中医传统功法在卒中后认知障碍患者中应用效果的Meta分析  

Meta-analysis of the application effect of Traditional Chinese Medicine exercises in patients with post-stroke cognitive impairment

作　　者：马玉霞[1,2] 袁月[1] 杨依依 魏晓琴 秦江霞 陈雅婧 韩琳[1,3] MA Yuxia;YUAN Yue;YANG Yiyi;WEI Xiaoqin;QIN Jiangxia;CHEN Yajing;HAN Lin(Center for Evidence-based Nursing,School of Nursing,Lanzhou University,Lanzhou 730011,China;the First Clinical Medical College,Lanzhou University,Lanzhou 730000,China;Nursing Department,Gansu Provincial Hospital,Lanzhou 730000,China)

机构地区：[1]兰州大学护理学院循证护理中心,兰州市730011 [2]兰州大学第一临床医学院,兰州市730011 [3]甘肃省人民医院护理部,兰州市730011

出　　处：《护理管理杂志》2024年第3期266-271,共6页Journal of Nursing Administration

基　　金：国家自然科学基金(72274087);甘肃省重点研发计划项目(23YFFA0006);兰州大学护理学院科研项目(LZUSON202002)。

摘　　要：目的系统评价中医传统功法对卒中后认知障碍患者的干预效果。方法利用计算机检索The Cochrane Library、PubMed、Embase、Web of Science、中国生物医学文献数据库、中国知网、万方数据知识服务平台、维普中文科技期刊数据库中有关中医传统功法干预卒中后认知障碍患者的随机对照试验,检索时限为建库至2023年12月31日,采用RevMan 5.4软件进行Meta分析。结果共纳入15项随机对照试验研究,包括918例研究对象。Meta分析结果显示,中医传统功法在提高卒中后认知障碍患者的认知功能[SMD=0.86,95%CI(0.68,1.04),P<0.001]、缩短P300检测的潜伏时间[MD=-11.52,95%CI(-16.06,-6.98),P<0.001]、增加P300检测的波幅高度[MD=1.06,95%CI(0.44,1.67),P<0.001]等方面均优于对照组。结论中医传统功法可有效提高卒中后认知障碍患者的认知功能。Objective To systematically evaluate the intervention effect of Traditional Chinese Medicine on patients with post-stroke cognitive impairment.Methods The Cochrane Library,PubMed,Embase,Web of Science,Chinese Biomedical Literature Database,CNKI,Wanfang Data Knowledge Service Platform,and VIP Chinese Science and Technology Journal Database were searched by computer for randomized controlled trials of Traditional Chinese Medicine exercises on patients with post-stroke cognitive impairment.The search time was from the establishment of the database to December 31,2023.Meta-analysis was performed using RevMan 5.4 software.Results A total of 15 randomized controlled trials were included,including 918 subjects.The results of Meta-analysis showed that the Traditional Chinese Medicine exercises were superior to the control group in improving the cognitive function of patients with post-stroke cognitive impairment[SMD=0.86,95%CI(0.68,1.04),P<0.001],shortening the latency time of P300 detection[MD=-11.52,95%CI(-16.06,-6.98),P<0.001],and increasing the amplitude height of P300 detection[MD=1.06,95%CI(0.44,1.67),P<0.001].Conclusion Traditional Chinese Medicine exercises can effectively improve the cognitive function of post-stroke cognitive impairment patients.

关 键 词：中医传统功法 卒中后认知障碍 META分析 认知功能 

分 类 号：R473.5[医药卫生—护理学] R246.6[医药卫生—临床医学]