针结合语言训练治疗脑儿童的失言症:一个系统的审查与元分析和试验顺序分析分析
Shuzhen Liu1,2, Yujiao Li1,2, Jun Chang1,2
1First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin, China.
Frontiers in neurology
|March 27, 2025
概括
针与语言培训相结合,对经历失语的脑儿童有显著的益处. 这种方法提高了临床效率,适应性行为和口头技巧,提供了一个有前途的治疗选择.
科学领域:
- 神经学 神经学
- 康复医学 康复医学 康复医学
- 儿科 儿科 儿科
背景情况:
- 脑性麻 (CP) 儿童的失言症带来了重大的沟通挑战.
- 目前对CP的失语症的治疗选择需要全面评估疗效.
研究的目的:
- 综合评估针与语言培训相结合的疗效,用于治疗CP儿童的失言症.
- 对这种联合治疗方法进行随机对照试验 (RCT) 的综合证据.
主要方法:
- 在2024年7月1日之前,对八个RCT电子数据库进行系统搜索.
- 使用Cochrane偏差风险工具 (ROB2) 评估的方法质量.
- 使用GRADE评估证据的确定性;使用Review Manager 5.4和STATA 15.1.1评估异质性和出版偏差.
主要成果:
- 对4683名参与者进行的56项RCT的分析显示,针加语言培训与单独语言培训相比,显著提高了临床效率.
- 小组分析表明,各种针类型,包括电针和头皮针,都有好处.
- 在适应性行为,口头行为,精细运动技能,个人社交行为,语言理解,表达性语言,失联症评估和口腔运动功能方面观察到显著的改善.
结论:
- 针与语言培训相结合,似乎是对患有CP的儿童的失言症的有效治疗方法.
- 由于证据的确定性低至非常低,以及观察到的高度异质性,建议进一步进行高质量的RCT.
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