| Background:Stroke (apoplexia)highly incident among people nowadays, the pressure surge of life and work become the most important reason.Aphasia is a common sequela after stroke.The injury of brain effected the language centre of advantage hemispheres of the brain or cortical pathway between cortex. The language expression ability, writing ability, understanding ability and so on, will be differently injured, serious damage their self-care ability.language rehabilitation, as the main treatment of Western medicine is limited, however the TCM can do this with more methods, mostly acupuncture.And this article will make objective evaluation to its efficacy methods through the analysis for previous clinical research of acupuncture therapy for stroke aphasia.Method:1.Literature retrieval:we searched CNKI、 CBM、 VIP、 WF for Chinese literature and PubMed、Embase、Cochrane library for English literature.We also searched baidu、Google for more literature;2 Include and exclusion criteria: diagnosis of stroke refers to the diagnosis of WHO or The national academic meeting for cerebrovascular disease, which is verified by CT or MRI, diagnosis of apoplexia refers to CRRACR or WAB.We included the randomized controlled trial witch used acupuncture as intervention measure.Excluded the ones with another acupuncture group as contrast;3 data analyze:we extracted and analyzed the data independently by two researchers, used Revman5.2 for research into the quality of literature evaluation and made the bias risk figure, Meta-analysis on the collected data and qualitative analyze, we analyzed the evidence classification with GRADE profiler 3.6.Result:1.literature search:we got 505 articles from preliminary search, and excluded 434 ones after browsed the title and abstract.We got 71full page articles, and then choose 11 ones at last after read the full text carefully.There were 784 patients from 11 articles,420 male and 304 female,60 without telling the gender, they were all among 27 to 80 age;2.Data collection and analysis:risk assessment shows that most most of the articles are not precise with blind method and the use of hidden assign, it improved the risk of this improved quality rate.Meta-analysis showed that head needle、 tongue、 body acupuncture、 electro-acupuncture、 bloodletting combined with language training were superior to simple language training training.GRADE rating showed that the literature mostly low quality caused by a lack of sample size、 unclear random method or blind method and so on.Conclusion:1. Acupuncture combined with language training had a higher clinical total effective rate than pure language training;2.The head needle、 tongue needle combined with language rehabilitation treatment can improve many kinds of language function better than pure language training, and can increase the AQ of patients;3.electro-acupuncture combined with language training is better than pure language training on improving the ability of patients on listening、 speaking、 reading and writing, and electro-acupuncture can also low the CNDS rate and made a better life for Patients;4.bloodletting with language training is better than pure language training on total effective rate;5. Body acupuncture combined with language training had a better effect on language function than pure language training, and can affect the event related potential P300 of patients.But, there were also imperfections on literature, mostly were low quality on GRADE, there were deviations between literature sensitivity analysis is the quantitative analysis results (possibly the lack of cases、cannot be exclude the geographical factors and so on), so we need more high quality、large sample clinical trials to provide sufficient evidence. |
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