针灸治疗老年性痴呆的Meta-分析

目的：评价针刺治疗老年性痴呆的疗效。方法：按照循证医学（EBM）的要求全面检索了国内相关医学文献数据库近10年来的有关针灸治疗痴呆的文献，对纳入文献进行Meta-分析。结果：共纳入随机对照试验22篇，对其中19篇文献进行了Meta-分析。合并OR=3．72E2．73，5．073，漏斗图基本对称，提示针刺组对痴呆的治疗效果优于对照组（Z=8．32，P〈0．00001）。结论：从国内的，临床文献来看，针灸治疗痴呆有效，但试验研究质量有待进一步完善和提高。

Meta-analysis on acupuncture for treatment of dementia

OBJECTIVE: To assess the therapeutic effect of acupuncture on dementia. METHODS: The literatures of acupuncture for treatment of dementia are comprehensively searched in according with the demands of the evidence-based medicine (EBM), which are collected from relevant domestic medical literature databases in the last ten years. Meta-analysis is conducted on the literatures enrolled. RESULTS: Twenty-two randomized controlled trials are included, among them, 19 trials are carried out by Meta-analysis. The total OR is 3.72 2.73, 5.07], and the funnel plot is approximately symmetry. It is indicated that the curative effect of acupuncture groups is better than the control groups (Z = 8.32, P < 0.00001). CONCLUSION: Acupuncture therapy is effective on dementia according to the domestic clinical literatures. However, the quality of the studies needs further improving and increasing.