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頁籤選單縮合
題名 | 針灸治療急性中風後吞嚥困難的療效之文獻回顧=Review of Articles about Acupuncture for Dysphagia in Acute Stroke |
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作者 | 廖子嫻; 廖振羽; 江昱寬; 傅元聰; | 書刊名 | 中華針灸醫學會雜誌 |
卷期 | 12:4 2009.12[民98.12] |
頁次 | 頁29-34 |
分類號 | 413.34、413.34 |
關鍵詞 | 急性中風; 吞嚥困難; 針灸; Acupuncture; Dysphagia; |
語文 | 中文(Chinese) |
中文摘要 | 吞嚥困難是目前中風後最重要的問題,大部分急性中風的病人都會發生。它衍生出的問題包括增加肺部感染的機率、營養不良、延長住院天數及增加致死率。及早治療吞嚥困難說可以降低吸入性肺炎的機率和提高生活品質。針灸治療在中國已實行幾千年之久,且被廣泛的應用在各種病症,是一種方便、經濟且安全的療法。而對於針灸治療急性中風後吞嚥困難的研究也不少,本篇主要是從Cochrane Library的文獻中去回顧針灸治療急性中風後吞嚥困難的研究,來證明針灸對於吞嚥困難是有其療效的。目的:回顧針灸對治療中風後吞嚥困難的療效文獻,並探討研究方法。方法:查閱Cochrane Library review 中的相關文章,並從中觀察其療效及探討研究方法。結果:文獻中檢視了中國地區187篇到2007年爲止的研究,只有一篇符合其收納的條件。而這篇研究的實驗結果顯示針灸組34人中有12人可以恢復到正常進食(35.3%)。對照組32人中有7人可以恢復正常進食(21.9%)。其相對危險性爲1.61且其信任區間在0.73到3.58之間。這個結果並不足以證明針灸對急性中風後的吞嚥困難有明顯療效。結論:雖然研究結果不足以證明針灸對於治療中風後吞嚥困難有明顯的療效,但這不代表針灸無效,而是需要更好的實驗設計,減少各項數值的差異,才能得到統計學上有意義的數值。 |
英文摘要 | Dysphagia is one of the most important stroke-related problems, most of acute stroke patients are affected. Dysphagia increases the risk of chest infection, malnutrition, prolonged hospital stay and mortality. Early dysphagia management may reduce the risk of aspiration pneumonia and induce the qualitinduce the quality of life. Acupuncture therapy has been widely used to treat in many disease in China for thousand year. It sugeests a easy, economic and safe treatment. Many studies of acupuncture therapy for dysphagia in acute stroke have been carried out. This paper aimed to review the studies of acupuncture for dysphagia in acute stroke from Cochrane Library, which examined the therapeutic effect of acupuncture. Aim: Review the studies of acupuncture for dysphagia in acute stroke, and discussion the research methods. Methods: Reviewed the related studies in Cochrane Library, to determine the therapeutic effect of acupuncture for dysphagia after acute stroke, and discussion the research methods. Result: The review found in Cochrane Library reviewed 187 studies involving dysphagic stroke and acupuncture therapy published in Chinese to 2007. Only one was included in this review. The study in this review showed thirty-four participants were randomly allocated into the acupuncture group and 12 of them recovered to normal feeding (35.3%). The remaining 32 participants were allocated into the placebo group and seven of them recovered to normal feeding (21.9%). The relative risk of recovery was 1.61 with a 95% confidence interval of 0.73 to 3.58. No statistical significance was detected. Conclusion: Although this review is not enough evidence to make any conclusion about the therapeutic effect of acupuncture for dysphagia after acute stroke, it doesn't mean acupuncture is useless. Only designing higher quality study to reduce the difference among every value, can we abtain meaningful value statistically. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。