针灸治疗轻度认知障碍的处方规律初探

[目的]通过临床随机对照研究的质量评价,从循证医学角度对针灸治疗轻度认知障碍的处方规律进行探讨。[方法]计算机检索中国生物医学文献(CBM)、中国知网(CNKI)、维普数据库(VIP)和万方文献数据库,国外数据库Pubmed、Embase和Cochrane Library。中文检索词为针灸、轻度认知障碍、随机等。英文检索词为Acupuncture、Mild Cognitive Impairment等。检索时间截止至2018年6月30日。对符合纳入标准的针灸治疗轻度认知障碍的临床随机对照试验进行分析。按照Cochrane系统评价手册4.2.8进行方法学质量评价,对针灸治疗轻度认知障碍的处方规律进行探讨。[结果]共检索到相关文献319篇,按照纳入标准,筛选出14篇临床随机对照试验。研究结果显示针灸选穴以督脉头面颈项部穴位及五输穴、原穴居多,多选取百会、风池、神庭为主。[结论]有限证据支持针灸治疗轻度认知障碍的选穴以督脉头面颈项部穴位及五输穴、原穴居多,但由于纳入研究证据质量不高,需要进一步高质量研究支持。

Prescription rule of acupuncture for mild cognitive impairment

[Objective] Based on the perspective evidenced,evaluate the rule of acupuncture and moxibustion treatment on mild cognitive impairment through quality evaluation of previous randomized controlled trials.[Methods] Using CBM,CNKI,VIP,WanFang,etc as retrieval source,and the retrieval time was from the start time of the database to June of 2018. Key words were "acupuncture","mild cognitive impairment" or "randomized". Thoroughly collected the randomized control clinical trials of acupuncture-moxibustion treating mild cognitive impairment,selected the trials in accordance with the inclusive criteria for analyzing. Cochrane 4.2.8 quality manual was adopted to perform quality evaluation. And summarize the rule of modern literature of acupuncture treatment of mild cognitive impairment.[Results] According to the search strategy and literature screening methods,there were 319 articles from formal academic journals. After reading the title,abstract,text,the literatures of 14 randomized control clinical trials were selected. The use of acupoint on the head and neck of Du meridian and five Shu point was most frequent. The most commomly-used points included Baihui,Fengchi and Shenting.[Conclusion] The use of acupoint on the head and neck of Du meridian and five Shu point was most frequent. But due to the evidence of the quality was low,the further high quality study was needed.