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谢延真,李壮苗▲,吴燕华,张佳宇.肌内效贴对脑卒中后偏瘫肩痛影响的Meta分析[J].中国医药科学,2020,(1):20-27        基金项目:福建省卫生计生委中青年骨干人才培养项目(2017-ZQN-64)
肌内效贴对脑卒中后偏瘫肩痛影响的Meta分析
Meta-analysis study on the effect of kinesio taping on hemiplegic shoulder pain after stroke
  
DOI:
中文关键词:  肌内效贴;卒中;肩痛;关节活动度;Meta 分析
英文关键词:Kinesio taping;Stroke;Shoulder pain;Joint activity;Meta-analysis
作者单位
谢延真,李壮苗▲,吴燕华,张佳宇 福建中医药大学护理学院,福建福州 350122 
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中文摘要:
      [摘要] 目的 系统评价肌内效贴对脑卒中后偏瘫肩痛的影响。 方法 计算机检索 PubMed、EMBase、Cochrane Central Register of Controlled Trials(CENTRAL)、Cumulative Index to Nursing and Allied Health Literature(CINAHL)、Allied and Complementary Medicine(AMED)、Web of Science、中国知网、万方数据库、维普数据库及中国生物医学文献数据库。检索时限均为建库至 2019 年 2 月 14 日。应用 RevMan5.3 软件进行Meta 分析。 结果(1)纳入 14 篇文献,共 673 例患者;(2)结果显示,肌内效贴在缓解脑卒中后偏瘫肩痛患者肩痛程度,改善患者肩关节活动度,提高其上肢运动功能及日常生活活动能力方面,试验组优于对照组[SMD=-0.94,95%CI(-1.31,-0.57),P < 0.00001;SMD=5.28,95%CI(3.24,7.32),P < 0.00001;SMD=0.90,95%CI(0.44,1.35),P=0.0001;SMD=1.06,95%CI(0.50,1.63),P=0.0002];(3)亚 组 分 析显示:肌内效贴干预 4 周对患者肩痛程度、上肢运动功能的改善,试验组优于对照组[SMD=-1.10,95%CI(-1.57, -0.62),P < 0.00001;SMD=1.06,95%CI(0.45,1.66),P=0.0006]。 结论 肌内效贴辅助治疗脑卒中后偏瘫肩痛患者,可缓解患者肩痛程度,改善其肩关节活动度,提高患者的上肢运动功能及日常生活活动能力。
英文摘要:
      [Abstract] Objective To systematically evaluate the effect of kinesio taping(KT)on hemiplegic shoulder pain(HSP) after stroke. Methods PubMed,EMBase,Cochrane Central Register of Controlled Trials(CENTRAL),Cumulative Index to Nursing and Allied Health Literature(CINAHL),Allied and Complementary Medicine(AMED),Web of Science,CNKI,Wanfang database,VIP database and Chinese biomedical literature database were retrieved.The retrieval time was from the database building to February 14,2019.The RevMan 5.3 software was applied to perform Meta-analysis. Results (1)14 literatures were included,a total of 673 patients;(2)The results showed that KT in the study group was better than that in the control group in terms of alleviating the degree of shoulder pain,improving the shoulder joint activity,enhancing the upper limb motor function and the ability of daily life activities of HSP after stroke[(SMD=-0.94,95%CI(-1.31,-0.57),P < 0.00001;SMD=5.28,95%CI(3.24,7.32),P < 0.00001;SMD=0.90,95%CI (0.44,1.35),P=0.0001;SMD=1.06,95%CI(0.50,1.63),P=0.0002];(3)Subgroup analysis showed that the improvement of shoulder pain and upper limb motor function of patients in the study group was better than that in the control group[SMD=-1.10,95%CI(-1.57,-0.62),P < 0.00001;SMD=1.06,95%CI(0.45,1.66),P=0.0006]. Conclusion KT can relieve the degree of shoulder pain,improve the shoulder joint activity,and enhance the upper limb motor function and the ability of daily life.
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