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经皮神经电刺激对脑卒中患者上肢功能影响的Meta分析

黄佳莉 何杨 刘静兰 王妮 邓红艳

巴楚医学2024,Vol.7Issue(4):105-111,7.
巴楚医学2024,Vol.7Issue(4):105-111,7.DOI:10.3969/j.issn.2096-6113.2024.04.015

经皮神经电刺激对脑卒中患者上肢功能影响的Meta分析

Effect of Transcutaneous Electrical Nerve Stimulation on Upper Limb Function in Stroke Patients:A Meta-Analysis

黄佳莉 1何杨 1刘静兰 2王妮 3邓红艳4

作者信息

  • 1. 三峡大学健康医学院,湖北宜昌 443002
  • 2. 三峡大学第一临床医学院[宜昌市中心人民医院]护理部&三峡大学临床护理研究中心,湖北宜昌 443003
  • 3. 三峡大学第一临床医学院[宜昌市中心人民医院]急危重症医学科,湖北宜昌 443003
  • 4. 三峡大学第一临床医学院[宜昌市中心人民医院]纪委办公室,湖北宜昌 443003
  • 折叠

摘要

Abstract

Objective:To systematically evaluate the effect of transcutaneous electrical nerve stimulation(TENS)on upper limb function in stroke patients.Methods:A comprehensive search was conducted across eight databases,including CNKI,VIP,Wanfang,PubMed,Web of Science,EMBASE,Cochrane Library,and CINAHL,strictly adhering to the inclusion and exclusion criteria for literature screening.The quality of the included studies was assessed using the Cochrane system,and a meta-analysis was performed using Revman 5.4.1 software.Results:A total of 11 randomized controlled studies,including 559 patients were included.The meta-analysis showed that TENS could improve the Fugl-Meyer Upper Extremity Assessment(FMA-UE)scores(MD=5.77,95%CI:3.12,8.42),reduce the Modified Ashworth Scale(MAS)scores(MD=-0.38,95%CI:-0.65,-0.11),and increase the Modified Barthel Index(MBI)scores(MD=10.68,95%CI:8.28,13.09)in stroke patients with upper limb dysfunction.Subgroup analysis results indicated that hemiplegia was not a source of heterogeneity.Conclusion:TENS can improve the FMA-UE and MBI scores and reduce the MAS scores in stroke patients with upper limb dysfunction,having a positive impact on the recovery of upper limb function in these patients.

关键词

经皮神经电刺激/脑卒中/上肢功能/meta分析

Key words

transcutaneous electrical nerve stimulation(TENS)/stroke/upper limb function/meta-analysis

分类

医药卫生

引用本文复制引用

黄佳莉,何杨,刘静兰,王妮,邓红艳..经皮神经电刺激对脑卒中患者上肢功能影响的Meta分析[J].巴楚医学,2024,7(4):105-111,7.

基金项目

中央引导地方科技发展专项基金项目(No:2022BGE237) (No:2022BGE237)

湖北高校省级教学研究项目(No:2021255) (No:2021255)

宜昌市科技创新项目(No:A24-2-017) (No:A24-2-017)

巴楚医学

2096-6113

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