Systematic evaluation and meta analysis of the efficacy of needling and rehabilitation training on swallowing dysfunction after stroke

Objective Systematic evaluation of the effectiveness of needling combined with rehabilitation training versus mere rehabilitation training or needling treatment of swallowing dysfunction after stroke, to determine whether the efficacy of acupuncture combined with rehabilitation training is superior to mere rehabilitation training or acupuncture treatment. Method computer retrieval of China KING, Wanfang data, Chongqing Vep, Cochrance, Cochrance Library, Embase 6 databases In a randomized controlled trial of needling combined with rehabilitation training for swallowing dysfunction after stroke, the retrieval time was limited to January 1, 2010 - December 31, 2018. After incorporation, exclusion and screening of retrieval literature, meta analysis using the RevMan 5.3 software. The results were included in 22 studies, including 1,987 patients. The controls for each study are simple Rehabilitation training or rehabilitation training combined with false needling, without mere needling. Meta analysis showed that the effectiveness of needling combined with rehabilitation training for swallowing dysfunction after stroke was more effective [17 studies, Ratio = 3.66,95% confidence interval (confidenceinterval, CI)) ( 2.66,5.05), P≈ 0.000 01], higher scores for video perspective swallowing function after treatment [8 studies, mean difference (meandifference, MD) =2.31 points 95% CI (1.75,2.87) points, P≈ 0.000 01], Standard swallowing function evaluation scale scores lower [6 studies, MD=- 3.20 points 95% CI (-3.78, -2.61) points, P≈ 0.000 01], lower scores for water test [6 studies, MD=-0.65 points 95% CI (-0.91, -0.39) points, P≈ 0.000 01]. Simplex Rehabilitation Training but subject to the quality and sample size of the incorporation literature, the above results and conclusions still need to be validated by studies of high quality and large samples.