灸法对脑卒中后认知障碍病人康复影响的系统评价  

Rehabilitation impact of moxibustion for patients with cognitive impairment after stroke:a systematic review

作　　者：刘诗颖 郭薇 王锦苹 吴碧玉[2] LIU Shiying;GUO Wei;WANG Jinping;WU Biyu(School of Nursing,Fujian University of Traditional Chinese Medicine,Fujian 350122 China)

机构地区：[1]福建中医药大学护理学院,福建350122 [2]厦门市中医院

出　　处：《循证护理》2022年第23期3138-3144,共7页Chinese Evidence-Based Nursing

摘　　要：目的:系统评价灸法对脑卒中后认知障碍病人的康复效果。方法:采用计算机检索PubMed、Web of Sciences、the Cochrane Library、外文医学信息资源检索平台(FMRS)、中国知网(CNKI)、万方数据库(WanFang Database)、维普(VIP)数据库中有关灸法治疗脑卒中后认知障碍病人的随机对照试验,检索时限均为建库至2022年4月28日,采用Cochrane协作网推荐的系统评价手册评价文献质量,使用RevMan 5.4进行数据分析。结果:最终纳入19篇文献,涉及脑卒中后认知障碍病人1261例,其中试验组632例,对照组629例。Meta分析结果显示,简易智力精神状态量表(MMSE)评分[MD=1.78,95%CI(1.14,2.42),P<0.00001]、蒙特利尔认知量表(MoCA)评分[MD=2.12,95%CI(1.71,2.53),P<0.00001]、改良Barthel指数量表(MBI)评分[MD=10.15,95%CI(6.71,13.58),P<0.00001]、Barthel指数量表(BI)评分[MD=3.64,95%CI(1.85,5.43),P<0.00001]均优于对照组。结论:现有证据表明,灸法可以有效改善脑卒中后认知障碍病人康复效果,提高病人的日常生活自理能力,但纳入文献质量不高,需要开展更多设计严谨的大样本、多中心、高质量的随机对照试验以进一步验证。Objective:To systematically evaluate rehabilitation effect of moxibustionin for patients with cognitive impairment after stroke.Methods:Randomized controlled trials on moxibustion in the treatment of patients with cognitive impairment after stroke were retrieved from PubMed,Web of Sciencs,the Cochrane Library,FMRS,CNKI,WanFang Database,and VIP.The retrieval time was from inception to April 28,2022.The systematic review manual recommended by the Cochrane Collaboration was used to evaluate literature quality.RevMan 5.4 was used for date analysis.Results:A total of 19 articles were included,a total of 1261 patients with cognitive impairment after stroke were included,involving 632 cases in the experimental group and 629 cases in the control group.Meta-analysis results showed MMSE score[MD=1.78,95%CI(1.14,2.42),P<0.00001],MoCA score[MD=2.12,95%CI(1.71,2.53),P<0.00001],MBI score[MD=10.15,95%CI(6.71,13.58),P<0.00001],BI score[MD=3.64,95%CI(1.85,5.43),P<0.00001]was in the experimental group were better than those in the control group.Conclusion:Current evidences shows that moxibustion can effectively improve the cognitive impairment in patients after stroke,and improve the ability of daily living.However,the quality of the included literature is poor,and more large sample,multi-center and high-quality randomized controlled trials with rigorous design should be carried out for further verification.

关 键 词：脑卒中 灸法 认知障碍 系统评价 循证护理 

分 类 号：R246.6[医药卫生—针灸推拿学]