基于证据的评估中风指南,提及传统和补充医学康复和补充医学
Ran-Ran Zhu1,2, Jin-Xiang Wang3, Bei Pan4
1Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai, China.
传统和补充医学 (T&CM) 提供中风康复选择. 虽然指导方针建议针治疗失调症,但其他领域的证据,如运动功能和认知障碍需要改进.
科学领域:
- 神经学 神经学
- 康复医学 康复医学 康复医学
- 综合医学是一个整体的医学.
背景情况:
- 传统和补充医学 (T&CM) 经常用于中风预防和康复.
- 现有的临床实践指南 (CPG) 通常包括中风的T&CM建议.
- 这些T&CM建议在中风康复指南中的质量和一致性尚不清楚.
研究的目的:
- 系统地评估包括T&CM.的中风康复指南的质量.
- 分析本指南中提供的T&CM建议.
- 确定有关中风康复中T&CM的共识和争议领域.
主要方法:
- 在多个数据库 (PubMed,Embase等) 中进行了系统的文献搜索. 从1990年开始到2024年.
- 确定了19个含有T&CM建议的中风康复指南.
- 四位独立审查员使用了研究和评估指南评估II (AGREE II) 工具来评估指南的质量.
主要成果:
- 在19条指导方针中,有9条指导方针是根据AGREE II分数推使用的.
- 准则在范围和目的的清晰度 (90.50%) 中得分最高,在适用性 (45.56%) 中得分最低.
- 针通常被推用于中风后的性和消化不良,但不是用于日常生活活动. 对上肢运动功能和认知障碍的建议存在争议或很少.
结论:
- 脑卒中康复指南的质量通常是可以接受的,但适用性需要改进.
- 对于使用针治疗中风后失足症有强烈的共识.
- 对针在上肢运动功能障碍和认知障碍中的作用需要进一步的研究和更明确的建议,需要改善证据基础.
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