针灸联合神经肌肉电刺激治疗脑卒中后吞咽障碍的meta分析OA

Objective:To evaluate the efficacy and safety of acupuncture combined with NMES for treating dysphagia after stroke.Methods:Computerized searches were conducted in Chinese and English databases including CNKI,VIP,WANFANG DATA,Embase,PubMed,Web of Science,and Cochrane Library to identify RCTs on acupuncture combined with NMES for post-stroke dysphagia from database inception to December 2024.Two researchers independently screened studies,extracted data,and performed meta-analysis using RevMan 5.4.1 software.Results:A total of 27 RCTs involving 2 013 patients were included.Results showed that compared with acupuncture alone,acupuncture combined with NMES significantly increased the clinical total effective rate(RR=1.23,95%CI:1.18-1.28,P<0.00001)and better improved swallowing function measures including the Water Swallow Test(WST),Standardized Swallowing Assessment(SSA),and videofluoroscopic swallowing studies(VFSS)(all P<0.05),while reducing the incidence of adverse reactions(RR=0.41,95%CI:0.20-0.85,P=0.02).Conclusion:Acupuncture combined with NMES represents an effective and safe treatment regimen for post-stroke dysphagia,demonstrating superior efficacy compared to acupuncture alone.