神经损伤与功能重建2024，Vol.19Issue(7)：397-401,5.DOI:10.16780/j.cnki.sjssgncj.20230523
针刺联合重复经颅磁刺激治疗脑卒中后抑郁疗效的Meta分析
A Meta-analysis of Efficacy of Acupuncture Combined with Repetitive Transcranial Magnetic Stimulation for Post-Stroke Depression
摘要
Abstract
Objective:To systematically evaluate the clinical efficacy of acupuncture combined with repetitive transcranial magnetic stimulation(rTMS)in treatment of post-stroke depression.Methods:A systematic search was conducted in databases of CNKI,CBM,Wanfang,VIP,PubMed,Web of Science,Cochrane Library and EMBASE for randomized controlled trials(RCTs)of acupuncture combined with rTMS in the treatment of post-stroke depression from their inception to July 2023.The Cochrane risk of bias assessment tool was used to assess the risk of bias and the quality of the included literature.RevMan 5.4 software was used for meta-analysis,and GRADE software was used to evaluate the quality of evidence for the outcome indicators.Results:Ten studies involving 622 participants were included.The meta-analysis results showed that acupuncture combined with rTMS significantly improved clinical efficacy in patients with post-stroke depression[RR=1.14,95％CI(1.06,1.24),P=0.0009].Moreover,the Hamilton Depression Scale(HAMD)score[MD=-3.75,95％CI(-5.86,-1.64),P=0.0005]and Pittsburgh Sleep Quality Index(PSQI)score showed significant improvement compared to the control group.The quality of evidence was rated as moderate for clinical efficacy,low for HAMD score,and very low for PSQI score.Conclusion:Acupuncture combined with rTMS demonstrates significant benefits in improving depression in patients after stroke.关键词
脑卒中后抑郁/针刺/重复经颅磁刺激/Meta分析Key words
post-stroke depression/acupuncture/repetitive transcranial magnetic stimulation/Meta-analysis分类
医药卫生引用本文复制引用
冯露叶,唐炳舜,金一兰,汤继芹..针刺联合重复经颅磁刺激治疗脑卒中后抑郁疗效的Meta分析[J].神经损伤与功能重建,2024,19(7):397-401,5.基金项目
山东省老年医学学会科技发展计划项目(针刺与重复经颅磁刺激治疗老年轻度抑郁症的循证研究,No.LKJGG2021Z018) （针刺与重复经颅磁刺激治疗老年轻度抑郁症的循证研究,No.LKJGG2021Z018）
山东省中医药科技发展计划项目(艾灸结合疏肝调神针法治疗脑卒中后抑郁症的临床研究,No.2015-029) （艾灸结合疏肝调神针法治疗脑卒中后抑郁症的临床研究,No.2015-029）
教育部产学合作协同育人项目(言语治疗学课程创新创业教育研究——以《言语康复产品开发》为例,No.202002137071) （言语治疗学课程创新创业教育研究——以《言语康复产品开发》为例,No.202002137071）
