RESUMO
Meta-analysis was used to analyze the efficacy of conventional western medicine plus Buyanghuanwu Decoction in the treatment of convalescent patients with stroke, and to observe its influence on the neurological function and condition of patients. According to the research direction and set keywords, the research literature was retrieved from Wanfang Medical Science, CNKI, VIP, PubMed and other domestic and foreign literature databases. A total of 13 articles with 1023 patients were included in this meta-analysis, with a large sample size. Outcome measures of the meta-analysis included efficacy, National Institutes of Health Stroke Scale (NIHSS) score, Barthel Index Rating Scale (BI) score, C-reactive protein (CRP) and homocysteine (Hcy) score. Compared with western medicine group, the increase of BI score and the decrease of NIHSS score, CRP and Hcy in combined medicine group were greater (P < .05). Conventional Western medicine combined with Buyang Huanwu Decoction can improve the rehabilitation effect, living ability and neurological function of patients with stroke, and reducing the inflammatory response, it is beneficial to create favorable conditions for patients' rehabilitation and improve prognosis, which is worthy of clinical application. The effect of this protocol on long-term survival of patients can be further analyzed in the future.
RESUMO
BACKGROUND: Current studies in patients with congenital muscular torticollis (CMT) have predominantly focused on the role of tuina or paraffin therapy alone. This systematic review with Bayesian network meta-analysis will be performed to sum up the existing evidence on the effects and safety of tuina plus paraffin therapy for CMT in infants and children. METHODS: The Preferred Reporting Items for Systematic Reviews and Meta-Analyzes reporting guidelines will be followed to conduct this study. The electronic databases of PubMed, Cochrane Library, PsycINFO, EMBASE, the Chinese Scientific Journal Database, China National Knowledge Infrastructure, WanFang Data, Taiwan Electronic Periodical Services, and Web of Science will be searched from the inception to November 2021 using the following key terms: "Tuina," "traditional Chinese medicine massage," "paraffin," and "congenital muscular torticollis," for all relevant studies. We impose no language restrictions. We include reports on randomized controlled trials (RCTs) and quasi-RCTs of Tuina combline with paraffin therapy for the treatment of CMT in children and adolescents. We include studies that assessed effective rate, symmetry, improvements of range of motion, muscle length, and sternocleidomastoid tumor thickness, quality of life, and adverse events. The Cochrane Bias Risk Tool, which considers sequence generation, allocation concealment, and blinding and other aspects of bias, will be used to assess the risk of bias in studies. RESULTS: A Bayesian network meta-analysis is an appropriate statistical method to compare all treatment options by statistically simulating the estimated results of a comprehensive trial, and to compare treatments by common and associated comparators. In addition, Bayesian network meta-analysis can produce ranking probabilities of treatments, which may contribute to clinicians' clinical decision-making. REGISTRATION NUMBER: 10.17605/OSF.IO/K5EGN.