灸法对认知衰弱老年人认知功能影响的网状Meta分析  

Effects of moxibustion on cognitive function in older adults with cognitive frailty:a network Meta-analysis

作　　者：宋丽虹 马影蕊[2] 汪柏宇 汲翔 寇鑫阳 宁业凤 陈媛 SONG Lihong;MA Yingrui;WANG Baiyu;JI Xiang;KOU Xinyang;NING Yefeng;CHEN Yuan(School of Nursing,Liaoning University of Traditional Chinese Medicine,Shenyang 110847,China;Department of Nursing,Affiliated Hospital of Liaoning University of Traditional Chinese Medicine,Shenyang 110032,China)

机构地区：[1]辽宁中医药大学护理学院,辽宁沈阳110847 [2]辽宁中医药大学附属医院护理部,辽宁沈阳110032

出　　处：《现代医学》2025年第4期584-594,共11页Modern Medical Journal

基　　金：辽宁省科学技术厅自然科学基金资助项目(2022-NLTS-13-01)。

摘　　要：目的:运用网状Meta分析方法评价灸法对认知衰弱(CF)老年人认知功能的干预效果,寻找改善CF老年人认知功能的最佳灸法方案。方法:计算机检索Cochrane Library、PubMed、Web of Science、Embase、CINAHL、中国知网、万方数据库、中文科技期刊数据库和中国生物医学文献数据库中有关灸法改善CF老年人认知功能的随机对照试验(RCT),检索时间均从建库至2024年6月。由两名研究者独立筛选文献、提取资料,并对纳入的研究进行偏倚风险评价,采用Stata 15.1软件进行统计分析。结果:共纳入14项研究,涉及8种灸法、3种治疗持续时间、4种治疗频率和3种治疗疗程。网状Meta分析结果显示:(1)灸法类型排序:药线点灸、电子灸、药灸+针刺+健康教育、艾灸盒艾灸+多重任务功能训练、隔附子饼灸+悬灸、药线点灸+壮医毛桃土参方、直接灸(无瘢痕灸)、艾灸盒艾灸;(2)治疗持续时间排序:20、30、10~15 min·次^(-1);(3)治疗频率排序:5、3、6次·周^(-1)及隔天1次;(4)治疗疗程排序:30、56、60 d。结论:现有证据表明,药线点灸、20 min·次^(-1)、5次·周^(-1)、共治疗30 d可能是改善CF老年人认知功能较为有效的灸法方案。Objective:To assess the intervention effects of moxibustion on cognitive function in older adults with cognitive frailty(CF)using a network Meta-analysis(NMA),and to identify the optimal moxibustion strategy for improving cognitive function in older adults with CF.Methods:Comprehensive computer searches for randomized controlled trial(RCT)of moxibustion to improve cognitive function in older adults with CF were conducted in the Cochrane Library,PubMed,Web of Science,Embase,CINAHL,CNKI,Wanfang database,VIP and CBM from the inception of the library until June 2024.Two researchers independently screened the literature,extracted the data and assessed the risk of bias of the included studies,and used Stata 15.1 software for statistical analysis.Results:A total of 14 studies were included,involving 8 types of moxibustion methods,3 treatment durations,4 treatment frequencies and 3 treatment courses.NMA showed that:(1)Ranking of moxibustion Methods:medicated thread moxibustion,electronic moxibustion,medicinal moxibustion+acupuncture+health education,moxibustion box moxibustion+multi-task function training,sandwiched moxibustion+suspension moxibustion,medicated thread moxibustion+prescription,direct moxibustion,moxibustion box moxibustion;(2)Ranking of treatment durations:20 min·time^(-1),30 min·time^(-1),10-15 min·time^(-1);(3)Ranking of treatment frequencies:5 times·week^(-1),3 times·week^(-1),6 times·week^(-1),once every other day;(4)Ranking of treatment courses:30 d,56 d,60 d.Conclusion:The current evidence shows that moxibustion with medicated thread moxibustion,20 min·time^(-1),5 times·week^(-1)for a total of 30 d may be the more effective moxibustion regimen to improve the cognitive function of older adults with CF.

关 键 词：灸法 认知衰弱 老年人 认知功能 网状Meta分析 

分 类 号：R277.7[医药卫生—中医学]