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The Effectiveness and Safety of Manual Acupuncture Therapy in Patients with Poststroke Cognitive Impairment: A Meta-analysis
Neural Plasticity ( IF 3.1 ) Pub Date : 2020-11-25 , DOI: 10.1155/2020/8890521
Wei Liu 1 , Chang Rao 1 , Yuzheng Du 1 , Lili Zhang 1 , Jipeng Yang 1
Affiliation  

Background. Poststroke cognitive impairment (PSCI) is a common cause of disability among patients with stroke. Meanwhile, acupuncture has increasingly been used to improve motor and cognitive function for stroke patients. The aim of the present study was to summarize and evaluate the evidence on the effectiveness of acupuncture in treating PSCI. Methods. Eight databases (PubMed, The Cochrane Library, CNKI, WanFang Data, VIP, CBM, Medline, Embase databases) were searched from January 2010 to January 2020. Meta-analyses were conducted for the eligible randomized controlled trials (RCTs). Assessments were performed using Mini-Mental State Examination (MMSE), Montreal Cognitive Assessment (MoCA), Barthel Index (BI), or modified Barthel Index (MBI). Results. A total of 657 relevant RCTs were identified, and 22 RCTs with 1856 patients were eventually included. Meta-analysis showed that acupuncture appeared to be effective for improving cognitive function as assessed by MMSE (, 95% confidence interval (CI) (1.39, 2.06), ) and MoCA (, 95% CI (1.92, 2.73), ). Furthermore, it also suggested that acupuncture could improve the activities of daily life (ADL) for PSCI patients as assessed by BI or MBI (, 95% CI (0.57, 1.38), ). Conclusions. Compared with nonacupuncture group, acupuncture group showed better effects in improving the scores of MMSE, MoCA, BI, and MBI. This meta-analysis provided positive evidence that acupuncture may be effective in improving cognitive function and activities of daily life for PSCI patients. Meanwhile, long retention time of acupuncture may improve cognitive function and activities of daily life, and twist technique may be an important factor that could influence cognitive function. However, further studies using large samples and a rigorous study design are needed to confirm the role of acupuncture in the treatment of PSCI.

中文翻译:

脑卒中后认知障碍患者的手动针灸治疗的有效性和安全性:一项荟萃分析

背景。中风后认知障碍(PSCI)是中风患者中致残的常见原因。同时,针灸已越来越多地用于改善中风患者的运动和认知功能。本研究的目的是总结和评估针灸治疗PSCI有效性的证据。方法。从2010年1月至2020年1月,检索了八个数据库(PubMed,Cochrane图书馆,CNKI,WanFang数据,VIP,CBM,Medline,Embase数据库)。对符合条件的随机对照试验(RCT)进行了荟萃分析。评估是通过迷你精神状态检查(MMSE),蒙特利尔认知评估(MoCA),巴特尔指数(BI)或改良的巴特尔指数(MBI)进行的。结果。总共确定了657个相关RCT,最终纳入了1856名患者的22个RCT。荟萃分析表明,针灸似乎对改善认知功能有效,如MMSE评估( 95%置信区间(CI)(1.39,2.06),和MoCA( 95%CI(1.92,2.73),)。此外,根据BI或MBI评估,针灸还可以改善PSCI患者的日常生活(ADL)( 95%CI(0.57,1.38),)。 结论。与非针刺组相比,针刺组在提高MMSE,MoCA,BI和MBI评分方面表现出更好的效果。这项荟萃分析提供了积极的证据,针灸可以有效改善PSCI患者的认知功能和日常生活活动。同时,较长的针刺保留时间可以改善认知功能和日常生活活动,而扭法可能是影响认知功能的重要因素。但是,需要进一步的大样本研究和严格的研究设计,以确认针灸在治疗PSCI中的作用。
更新日期:2020-11-25
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