Efficacy of combination scalp acupuncture for post-stroke cognitive impairment: a systematic review and meta-analysis

作者：Song Li, Anhong Dai, Yihao Zhou, Xu Chen, Yizhou Chen, Li Zhou, Xiaolin Yang, Mengqi Yue, Jing Shi, Yong Qiu · 发表于：Frontiers in Neuroscience · 年份：2024 · DOI：10.3389/fnins.2024.1468331 · 被引用次数：13 · 研究领域：Acupuncture Treatment Research Studies、Botulinum Toxin and Related Neurological Disorders、Traditional Chinese Medicine Studies

Objective This systematic review and meta-analysis aimed to evaluate the efficacy of combination scalp acupuncture in treating post-stroke cognitive impairment. Methods A comprehensive search was conducted across eight databases: PubMed, Web of Science, Cochrane Database, Embase, CBM, CNKI, WanFang, and VIP, targeting randomized controlled trials (RCTs) published from the inception of these databases until October 24, 2024. The inclusion criteria focused on RCTs that compared scalp acupuncture with conventional treatments as therapeutic interventions for patients suffering from post-stroke cognitive impairment (PSCI). The effectiveness of these treatments was evaluated using various outcome measures, including the Mini-Mental State Examination (MMSE), the Montreal Cognitive Assessment (MoCA), the Loewenstein Occupational Therapy Cognitive Assessment (LOTCA), as well as P300 latency and amplitude, which collectively assess cognitive function. Two independent reviewers conducted a risk of bias (ROB2) assessment, and data analysis was performed using Review Manager (RevMan) version 5.4. Results This analysis included a total of 28 studies involving 1,995 patients. However, according to the standards of the ROB2 tool, most of these studies exhibited various methodological issues. The comprehensive analysis indicates that the efficacy of combined scalp acupuncture in treating post-stroke cognitive impairment (PSCI) is superior to that of single treatments, as evidenced by improvem...