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引用本文:房位昊1，李博2，王肖南3，丁潇1，张虎1，魏青1.中医传统运动疗法对中风偏瘫患者康复疗效的Meta分析[J].世界中医药,2021,(15):.

中医传统运动疗法对中风偏瘫患者康复疗效的Meta分析

The Effect of Traditional Chinese Medicine Exercises on the Rehabilitation of Patients with Hemiplegia after a Stroke:A Meta-analysis of Randomized Controlled Trials

投稿时间：2020-02-12

DOI：10.3969/j.issn.1673-7202.2021.15.020

中文关键词: 中风偏瘫中医传统运动疗法康复 Meta分析

English Keywords:Stroke Hemiplegia Traditional Chinese Medicine exercise Rehabilitation Meta-analysis

基金项目:国家自然科学基金项目（81774146）；首都临床特色应用研究与成果推广项目(Z171100001017150)；北京市医管局培育项目(PZ2018008)

作者	单位
房位昊1，李博2，王肖南3，丁潇1，张虎1，魏青1	1 北京中医医院顺义医院，北京，101300； 2 首都医科大学附属北京中医医院，北京，100010； 3 首都医科大学，北京，100069

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中文摘要:

目的：评价中医传统运动疗法对中风后偏瘫患者的康复效果。方法：计算机检索国内外8个数据库，纳入4种中医传统运动疗法（太极拳、八段锦、五禽戏、易筋经）对中风后偏瘫患者康复疗效的随机对照文献，采用Cochrane协作网的偏倚风险评估工具进行质量评价，应用RevMan53软件进行数据分析。结果：共纳入17篇文献，1 000例中风病患者。4种中医传统运动疗法组在改善肢体运动功能方面均优于对照组。在治疗30 d内、30~60 d、60 d后，中医传统运动疗法组在改善运动功能、平衡功能、日常生活能力方面均优于对照组。在改善下肢运动功能方面，治疗30 d后，中医传统运动疗法组优于对照组（436[302，570]）；但治疗30 d内2组的评分比较差异无统计学意义（113[-034，261]）。中风后6个月内、6个月后的中医传统运动疗法组在改善肢体运动功能、平衡功能、日常生活能力方面均优于对照组。在改善下肢运动功能方面，中风后6个月内的中医传统运动疗法组优于对照组（397[263，531]），但7个月内2组的评分比较差异无统计学意义（068[-114，250]）。结论：中医传统运动疗法能够改善中风后偏瘫患者的肢体运动功能、平衡功能以及日常生活能力，但是由于下肢运动功能改善方面的文献较少，各亚组的结论不一致。因此，期望日后开展更多高质量、大样本、多个测量时点的随机对照试验进一步验证疗效。

English Summary:

The objective of this meta-analysis was to evaluate the effectiveness of traditional Chinese medicine (TCM) exercises on the rehabilitation of post-stroke hemiplegic patientsMethods:On retrieving eight databases on a computer，we investigated the results of randomized controlled trials (RCTs) on the efficacy of four TCM exercises (taiji，baduanjin，wuqinxi，and yijining) in the rehabilitation of post-stroke hemiplegic patientsThe Cochrane risk of bias tool was used to estimate the quality of the literatures，and RevMan53 was utilized to analyse the dataResults:A total of 17 articles were included，encompassing 1 000 stroke patientsFour TCM exercise groups were superior to the control group in improving the limb motor functionWithin 30 days，30～60 days，and after 60 days of treatment，the TCM exercise group was superior to the control group in terms of improving the motor function，balance function，and daily living abilityIn terms of improving the lower limb motor function，the TCM exercise group was superior to the control group after 30 days of treatment(436[302，570]); however，there was no significant difference in the FMA-L scores between the two groups within 30 days of treatment(113[-034，261])Within 6 months and after 6 months post stroke，the TCM exercise group was better than the control group at improving the limb motor function，balance function，and daily living abilityIn terms of improving the lower limb motor function，the TCM exercise group was superior to the control group within 6 months after stroke(397[263，531])，but no significant difference was found in the FMA-L scores of the two groups within 7 months(068[-114，250])Conclusion:The results of this meta-analysis revealed that TCM exercises can improve the limb motor function，balance function，and daily living ability in patients with hemiplegia after strokeHowever，because of the lack of literature on lower limb movement，the outcomes of each subgroup were inconsistentTherefore，more RCTs with high-quality，large sample sizes，and multiple measurement time points are required.

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