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| Meta analysis of acupuncture combined with swallowing function training in the treatment of dysphagia after stroke |
| TAN Shiyun1 LIAO Jun2 ZHANG Li3 LIU Yanmei4 BAI Weiwei1 |
1.College of Nursing, Shaanxi University of Chinese Medicine, Shaanxi Province, Xianyang 712046, China;
2.College of Acupuncture, Fujian University of Traditional Chinese Medicine, Fujian Province, Fuzhou 350122, China;
3.Department of Acupuncture, the Second Affiliated Hospital, Shaanxi University of Chinese Medicine, Shaanxi Province, Xianyang 712046, China;
4.Department of Acupuncture, Shaanxi Traditional Chinese Medicine Hospital, Shaanxi Province, Xi′an 710000, China |
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Abstract Objective To evaluate the efficacy and safety of acupuncture combined with functional training in the treatment of dysphagia after stroke. Methods CNKI, VIP, Wanfang database, PubMed, Cochrance Library and Embase were retrieved from September 2019. Randomized controlled test (RCT) were selected, the included studies were analyzed with RevMan 5.3 software, and the publication bias was evaluated with Cochrane systematic evaluation tools. Results A total of 12 RCT were included. Clinical effect of experimental group was better than that of control group (RR = 1.22, 95%CI [1.15, 1.29], Z = 6.68, P < 0.000 01). The effect of drinking water test between the two groups had no significant difference (SMD = -0.47, 95%CI [-2.23, 1.39], Z = 0.50, P = 0.62). The effect of drinking water test (after elimination) in experimental group was better than that in control group (SMD = -0.76, 95%CI [-1.09, -0.43], Z = 4.54, P ＜ 0.000 01). The video fluoroscopy swallowing study (VFSS) in experimental group was better than that in control group (MD = 1.54, 95%CI [0.96, 2.13], Z = 5.19, P < 0.000 01). VFSS (after elimination) in experimental group was better than that in control group (MD = 1.82, 95%CI [1.37, 2.28], Z = 7.83, P < 0.000 01). Conclusion Acupuncture combined with swallowing function training is a good clinical effect in treating dysphagia after stroke. However, the included literatures have a certain publication bias, high inter-study heterogeneity, and the trial design is not rigorous enough. Therefore, more well-designed large sample clinical trials are still needed to be verified.
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