中国神经再生研究(英文版) ›› 2013, Vol. 8 ›› Issue (18): 1673-1684.doi: 10.3969/j.issn.1673-5374.2013.18.005

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针灸改善认知功能:系统评价

  

  • 收稿日期:2013-04-05 修回日期:2013-05-21 出版日期:2013-06-25 发布日期:2013-06-25

Acupuncture improves cognitive function A systematic review

Mason Chin Pang Leung1, Ka Keung Yip1, Chung Tsung Lam1, Ka Shun Lam1, Wai Lau1, Wing Lam Yu1, Amethyst King Man Leung2, Kwok-fai So3   

  1. 1 Department of Rehabilitation Sciences, the Hong Kong Polytechnic University, Hung Hom, Hong Kong Special Administrative Region, China
    2 Cambridge Regional College, Cambridge, United Kingdom
    3 Department of Anatomy, and the State Key Laboratory of Brain and Cognitive Science, the University of Hong Kong, Pokfulam, Hong Kong Special Administrative Region, China; GHM Institute of CNS Regeneration, Jinan University, Guangzhou, Guangdong Province, China
  • Received:2013-04-05 Revised:2013-05-21 Online:2013-06-25 Published:2013-06-25
  • Contact: Mason Chin Pang Leung☆, Ph.D., Associate professor, Department of Rehabilitation Sciences, the Hong Kong Polytechnic University, Hung Hom, Hong Kong Special Administrative Region, China, mason.leung@ polyu.edu.hk

摘要:

背景:针灸已被用于治疗认知功能障碍。
目的:本研究目的在于评估针灸作为一种治疗认知功能障碍支持或反对的临床证据。本评论还讨论了可连结针灸改善认知功能的拟议机制。
方法:文献检索使用PolyUone搜索从成立以来至2013年1月的数据,使用全文本检索,检索语言为英语。使用牛津大学循证医学中心-证据级别(2009年3月)检查证据分级。
结果:12项研究符合纳入标准:3项人类研究,9项动物研究。证据分级从1b级到5级不等。
结论:大部分动物研究表明,针刺对认知功能障碍可产生积极影响。然而,人类研究的结果显示并不一致。需要更多高质量的研究来确定证实针灸疗法的有效性和最佳疗法。

Abstract:

BACKGROUND: Acupuncture has been used as a treatment for cognitive impairment.
OBJECTIVE: This review assesses clinical evidence for or against acupuncture as a treatment for cognitive impairment. This review also discusses the proposed mechanism(s) that could link acupuncture to improved cognitive function.
METHODS: We searched the literature using PolyUone search from its inception to January 2013, with full text available and language limited to English. Levels of evidence were examined using Oxford Centre for Evidence-based Medicine–Levels of Evidence (March, 2009).
RESULTS: Twelve studies met the inclusion criteria: 3 human studies and 9 animal studies. Levels of evidence ranged from level 1b to level 5.
CONCLUSION: Most animal studies demonstrated a positive effect of acupuncture on cognitive impairment. However, the results of human studies were inconsistent. Further high-quality human studies with greater statistical power are needed to determine the effectiveness of acupuncture and an optimal protocol.