Systematic Review on Acupuncture for Treatment of Dysphagia after Stroke

Objective. To assess the therapeutic efficacy of acupuncture for dysphagia after stroke. Methods. Seven electronic databases were searched from their inception until 31 September 2016. All randomized controlled trials (RCTs) incorporating acupuncture or acupuncture combined with other interventions...

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Veröffentlicht in:Evidence-based complementary and alternative medicine 2017-01, Vol.2017 (2017), p.1-18
Hauptverfasser: Ou, Aihua, Xu, Zhenhua, Shi, Junheng, Xie, Yu, Ye, Qiuping, Xu, Nenggui
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container_issue 2017
container_start_page 1
container_title Evidence-based complementary and alternative medicine
container_volume 2017
creator Ou, Aihua
Xu, Zhenhua
Shi, Junheng
Xie, Yu
Ye, Qiuping
Xu, Nenggui
description Objective. To assess the therapeutic efficacy of acupuncture for dysphagia after stroke. Methods. Seven electronic databases were searched from their inception until 31 September 2016. All randomized controlled trials (RCTs) incorporating acupuncture or acupuncture combined with other interventions for treatment of dysphagia after stroke were enrolled. Then they were extracted and assessed by two independent evaluators. Direct comparisons were conducted in RevMan 5.3.0 software. Results. 6010 patients of 71 papers were included. The pooled analysis of efficacy rate of 58 studies indicated that acupuncture group was superior to the control group with moderate heterogeneity (RR = 1.17, 95% CI: 1.13 1.21, Z=9.08, and P
doi_str_mv 10.1155/2017/6421852
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To assess the therapeutic efficacy of acupuncture for dysphagia after stroke. Methods. Seven electronic databases were searched from their inception until 31 September 2016. All randomized controlled trials (RCTs) incorporating acupuncture or acupuncture combined with other interventions for treatment of dysphagia after stroke were enrolled. Then they were extracted and assessed by two independent evaluators. Direct comparisons were conducted in RevMan 5.3.0 software. Results. 6010 patients of 71 papers were included. The pooled analysis of efficacy rate of 58 studies indicated that acupuncture group was superior to the control group with moderate heterogeneity (RR = 1.17, 95% CI: 1.13 1.21, Z=9.08, and P&lt;0.00001); meta-analysis of the studies using blind method showed that the efficacy rate of acupuncture group was 3.01 times that of control group with no heterogeneity (RR = 3.01, 95% CI: 1.95 4.65, Z=4.97, and P&lt;0.00001). Only 13 studies mentioned the safety evaluation. Conclusion. The result showed that the acupuncture group was better than control group in terms of efficacy rate of dysphagia after stroke. And the combining result of those researches using blind method was more strong in proof. Strict evaluation standard and high-quality RCT design are necessary for further exploration.</description><identifier>ISSN: 1741-427X</identifier><identifier>EISSN: 1741-4288</identifier><identifier>DOI: 10.1155/2017/6421852</identifier><identifier>PMID: 28852414</identifier><language>eng</language><publisher>Cairo, Egypt: Hindawi Publishing Corporation</publisher><subject>Acupuncture ; Analysis ; Care and treatment ; Chinese medicine ; Clinical trials ; Complications and side effects ; Deglutition disorders ; Design standards ; Disease ; Drug therapy ; Dysphagia ; Evaluation ; Evidence-based medicine ; Health aspects ; Heterogeneity ; Internal medicine ; Medical diagnosis ; Quality ; Rehabilitation ; Review ; Risk factors ; Stroke ; Stroke (Disease) ; Systematic review ; Treatment outcome</subject><ispartof>Evidence-based complementary and alternative medicine, 2017-01, Vol.2017 (2017), p.1-18</ispartof><rights>Copyright © 2017 Qiuping Ye et al.</rights><rights>COPYRIGHT 2017 John Wiley &amp; Sons, Inc.</rights><rights>Copyright © 2017 Qiuping Ye et al.; This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</rights><rights>Copyright © 2017 Qiuping Ye et al. 2017</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c565t-776a6faa299fa634236f2c79fca4d0f3e2c0fde5416c5537ca2f0572ababb49b3</citedby><cites>FETCH-LOGICAL-c565t-776a6faa299fa634236f2c79fca4d0f3e2c0fde5416c5537ca2f0572ababb49b3</cites><orcidid>0000-0003-1915-992X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5568619/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5568619/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28852414$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Hsieh, Ching-Liang</contributor><creatorcontrib>Ou, Aihua</creatorcontrib><creatorcontrib>Xu, Zhenhua</creatorcontrib><creatorcontrib>Shi, Junheng</creatorcontrib><creatorcontrib>Xie, Yu</creatorcontrib><creatorcontrib>Ye, Qiuping</creatorcontrib><creatorcontrib>Xu, Nenggui</creatorcontrib><title>Systematic Review on Acupuncture for Treatment of Dysphagia after Stroke</title><title>Evidence-based complementary and alternative medicine</title><addtitle>Evid Based Complement Alternat Med</addtitle><description>Objective. To assess the therapeutic efficacy of acupuncture for dysphagia after stroke. Methods. Seven electronic databases were searched from their inception until 31 September 2016. All randomized controlled trials (RCTs) incorporating acupuncture or acupuncture combined with other interventions for treatment of dysphagia after stroke were enrolled. Then they were extracted and assessed by two independent evaluators. Direct comparisons were conducted in RevMan 5.3.0 software. Results. 6010 patients of 71 papers were included. The pooled analysis of efficacy rate of 58 studies indicated that acupuncture group was superior to the control group with moderate heterogeneity (RR = 1.17, 95% CI: 1.13 1.21, Z=9.08, and P&lt;0.00001); meta-analysis of the studies using blind method showed that the efficacy rate of acupuncture group was 3.01 times that of control group with no heterogeneity (RR = 3.01, 95% CI: 1.95 4.65, Z=4.97, and P&lt;0.00001). Only 13 studies mentioned the safety evaluation. Conclusion. The result showed that the acupuncture group was better than control group in terms of efficacy rate of dysphagia after stroke. And the combining result of those researches using blind method was more strong in proof. 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To assess the therapeutic efficacy of acupuncture for dysphagia after stroke. Methods. Seven electronic databases were searched from their inception until 31 September 2016. All randomized controlled trials (RCTs) incorporating acupuncture or acupuncture combined with other interventions for treatment of dysphagia after stroke were enrolled. Then they were extracted and assessed by two independent evaluators. Direct comparisons were conducted in RevMan 5.3.0 software. Results. 6010 patients of 71 papers were included. The pooled analysis of efficacy rate of 58 studies indicated that acupuncture group was superior to the control group with moderate heterogeneity (RR = 1.17, 95% CI: 1.13 1.21, Z=9.08, and P&lt;0.00001); meta-analysis of the studies using blind method showed that the efficacy rate of acupuncture group was 3.01 times that of control group with no heterogeneity (RR = 3.01, 95% CI: 1.95 4.65, Z=4.97, and P&lt;0.00001). Only 13 studies mentioned the safety evaluation. 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subjects Acupuncture
Analysis
Care and treatment
Chinese medicine
Clinical trials
Complications and side effects
Deglutition disorders
Design standards
Disease
Drug therapy
Dysphagia
Evaluation
Evidence-based medicine
Health aspects
Heterogeneity
Internal medicine
Medical diagnosis
Quality
Rehabilitation
Review
Risk factors
Stroke
Stroke (Disease)
Systematic review
Treatment outcome
title Systematic Review on Acupuncture for Treatment of Dysphagia after Stroke
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