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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

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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。
Meta-analysis of the application effect of Traditional Chinese Medicine exercises in patients with post-stroke cognitive impair-ment
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 ran-domized 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 Chi-nese Medicine exercises can effectively improve the cognitive function of post-stroke cognitive impairment patients.

Traditional Chinese Medicine exercisepost-stroke cognitive impairmentMeta-analysiscognitive function

马玉霞、袁月、杨依依、魏晓琴、秦江霞、陈雅婧、韩琳

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730011,兰州市,兰州大学护理学院循证护理中心

730000,兰州市,兰州大学第一临床医学院

730000,兰州市,甘肃省人民医院护理部

中医传统功法 卒中后认知障碍 Meta分析 认知功能

国家自然科学基金甘肃省重点研发计划项目兰州大学护理学院科研项目

7227408723YFFA0006LZUSON202002

2024

护理管理杂志
中国人民解放军北京军区总医院

护理管理杂志

CSTPCD
影响因子:2.38
ISSN:1671-315X
年,卷(期):2024.24(3)