(yī)學(xué)及系統(tǒng)評價簡介512N究設(shè)計一一一一一一一一一一一613納入標(biāo)準(zhǔn)和排除標(biāo)準(zhǔn)一814文獻檢索一一一一一一915研究的方法學(xué)質(zhì)量分析一1116資料提取1417資料合成及分析152結(jié)果1621原始研究資料描述1622納入研究的方法學(xué)質(zhì)量評價1823結(jié)果分析183討論2231針刺治療中風(fēng)失語癥作用機理研究2332納入研究的局限

2、性2433本系統(tǒng)評價的局限性27結(jié)論28參考文獻29附錄35綜述43致謝一53攻讀學(xué)位期間發(fā)表的學(xué)術(shù)論文目錄54作者聲明55個人簡歷561AcupunctureTherapyforApoplecticAphasia：ASystematicReviewABS’I’RAC’I’Objective：ToevaluatetheefficacyofacupuncturetherapyforApoplecticAphasia，provideevid

3、encesforfutureclinicalpracticesandexplorefurtherapplicationofacupuncturetherapyontreatmentofApoplecticAphasiaMethods：Asystematicreviewoftherelevantrandomizedcontrolledtrials(RCTs)ofacupunctureforApoplecticAphasiawasperfo

4、rmedusingthemethodsofmCochraneCollaborationTrialswerecollectedfromCBM，ⅥP，CNK／，WANGF』心曬Data，CCRT，Pub—MedandhandsearchedallrelatedarticlespublishedinChineser111equalityofliteratureWaSreviewed，anddatawereextractedbytweviewe

5、rsindependentlyMetaanalysiswasconductedusingRevMan50softwareResults：11I比Ts(QRCT)involving756patientswereincludedMetaanalysisindicatedthatthereWasstatisticaldifferencedetectedbetweenacupunctureandlanguagetraininggroupsonc

6、urerate謝tllI噼174，95％CI110to274andP=002andineffectiverate麗Ⅱl剮[㈤41，95％CIO23toO73andP0003attheendoftreatmentAcupuncturecombinedlanguagetraininggroupWasstatisticallysuperiortolanguagetraininggroupasfollowing：Curerate謝m王氓j301

7、，95％CI181to501，P00001；ineffectiverate麗m刪27，95％CIO16to045，PO00001；languagefunctionscore砌lWMD=1054，95％CI786to1321andP000001andoralexpression麗mWMD=886，95％CI738t0lO35andP000001Conclusion：Currentevidencecouldevaluatewhetherac

8、upunctureorcomparingtolanguagetrainingissignificantlyeffectiveforApoplecticAphasia，howevermoreRCTsofhighmethodologicalqualityarerequiredKeywords：AcupunctureTherapy；ApoplecticAphasia；SystematicReview；RandomizedControlledT