Meta-analysis of Xingnao Kaiqiao acupuncture for post-stroke dysphagia

doi:10.3877/cma.j.issn.2095-3240.2021.04.008

Abstract

Abstract:

Objective

To systematically evaluate the efficacy of Xingnao Kaiqiao acupuncture only oritcombined with other therapies in the treatment of post-stoke dysphagia.

Methods

The relative literature was retrieved from the databases of China Biology Medicine, China National Knowledge Infrastructure, WanFang and VIP.The retrieval time span was from the database establishment to June 25th 2020.The " Risk of Bias Assessment Tool" recommended by the Cochrane Collaboration was used to evaluate literature quality, and Rev Man 5.4 software was used for Meta analysis.

Results

19 references were included, with a total sample size of 1 874. (1)Comparison of total effective rates: the total effective rate of Xingnao Kaiqiao acupuncture was higher than that of conventional acupuncture (P < 0.001). There was no difference between the total effective rate of Xingnao Kaiqiao acupuncture and that of the swallowing therapeutic apparatus (P = 0.91). The total effective rate of Xingnao Kaiqiao acupuncture combined with rehabilitation training was higher than that of rehabilitation training (P < 0.001). The total effective rate of Xingnao Kaiqiao acupuncture combined with swallowing therapeutic apparatus was higher than that of the single swallowing therapeutic apparatus (P < 0.001). The combination of Xingnao Kaiqiao acupuncture with western medicine was more effective than western medicine alone (P < 0.001). (2)Comparison of scores of Standardized Swallowing Assessment: The combination of Xingnao Kaiqiao acupuncture with rehabilitation training was superior to the rehabilitation treatment singly(P=0.001). (3)Comparison of swawowing-quality of life scores: The combination of Xingnao Kaiqiao acupuncture with rehabilitation training was superior to the rehabilitation treatment singly (P = 0.001).

Conclusion

Xingnao Kaiqiao acupuncture alone or in combination with other therapies can improve the clinical efficacy and quality of life in patients with dysphagia after stroke, but more high-quality, large-sample, multi-center randomized controlled trials are needed to confirm this conclusion.

Key words: Acupuncture therapy, Stroke, Dysphagia

Nan Zhao, Jing Li, Yao Zhang. Meta-analysis of Xingnao Kaiqiao acupuncture for post-stroke dysphagia[J]. Chinese Journal of Acupuncture and Moxibustion(Electronic Edition), 2021, 10(04): 165-170.

/ / Recommend

Add to citation manager EndNote|Ris|BibTeX

URL: https://zhzjdzzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.2095-3240.2021.04.008

