上海针灸杂志2018，Vol.37Issue(1)：104-111,8.DOI:10.13460/j.issn.1005-0957.2018.01.0104
针刺百会、神庭穴治疗脑卒中后认知功能障碍效果的系统评价
Therapeutic Efficacy of Acupuncture at Baihui (GV 20) and Shenting (GV 24) for Post-stroke Cognitive Impairment: A Systematic Review
摘要
Abstract
Objective To evaluate the clinical efficacy of acupuncture at Baihui (GV 20) and Shenting (GV 24) in treating post-stroke cognitive impairment (PSCI) by using the systematic review method.Method Via computer, Chinese Journal Full-text Database (CJFD), Wanfang, China Biology Medicine disc (CBMdisc), Chinese Science and Technology Periodical Database, PubMed, Foreign Evidence-Based Medicine (FEMB), the Cochrane Library were retrieved.Chinese Acupuncture and Moxibustion andShanghai Journal of Acupuncture-moxibustion were manually retrieved. Randomized controlled trials published before Jan 31st of 2013 on acupuncture at Baihui (GV 20) and Shenting (GV 24) in treating PSCI, both in Chinese and English, were collected. The required data were extracted, then were evaluated according to the criteria of Cochrane systematic review and underwent meta-analysis by using RevMan 5.0.Result Twenty-two clinical trials were finally recruited, including 1637 subjects. The meta-analysis showed that acupuncture at acupoints including Baihui (GV 20) and Shenting (GV 24) produced a more significant rehabilitation result compared to single rehabilitation training or medication. The comparison of Mini-Mental State Examination (MMSE) score showed: [WMD=3.37, 95％CI (1.70, 5.05),P<0.00001]; the comparison of P300 latency: [WMD=1.22, 95％CI (0.84, 1.59),P<0.00001]. Severe adverse reactions were not discovered. Conclusion Acupuncture at Baihui (GV 20) and Shenting (GV 24) can effectively improve the cognitive function of PSCI patients. However, the diagnostic criteria and evaluation indexes are expected to be unified and standardized, and the clinical trials on acupuncture intervening PSCI are required to be further improved methodologically.关键词
针刺疗法/卒中/认知功能障碍/穴,百会/穴,神庭/系统评价/Meta分析/中风并发症/痴呆,血管性Key words
Acupuncture therapy/Stroke/Cognitive impairment/Point/Baihui (GV 20)/Point/Shenting (GV 24)/Systematic review/Meta-analysis/Post-stroke syndrome/Dementia/vascular分类
医药卫生引用本文复制引用
刘芳,姚立群,陈金辉..针刺百会、神庭穴治疗脑卒中后认知功能障碍效果的系统评价[J].上海针灸杂志,2018,37(1):104-111,8.基金项目
福建省高校新世纪优秀人才支持计划(2016) （2016）
福建中医药大学重点学科专项课题(X2014062-学科) （X2014062-学科）
