针灸治疗中风后失语的系统评价再评价

Overview of Systematic Review on Acupuncture and Moxibustion Treatment of Apoplectic Aphasia

摘要: 目的：对针灸治疗中风后失语疗效的系统评价进行再评价。方法：利用PubMed、Embase、Web of science、CBM、VIP、WanFang Data和CNKI数据库，搜集针灸治疗中风后失语的系统评价/meta分析，检索时限为建库至2020年10月。由2名研究者独立筛选文献、提取资料，采用AMSTAR 2量表、PRISMA量表、GRADE工具评价纳入系统评价/Meta分析的方法学质量评价、报告质量和证据质量评价。结果：共纳入7篇相关系统评价和Meta分析，其中中文6篇，英文1篇，文献发表时间为2010年至2019年，包括48个结局指标。方法学质量均为极低，文献报告质量较低，证据质量等级大多为低质量和极低质量。结论：针灸治疗中风后失语的系统评价和Meta分析的方法学质量和文献报告质量较低，结局指标等级不高，临床上应对中医药研究进行循证医学的规范，以期提供高质量的证据。

Abstract: Objective: In order to re-evaluate the systematic evaluation of acupuncture and moxibustion in the treatment of aphasia after stroke. Method: The databases such as PubMed, Embase, Web of science, CBM, VIP, WanFang Data and CNKI were searched for systematic reviews and Meta-analyses on the topic of acupuncture and moxibustion in the treatment of aphasia after stroke from inception to October, 2020. Two researchers independently screened the literature and extracted the data. AMSTAR 2 scale, PRISMA scale and GRADE tool evaluation were used to include methodological quality evaluation, report quality evaluation and evidence quality evaluation of systematic evaluation/Meta analysis. Results: A total of 7 relevant systematic evaluations and meta-analyses were finally included, including 6 in Chinese and 1 in English. The literature was published from 2010 to 2019, including 48 outcome indicators. The quality of methodology is critically low, the quality of literature report is low, and most of the quality of evidence is low and critically low. Conclusion: At present, systematic evaluation and meta-analysis of acupuncture and moxibustion in the treatment of aphasia after stroke have a low quality of methodological quality and literature report, and the level of outcome indicators is not high. In clinical practice, evidence-based medicine should be standardized in the study of traditional Chinese medicine in order to provide high- quality evidence.