https://zhzjdzzz.cma-cmc.com.cn/EN/Y2021/V10/I04/165

Figures/Tables 7

References 20

1	徐贞杰，向连，刘霞．醒脑开窍针法联合吞咽障碍治疗仪治疗脑卒中恢复期吞咽障碍的观察[J]．针灸推拿医学·英文版，2018，16(3): 156-160.
2	王建英．醒脑开窍针刺法治疗脑卒中后假性球麻痹的疗效观察[J]．医学理论与实践，2017，30(3): 351-352.
3	熊涛．醒脑开窍针刺法治疗中风后假性球麻痹所致吞咽困难[J]．光明中医，2016，31(19): 2855-2856.
4	苏瑜，韩宝杰．醒脑开窍针刺法治疗中风后假性球麻痹吞咽困难47例[J]. 四川中医，2012，30(11): 127-128.
5	马振河，赵玉成．醒脑开窍针刺法治疗假性球麻痹30例[J]. 山东中医杂志，2006，25(6): 397.
6	俞国尧．醒脑开窍针法结合常规疗法治疗脑卒中吞咽障碍临床研究[J]. 新中医，2018，50(9): 199-201.
7	田德龙，孟凡峰，陈洪芳，等．醒脑开窍针刺法联合吞咽康复训练治疗卒中后吞咽障碍临床研究[J]．中国基层医药，2018，25(3): 287-290.
8	熊杨，田甜，龚泽辉. 醒脑开窍针刺法治疗中风后吞咽障碍的疗效观察[J]. 中西医结合心脑血管病杂志，2018，16(13): 1812-1814.
9	刘洋．醒脑开窍针刺法联合吞咽功能训练改善脑卒中后假性球麻痹吞咽功能疗效观察[J]. 实用中医药杂志，2017，33(12): 1423-1424.
10	温瑞丽．醒脑开窍针灸法联合功能训练对脑卒中后吞咽障碍患者疗效及并发症的影响[J]．中国医药科学，2017，7(9): 49-51.
11	陈香妹，林慧娟．醒脑开窍针刺法治疗脑卒中后吞咽障碍59例[J]．江西中医药，2016，47(8): 71-73.
12	尹丽丽．针刺配合康复疗法治疗中风后吞咽障碍57例临床研究[J]．中医杂志，2013，54(9): 766-768.
13	卢建丽，韩振萍，马将，等．醒脑开窍针刺法联合功能训练治疗脑卒中后吞咽困难的疗效及对日常生活能力的影响[J]. 针灸临床杂志，2019，35(9): 23-26.
14	洪登攀，乔建国，杨飞，等．醒脑开窍针刺法配合吞咽障碍治疗仪治疗卒中后吞咽障碍34例[J]. 现代中医药，2018，38(4): 26-28.
15	向连，刘霞．吞咽治疗仪结合醒脑开窍针治疗脑卒中后吞咽障碍的效果[J]. 心血管康复医学杂志，2017，26(4): 437-441.
16	邓行行，吴灿．醒脑开窍针刺法联合Vitalstim吞咽治疗仪治疗脑卒中吞咽障碍临床研究[J]．中医学报，2017，32(3): 466-469.
17	葛俊领，田建军，沈风枸，等. 醒脑开窍针刺法治疗中风后吞咽困难50例[J]. 河南中医，2014，34(12): 2319-2320.
18	石岩丽．醒脑开窍针刺法治疗脑卒中后假性球麻痹吞咽障碍68例[J]．山东中医药大学学报，2013(2): 131-132.
19	高占强，陈钢山．中风急性期假性球麻痹致吞咽障碍针刺治疗效果观察[J]. 河北医科大学学报，2010，31(8): 997-998.
20	陈倢，梁伟雄，刘琼，等. 醒脑开窍针刺法治疗脑卒中后吞咽困难的有效性与安全性的系统评价[J]．广州中医药大学学报，2015，32(4): 607-614.

纳入研究	例数		干预措施
纳入研究	治疗组	对照组	治疗组	对照组	结局指标
王建英2017^[2]	42	42	醒脑开窍针刺法	常规针刺法	A、B、C、I
熊涛2016^[3]	56	56	醒脑开窍针刺法	常规针刺法	A、K
苏瑜等2012^[4]	47	43	醒脑开窍针刺法	常规针刺法	A
马振河等2006^[5]	30	30	醒脑开窍针刺法	常规针刺法	A
俞国尧2018^[6]	55	55	醒脑开窍针刺法+康复训练	康复训练	A、B、D、K
田德龙等2018^[7]	33	33	醒脑开窍针刺法+康复训练	康复训练	A、B、D、J、L
熊杨等2018^[8]	54	54	醒脑开窍针刺法+康复训练	康复训练	A、B、G
刘洋2017^[9]	51	50	醒脑开窍针刺法+康复训练	康复训练	A、E
温瑞丽2017^[10]	30	30	醒脑开窍针刺法+康复训练	康复训练	A、G、H
陈香妹等2016^[11]	59	60	醒脑开窍针刺法+康复训练	康复训练	A、B、M
尹丽丽2013^[12]	57	56	醒脑开窍针刺法+康复训练	康复训练	A、D、G、I
卢建丽等2019^[13]	60	60	醒脑开窍针刺法+康复训练	康复训练	A、M、N、O、P、Q、R、S、T
徐贞杰等2018^[1]	46	46	醒脑开窍针刺法+吞咽治疗仪	吞咽治疗仪	A、B、D、F
洪登攀等2018^[14]	34	34	醒脑开窍针刺法+吞咽治疗仪	吞咽治疗仪	A
向连等2017^[15]	49	49	醒脑开窍针刺法+Vitalstim吞咽治疗仪	Vitalstim吞咽治疗仪	A、E、G
邓行行等2017^[16]	53	52	醒脑开窍针刺法+Vitalstim吞咽治疗仪	Vitalstim吞咽治疗仪	A、B、D、G、L
葛俊领等2014^[17]	50	50	醒脑开窍针刺法+西药	西药	A
石岩丽2013^[18]	68	52	醒脑开窍针刺法+西药	西药	A、B
高占强等2010^[19]	56	48	醒脑开窍针刺法+西药	西药	A

