Ke Chao, Shan Shengtao, Yu Juli, Wei Xin, Pan Jiang, Zhang Wei
The First Hospital of Hunan University of Chinese Medicine, Changsha, China.
J Alzheimers Dis. 2024 Dec;102(4):924-942. doi: 10.1177/13872877241295400. Epub 2024 Nov 14.
Acupuncture is an effective complementary treatment for Alzheimer's disease (AD). This review aims to summarize the available evidence provided by randomized controlled trials (RCTs) and systematic reviews (SRs) or meta-analyses (MAs) on the effect of acupuncture on AD. To systematically summarize and combine clinical research evidence on AD distribution. We conducted a comprehensive search of various databases, including PubMed, Embase, Cochrane Library, China National Knowledge Infrastructure (CNKI), Wan Fang Data, Chinese BioMedical Literature Database (CBM) and Chonqing VIP (CQVIP), from their inception to September 2023. Relevant literature about acupuncture for AD was included, and the characteristics of the evidence map were presented through charts and textual analyses. In total, 117 RCTs and 17 SRs or MAs were included. The results were divided into three categories: basic characteristics of the included literature, clinical characteristics and quality assessment of the included RCTs, and clinical characteristics and quality assessment of the included SRs and MAs. Acupuncture as a therapeutic measure for AD has some advantages in improving cognition and quality of life; thus, it is imperative to conduct multi-center, large-scale RCTs to enhance the evidence supporting the use of acupuncture in AD. This is the first evidence map exploring acupuncture treatment for AD, providing insights into the current clinical research landscape on acupuncture treatment for AD. Furthermore, the findings of this study highlight research gaps in this field and serve as a valuable reference for guiding the planning and selection of topics for future research.
针灸是治疗阿尔茨海默病(AD)的一种有效辅助疗法。本综述旨在总结随机对照试验(RCT)以及系统评价(SR)或荟萃分析(MA)提供的关于针灸对AD疗效的现有证据。为了系统地总结和整合关于AD分布的临床研究证据。我们对包括PubMed、Embase、Cochrane图书馆、中国知网(CNKI)、万方数据、中国生物医学文献数据库(CBM)和重庆维普(CQVIP)在内的各种数据库进行了全面检索,检索时间范围从各数据库建库至2023年9月。纳入了有关针灸治疗AD的相关文献,并通过图表和文本分析展示了证据图谱的特征。总共纳入了117项RCT以及17项SR或MA。结果分为三类:纳入文献的基本特征、纳入RCT的临床特征和质量评估,以及纳入SR和MA的临床特征和质量评估。针灸作为AD的一种治疗措施,在改善认知和生活质量方面具有一些优势;因此,开展多中心、大规模的RCT以加强支持针灸用于AD治疗的证据势在必行。这是探索针灸治疗AD的首张证据图谱,为当前针灸治疗AD的临床研究现状提供了见解。此外,本研究结果突出了该领域的研究空白,并为指导未来研究的选题规划和选择提供了有价值的参考。