中国组织工程研究

中国组织工程研究 ›› 2018, Vol. 22 ›› Issue (32): 5241-5248.doi: 10.3969/j.issn.2095-4344.0400

• 组织构建循证医学 evidence-based medicine in tissue construction • 上一篇    

不同干预时间应用肌内效贴对卒中后下肢运动功能影响的Meta分析

吴燕华，李壮苗，董  旭   

  1. 福建中医药大学，福建省福州市  350122
  • 收稿日期:2018-07-09 出版日期:2018-11-18 发布日期:2018-11-18
  • 通讯作者: 李壮苗，硕士，副教授，福建中医药大学，福建省福州市 350122
  • 作者简介:吴燕华，女，1992年生，福建省安溪县人，汉族，福建中医药大学在读硕士，主要从事中西医结合康复护理研究。
  • 基金资助:

    福建省卫生计生委中青年骨干人才培养项目(2017-ZQN-64)

Effects of kinesio taping at different intervention time on the motor function of lower extremity after stroke: a Meta-analysis

Wu Yan-hua, Li Zhuang-miao, Dong Xu   

  1. Fujian University of Traditional Chinese Medicine, Fuzhou 350122, Fujian Province, China
  • Received:2018-07-09 Online:2018-11-18 Published:2018-11-18
  • Contact: Li Zhuang-miao, Master, Associate professor, Fujian University of Traditional Chinese Medicine, Fuzhou 350122, Fujian Province, China
  • About author:Wu Yan-hua, Master candidate, Fujian University of Traditional Chinese Medicine, Fuzhou 350122, Fujian Province, China
  • Supported by:

    the Young Elite Cultivation Program of Fujian Provincial Health and Family Planning Commission, No. 2017-ZQN-64

PDF

177

摘要：

文章快速阅读：

文题释义：
肌内效贴(kinesiotaping，KT)：是一种将有弹性的胶布贴于体表以达到保护肌肉骨骼系统、促进运动功能的非侵入性治疗技术。
脑卒中：是一种突然起病的脑血液循环障碍性疾病。又叫脑血管意外。是指脑血管疾病的患者，因各种诱发因素引起脑内动脉狭窄，闭塞或破裂，而造成急性脑血液循环障碍，临床上表现为一过性或永久性脑功能障碍的症状和体征。脑卒中分为缺血性脑卒中和出血性脑卒中。
摘要
背景：肌内效贴是近年来治疗卒中后下肢运动功能障碍的方法之一，但不同干预时间对其疗效的影响仍缺乏循证医学证据。
目的：系统评价肌内效贴不同干预时间对卒中后下肢运动功能的影响。
方法：计算机检索PubMed、Web of science、Cochrane Library、EMbase、OVID(MEDLINE)、中国知网、万方数据库、维普、中国生物医学文献数据库、外文医学信息资源检索平台和灰色文献数据库Opengrey，检索年限均从建库至2017年11月3日。由2名评价员按照纳入和排除标准独立筛选文献、提取资料、评价质量。应用RevMan5.3软件进行Meta分析。
结果与结论：①纳入15篇文献，共675例患者；②结果显示，脑卒中患者下肢运动、步行及平衡功能的改善试验组优于对照组，其效应量分别为[SMD=1.17，95%CI(0.46，1.87)，Z=3.25，P=0.001]，[SMD=0.80，95%CI(0.42，1.18)，Z=4.15，P < 0.000 1]，[SMD=1.18，95%CI(0.59，1.77)，Z=3.94，P < 0.000 1]；③亚组分析结果显示，治疗4周对脑卒中患者下肢运动、步行和平衡功能的改善试验组优于对照组，其效应量分别为[SMD=1.73，95%CI(0.71，2.76)，Z=3.33，P=0.000 9]，[SMD=0.85，95%CI(0.54，1.16)，Z=5.43，P < 0.000 01]，[SMD=0.96，95%CI(0.54，1.39)，Z=4.46，P < 0.000 01]，治疗8周对脑卒中患者下肢运动和步行的改善试验组优于对照组，其效应量分别为[SMD=0.44，95%CI(0.12，0.75)，Z=2.71，P=0.007]，[SMD=1.11，95%CI(0.65，1.56)，Z=4.76，P < 0.000 01]；④结果显示，肌内效贴辅助治疗4周优于单纯使用常规治疗、康复治疗和其他疗法的疗效，可有效改善脑卒中患者下肢运动、步行和平衡功能，治疗8周可改善脑卒中患者下肢运动和步行功能。

中国组织工程研究杂志出版内容重点：组织构建；骨细胞；软骨细胞；细胞培养；成纤维细胞；血管内皮细胞；骨质疏松；组织工程
ORCID: 0000-0002-8779-4987(吴燕华)

关键词: 肌内效贴, 脑卒中, 下肢, 运动功能障碍, 运动功能, 步行能力, 平衡功能, Meta分析, 组织构建

Abstract:

BACKGROUND: Kinesio taping is a method of treating motor dysfunction of lower extremity after stroke, but there is still a lack of evidence-based medical evidence for its intervention time and efficacy.
OBJECTIVE: To systematically review the effect of kinesio taping at different intervention time on the motor function of lower extremity after stroke.
METHODS: PubMed, Web of science, Cochrane Library, EMbase, OVID (MEDLINE), CNKI, WanFang, VIP, CBM, FMRS and grey literature database (Opengrey) were retrieved, from inception to November 3, 2017. Two evaluators independently screened the literature, extracted the data and evaluated the quality according to the inclusion and exclusion criteria. Meta-analysis was conducted on RevMan 5.3.
RESULTS AND CONCLUSION: A total of 15 studies involving 675 patients were included. The results of Meta-analysis showed that the trial group was better than the control group in the improvement of lower limb movement, walking and balance function in stroke patients (SMD=1.17, 95%CI (0.46, 1.87), Z=3.25, P=0.001; SMD=0.80, 95%CI (0.42, 1.18), Z=4.15, P < 0.000 1; SMD=1.18, 95%CI (0.59, 1.77), Z=3.94, P < 0.000 1). The results of subgroup analysis showed that the trial group was better than the control group in the improvement of lower limb movement, walking and balance function in patients with cerebral apoplexy after 4 weeks of treatment (SMD=1.73, 95%CI (0.71, 2.76), Z=3.33, P=0.000 9; SMD=0.85, 95%CI (0.54,1.16), Z=5.43, P < 0.000 01; SMD=0.96, 95%CI (0.54,1.39), Z=4.46, P < 0.000 01). The trial group was better than the control group in the improvement of lower limb movement and walking function in patients with cerebral apoplexy after 8 weeks of treatment (SMD=0.44, 95%CI (0.12, 0.75), Z=2.71, P=0.007; SMD=1.11, 95%CI (0.65, 1.56), Z=4.76, P < 0.000 01). These results indicate that 4-week kinesio taping adjuvant therapy is superior to the simple conventional treatment, rehabilitation therapy or other treatments, which can improve the lower limb movement, walking and balance function of stroke patients. After 8 weeks of treatment, it can improve the lower limb movement and walking function of stroke patients.

中国组织工程研究杂志出版内容重点：组织构建；骨细胞；软骨细胞；细胞培养；成纤维细胞；血管内皮细胞；骨质疏松；组织工程

Key words: Transdermal Patch, Stroke, Walking, Tissue Engineering

中图分类号: