推拿与常规治疗改善中风后遗症及下肢深静脉血栓有效性的Meta分析

Effectiveness of massage and conventional therapy in the treatment of stroke sequelaes and lower extremity deep vein thrombosis:a Meta-analysis

关键词:  血栓性疾病  下肢深静脉血栓  卒中  后遗症  推拿  Meta分析  有效性  安全性  随机对照试验

Key words:  thrombotic diseases  lower extremity deep venous thrombosis  stroke  sequel  massage  Meta-analysis  effectiveness  safety  randomized controlled trial

摘要:

[目的] 对比推拿和常规疗法在治疗中风后遗症和下肢深静脉血栓形成中的有效性。[方法] 检索中国知网、万方数据库、中国科技期刊全文数据库、PubMed、Cochrane Library，纳入推拿改善卒中后遗症和下肢深静脉血栓的随机对照试验。[结果] 纳入21个随机对照试验，共1 667例患者。[结论] 在改善卒中后遗症方面，常规康复配合推拿治疗可以提高治疗有效率，改善四肢运动功能，提高患者生活自理能力，缓解卒中后失眠的情况，但对于卒中后吞咽障碍及排便障碍的改善作用不明显。在预防深静脉血栓事件方面，在常规护理中配合推拿治疗可有效降低深静脉血栓发生率，改善静脉平均血流速度。

Abstract:

[Objective] To compare the effectiveness of massage and conventional therapy in the improvement of the sequelae of limbs after stroke and the prevention of deep venous thrombosis.[Methods] Search for documents from CNKI, Wanfang Database, China Science and Technology Academic Journal, PubMed, cochrane central register of controlled trials, including randomized controlled trial of massage therapy for the improvement of limb sequelae after stroke and the prevention of postoperative deep venous thrombosis in adults.[Results] A total of 21 randomized controlled trials with 1 667 patients were included.[Conclusion] In improving stroke sequelae, routine rehabilitation combined with massage therapy can improve treatment efficiency, improve the motor function of the limbs, improve patient self-care ability and relieve insomnia after stroke. However, the improvement effect on dysphagia and defecation disorder after stroke is not obvious. In the prevention of deep vein thrombosis, routine care combined with massage therapy can effectively reduce the incidence of deep vein thrombosis and improve intravenous mean blood flow velocity.