纳入研究	例数		干预措施
纳入研究	治疗组	对照组	治疗组	对照组	结局指标
王建英2017^[2]	42	42	醒脑开窍针刺法	常规针刺法	A、B、C、I
熊涛2016^[3]	56	56	醒脑开窍针刺法	常规针刺法	A、K
苏瑜等2012^[4]	47	43	醒脑开窍针刺法	常规针刺法	A
马振河等2006^[5]	30	30	醒脑开窍针刺法	常规针刺法	A
俞国尧2018^[6]	55	55	醒脑开窍针刺法+康复训练	康复训练	A、B、D、K
田德龙等2018^[7]	33	33	醒脑开窍针刺法+康复训练	康复训练	A、B、D、J、L
熊杨等2018^[8]	54	54	醒脑开窍针刺法+康复训练	康复训练	A、B、G
刘洋2017^[9]	51	50	醒脑开窍针刺法+康复训练	康复训练	A、E
温瑞丽2017^[10]	30	30	醒脑开窍针刺法+康复训练	康复训练	A、G、H
陈香妹等2016^[11]	59	60	醒脑开窍针刺法+康复训练	康复训练	A、B、M
尹丽丽2013^[12]	57	56	醒脑开窍针刺法+康复训练	康复训练	A、D、G、I
卢建丽等2019^[13]	60	60	醒脑开窍针刺法+康复训练	康复训练	A、M、N、O、P、Q、R、S、T
徐贞杰等2018^[1]	46	46	醒脑开窍针刺法+吞咽治疗仪	吞咽治疗仪	A、B、D、F
洪登攀等2018^[14]	34	34	醒脑开窍针刺法+吞咽治疗仪	吞咽治疗仪	A
向连等2017^[15]	49	49	醒脑开窍针刺法+Vitalstim吞咽治疗仪	Vitalstim吞咽治疗仪	A、E、G
邓行行等2017^[16]	53	52	醒脑开窍针刺法+Vitalstim吞咽治疗仪	Vitalstim吞咽治疗仪	A、B、D、G、L
葛俊领等2014^[17]	50	50	醒脑开窍针刺法+西药	西药	A
石岩丽2013^[18]	68	52	醒脑开窍针刺法+西药	西药	A、B
高占强等2010^[19]	56	48	醒脑开窍针刺法+西药	西药	A

