舌三针联合头皮针治疗脑卒中后失语症疗效的Meta分析

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AbstractObjective：Tosystematicallevaluatetheclinicaleficacyoftongue-theneedetherapycombinedwithscalpacupunctureat thelanguagecenterreflexzoneinthetreatmentofpoststrokeaphasia.Methods：Relevantrandomizedcontroledtrials（RCTs）were retrieved fromPubMed，EMbase，CochraneLibrary，WebofScience，CNKI，WanFangData，CBM，andVIP.Thesearch periodwas fromtheiceptiofatabsetbr24.seachrsdependentlyedteliteaturetracteddat themethodologicalqualityoftheincluded studies.Meta-analysisandpublicationbias testingwereperformedusingRevMan5.4and ComprehnsiveMeta-AnalysisV3software.Results：AtotalofnineRCTsinvolving595patients.Metaanalysisresultsshowedthatthe total effective rate in the experimental group was significantly higher than that in the control groupl P<0.001 ）.The total language function score in the experimental group was significantly higher than that in the control group（ P<0.0001 . The scores for spontaneous conversation，ingompreesopitioig，adingdiigiepeimetaloureantl those in the control group P<0.01 ）.Conclusions： The existing evidence suggests that tongue-three needle therapy combined with scalp acupuncture atthelanguagecenterreflexzoneisanefective treatmentforpost-strokeaphasia，whichcouldhelpimprovepatients languagefunctionHwever，uetotelimitedumberandqualityofincludedliterature，furtherhighqualtyigorouslysiged，nd stratified-diversified studies are needed for further verification.

Keywordsstroke; aphasia; tongue-three needle; scalp acupuncture; Meta-analysis; evidence-based nursing

脑卒中后失语（post-strokeaphasia，PSA）是指脑卒中损伤优势半球语言功能区导致的语言障碍，表现为自发言语、听理解、复述、命名、阅读和书写不同程度的损害[1]。（剩余11957字）