Acupuncture for Post-Stroke Cognitive Impairment:An Overview of Systematic Reviews and Meta-Analyses
- VernacularTitle:针灸干预脑卒中后认知障碍的系统评价再评价
- Author:
Manze XIA
1
,
2
;
Zihan YIN
;
Zhenghong CHEN
;
Xinyue ZHANG
;
Yaqin LI
;
Ling ZHAO
;
Fanrong LIANG
Author Information
- Keywords: Post-stroke cognitive impairment; Acupuncture and moxibustion; Overview; AMSTAR-2; PRISMA; GRADE
- From: World Science and Technology-Modernization of Traditional Chinese Medicine 2023;25(8):2821-2831
- CountryChina
- Language:Chinese
- Abstract: Objective To overview the methodological quality,report quality and evidence quality of the Meta-Analyses/Systematic Reviews(MAs/SRs)of acupuncture for post-stroke cognitive impairment(PSCI).Methods A search was conducted for MAs/SRs on PSCI using English or Chinese from inception to 20 February 2022 published in four Chinese databases:CNKI,Wanfang,VIP,CBM;and three English databases:PubMed,Embase and Cochrane Library.The MAs/SRs were evaluated for methodological quality using AMSTAR 2 and for reporting quality using PRISMA,and the quality of evidence was assessed using the GRADE system.Results A total of 18 MAs/SRs were included in this study,of which 89%showed the effectiveness and safety of acupuncture for PSCI.According to AMSTAR 2,1 study was of low methodological quality and 17 studies were of critically low quality;according to PRISMA,1 study was of high quality,16 studies were of moderate quality and 1 study was of poor quality;GRADE showed that of the 71 outcomes included,however,there was no evidence of high quality outcomes,with 10 of moderate quality,17 of low quality,and 44 of very low quality.Conclusion Acupuncture may be effective and safe in the treatment of PSCI,but in current acupuncture for PSCI is generally of low quality and should be interpreted with caution.