[1]	Qinglin Li, Renjie Song, Feihu Zhou. Establishment and exploration of a mouse model of severe exertional heat stroke-related acute kidney injury [J]. Chinese Journal of Kidney Disease Investigation(Electronic Edition), 2023, 12(05): 265-270.
[2]	Huijuan Shang, Xiaodong Yuan. Improvement of prognosis of acute cerebral ischemic stroke with edaravone dexkanol after mechanical thrombectomy [J]. Chinese Journal of Neurotraumatic Surgery(Electronic Edition), 2023, 09(05): 295-301.
[3]	Jingjing Wang, Feng Fu, Jianwei Li, Dangli Ren, Chong Chen, Hui Liu, Hongtao Sun, Yue Tu. Effect of acupuncture on BDNF/TrkB signaling pathway after moderate traumatic brain injury [J]. Chinese Journal of Neurotraumatic Surgery(Electronic Edition), 2023, 09(04): 199-205.
[4]	Jiaquan Liao, Bo Wu, Changmin Tang. Effect of extracorporeal shock wave combined with myoelectric biofeedback on foot drop after stroke [J]. Chinese Journal of Brain Diseases and Rehabilitation(Electronic Edition), 2023, 13(05): 286-292.
[5]	Yuzheng Du, Lili Zhang, Yanan Zhang, Yinghui Chang. Explanation on International Standardized Manipulations of Chinese Medicine Xingnao Kaiqiao Acupuncture for Stroke [J]. Chinese Journal of Acupuncture and Moxibustion(Electronic Edition), 2023, 12(04): 173-176.
[6]	Peili Cheng, Xia Li, Yali Wang. Analysis of clinical factors related to isolated pontine infarction patients with dysphagia [J]. Chinese Journal of Cerebrovascular Diseases(Electronic Edition), 2023, 17(05): 440-444.
[7]	Hongyang Sun, Ji Liu, Zixiang Gong, Guangying Wang, Zhaoteng Ning, Xuan Zhao, Qiyi Zhu, Xianjun Wang. Clinical prognosis and timing of endovascular treatment for minor stroke patients with acute anterior circulation large vessel occlusive [J]. Chinese Journal of Cerebrovascular Diseases(Electronic Edition), 2023, 17(05): 445-451.
[8]	Chang Sun, Shigang Zhao, Wenting Bai. The relationship between the cognitive impairment after stroke and the hormone levels [J]. Chinese Journal of Cerebrovascular Diseases(Electronic Edition), 2023, 17(05): 471-476.
[9]	Xuping Zhang, Jiacheng Liu, Ge Zhang, Yanjiao Du, Shao Li, Dandan Shang, Hao Wang, Yan Li, Zhihui Duan. CYP2C19 gene polymorphism combined with thromboelastogram-guided antiplatelet therapy for patients with the large artery atherosclerosis and non-disabling ischemic cerebrovascular events (NICE) [J]. Chinese Journal of Cerebrovascular Diseases(Electronic Edition), 2023, 17(05): 477-481.
[10]	Haihua Yang, Jinglin Yuan, Xiaomei Zhou, Junwei Niu. A novel missense variant of RNF213 in a family with moyamoya disease: A case report and literature review [J]. Chinese Journal of Cerebrovascular Diseases(Electronic Edition), 2023, 17(05): 495-498.
[11]	Zeping Jin, Jing Dong, Yunpeng Liu, Yang Wang. Correlation between microbiota-gut-brain axis and the risk factors of ischemic stroke [J]. Chinese Journal of Cerebrovascular Diseases(Electronic Edition), 2023, 17(05): 510-517.
[12]	Chenjun Yin, Zhe Zhang, Xiaoming Li. Advance in mechanisms of patent foramen ovale-associated thrombosis [J]. Chinese Journal of Cerebrovascular Diseases(Electronic Edition), 2023, 17(04): 307-311.
[13]	Chengyu Li, Lianping Xu, Shengsong Wang, Qun Wang. The retention rate and efficacy analysis of different anti-seizure medication monotherapy in post-stroke epilepsy [J]. Chinese Journal of Cerebrovascular Diseases(Electronic Edition), 2023, 17(04): 325-330.
[14]	Xin Li, Yongkai Li, Shuqing Jiang, Xarbatgul·Samat, Jianzhong Yang. Risk factors related to hemorrhage transformation after intravenous thrombolysis in acute ischemic stroke [J]. Chinese Journal of Cerebrovascular Diseases(Electronic Edition), 2023, 17(04): 331-336.
[15]	Ying Deng, Shan Huang, Huixiu Hu, Chao Sun. Prevalence of risk factors in aged patients with ischemic stroke [J]. Chinese Journal of Cerebrovascular Diseases(Electronic Edition), 2023, 17(04): 344-349.

Please choose a citation manager

Content to export