摘要
Objective:To determine the effect of Baduanjin combined rehabilitation therapy on stroke patients through systematic review and Meta-analysis.Method:computer retrieval Embase and PubMed,Cochrane Library,Clonal,MBJ Journals,CNKI,Web of Science,China resources pool,Weipu Chinese science and technology journal(VIP),service system of Chinese biomedical literature database(CBM),a database of ten thousand Chinese and English in about Baduanjin to the rehabilitation effect of patients with cerebral apoplexy randomized controlled experiment(RCT),are built from library retrieval time until 31 December 2020.Two researchers independently screened the literature,extracted the data,and evaluated the risk of bias in the included studies.RevMan5.3 software and Pedro scale were used to conduct literature quality evaluation and statistical analysis of the study data.For indicators with significant heterogeneity,the heterogeneity was reduced by excluding some literature deviating from the forest map,and then the pooled analysis was performed.Meanwhile,funnel plots were drawn to analyze the publication bias of the included studies.Results:(1)A total of 114 literatures were obtained,and 27 studies,including 23 Chinese literatures and 4 English literatures,with a total of 2526 patients,were obtained after eliminating duplicates and those failing to meet the inclusion criteria.There were 12 outcome indicators involved.(2)Quality evaluation showed that 23 literatures were grade A,4 literatures were grade B,16 literatures used simple random method,4 literatures used random number table method,and 4 literatures used hidden blind assignment method.No selective reporting was found in all the included literatures.(3)Meta-analysis results show that the daily life activities ability(MD=10.10,95%CI:8.75-11.45,P<0.00001),treatment effectiveness(RR=1.1,95%CI:0.99-1.23,P=0.07),depression(SMD=1.34,95%CI:2.59-0.08,P=0.04),(BBS MD=8.58,95%CI:4.97-12.2,P<0.00001),defecate integral(MD=0.65,95%CI:0.92-0.38,P<0.00001),mental health(SMD=0.34,95%CI:1.6-0.93,P=0.6),a balance(MD=6.09,95%CI:5.76-6.43,P<0.00001),the ability to walk(MD=0.7,95%CI:0.43-0.97,P<0.00001),lower limb FMA(MD=5.69,95%CI:4.66-6.72,P<0.00001),upper limb FMA(MD=3.42,95%CI:1.53-5.3,P<0.00004).SF-36(SMD=0.65,95%CI:0.91-2.21,P=0.41),and BERG(MD=10.43,95%CI:9.02-11.48,P<0.00001),the onset of FMA contrast(MD=4.77,95%CI:3.45-6.1,P<0.00001).Conclusion:Baduanjin movement as a method of auxiliary and security can help stroke patients get the best curative effect,through the evidence-based analysis can be concluded that the Baduanjin combined rehabilitation therapy for cerebral apoplexy patients postoperative balance function,improved degree of depression,integral,defecate daily life activities ability and psychological health are greatly improved,and can significantly improve the quality of life of patients with clinically and promote patients recover.
