林爱金,陈昕,施少云,等.水疗治疗痉挛型脑瘫患儿疗效的Meta分析[J].中华物理医学与康复杂志,2021,43(1):69-73
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| 水疗治疗痉挛型脑瘫患儿疗效的Meta分析 |
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| DOI：10.3760/cma.j.issn.0254-1424.2021.01.019 |
| 中文关键词: 痉挛型脑瘫 水疗 康复治疗 Meta分析 |
| 英文关键词: Spastic cerebral palsy Cerebral palsy Hydrotherapy Meta-analyses |
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| 摘要点击次数: 3858 |
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| 中文摘要: |
| 目的 评价水疗治疗痉挛型脑瘫患儿的临床疗效。 方法 检索中国知网、万方数据、维普、PubMed、Cochrane library等数据库，以痉挛型脑瘫患儿为研究对象，收集水疗治疗痉挛型脑瘫患儿的随机对照试验(RCT)，检索时限设定为建库至2018年11月。全部文献由2名评价员独立筛选、提取资料，并进行纳入研究的偏倚风险评价,采用RevMan 5.3软件进行Meta分析。 结果 检索到249篇相关文献，最终6篇文献纳入Meta分析，共计464例患者。Meta分析结果显示，水疗联合常规康复的总有效率高于常规康复［OR=4.04,95%CI（2.11,7.73），P<0.05］，差异有统计学意义。 结论 水疗联合常规康复治疗可以改善痉挛型脑瘫患儿的症状，缓解肌张力，提高运动功能。 |
| 英文摘要: |
| Objective To evaluate the clinical efficacy of hydrotherapy in the treatment of children with spastic cerebral palsy (CP). Methods The China National Knowledge Infrastructure, Wanfang databases, CQVIP databases, PubMed and the Cochrane library were electronically searched for reports published before November 2018 of randomized and controlled trials (RCTs) of hydrotherapy for treating children with spastic CP. Two researchers screened the literature independently, extracted data and assessed the risk of bias in the included studies. The meta-analysis was performed using version 5.3 of the RevMan software. Results A total of 6 RCTs were included, covering 464 patients. It was found that hydrotherapy combined with conventional rehabilitation was significantly more effective than conventional rehabilitation alone. Conclusions It has been proved that hydrotherapy can improve the symptoms of children with spastic CP, relieve their spasticity and promote better motor function. |
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