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The Role of Traditional Chinese Medicine Nursing for Stroke: An Umbrella Review

机译:中医护理对中风的作用:伞综述

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Background . An increasing number of systematic reviews/meta-analyses (SRs/MAs) of clinical trials have begun to investigate the effects of traditional Chinese medicine (TCM) nursing in patients with stroke. To systematically appraise and synthesize these results, we conducted an overview of SRs/MAs. Methods . Eight databases from their inception to April 2020 were searched to include all SRs/MAs on TCM nursing for stroke. Methodological quality assessment was performed using Assessing the Methodological Quality of Systematic Reviews 2 (AMSTAR-2) and evidence quality assessment was performed using the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE). Results . Eleven SRs/MAs regarding TCM nursing for stroke were included. The assessments with AMSTAR-2 indicated that the methodological quality of all included SRs/MAs was critically low. According to the evaluation results of GRADE, 10 (40%) outcomes were rated as critically low-quality evidence, 7 (28%) low-quality evidence, and 8 (32%) moderate-quality evidence. Descriptive analysis results showed that TCM nursing was effective for stroke. Conclusions . All included SRs/MAs suggested positive findings of TCM nursing for stroke, but the credibility of the results is limited. Studies with methodologically rigorous and adequately powered are still needed in this field.
机译:背景 。越来越多的系统评价/临床试验的荟萃分析(SRS / MAS)已经开始调查传统的中国医药(中医),护理的脑卒中患者的影响。系统评价和综合这些结果,我们进行的SR / MAS的概述。方法 。被搜查从一开始到2020年4月8个数据库包括所有的SR / MAS中医护理中风。使用进行方法学质量评估评价系统评价2(AMSTAR-2)和证据质量评价的方法学质量使用建议的分级,评估,开发和评估(级)进行。结果 。十一的SR / MAS关于中医护理中风都包括在内。与AMSTAR-2的评估表明,所有包含的SR的方法的质量/ MAS是严重不足。根据GRADE的评价结果​​,10(40%)的结果被评为非常低质量的证据,7(28%)的低质量的证据,和8(32%)中等质量的证据。描述性分析结果表明,中医护理是有效的中风。结论。所有列入的SR / MAS建议中风中医护理的阳性结果,但结果的可信性是有限的。研究与方法上严谨和充分的动力仍然需要在这一领域。

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