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The Modern Literature Research Of Acupuncture And Moxibustion Treating Senile Dementia

Posted on:2012-03-17Degree:DoctorType:Dissertation
Country:ChinaCandidate:M X WuFull Text:PDF
GTID:1114330368975652Subject:Traditional Chinese Medicine
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OBJECTIVES:To assess the methodologieal and report quality of the randomized controlled trials using acupuncture in the treatment of Sneile Dementia. Individual assesement for each RCT articles was carried out to evaluate the research quality level and to find the inherent problems.This quality review aims to raise the standard of Chinese Medieine treatment for Senile Dementia and to provide reference for clinical researehers. The methods of TCM treatment on Senile Dementia were summarized for further studies. Meta-analysis was conducted on recent years articles of the relevant acupuncture treatment of Sneile Dementia to provide a reliable basis for acupuncture treatment of clinical Sneile Dementia.METHODS:Research artieles published in recent 10 years were searched from CNKI and PubMed websitesAnd eligible studies were seleeted according to the inclusion criteria. Jadad scale and individualAnalysis were used to assess the quality of the researches based on the principles of Evidence-Based Medieine(EBM) and clinical epidemiology.The percentage is calculated for the analysis of the treatment measures of Chinesemedieine. Microsoft Office Exeel 2007 was used for data proeessing and statistical analysis. This article was divided into three parts:Metrological Analysis, Meta-analysis and Selecting Points Rules. The Cochrane Collaboration's RevMan 5.0.2 software was used for meta analyses. Microsoft Office EXCEL was used for Metrological Analysis and Selecting Points Rules.RESULTS:1. Rerults of Bibliometric analysis:(1)source of funds:there were 47 literatures which supported by some kind of funds in the total of 235 literatures. (2) in the total of 235 literatures, there were 75 literatures comes from GuangDong province and TianJin city, it taked the accout of 31.9%, it indicated that these tow place stand forwords in studying AD around the country. (3)the literatures most be published in Chinese Acupuncture and Moxibustion. (4) there were 96 CT literatures, taked the accout of 41.1%, this kind of literatures was the most, then the summarization literatures next. (5) institutions:in the institutions of high school, hospital and research department, the hospitals dedicate the most literatures, then the high schools. (6) therapy methods:to summarize the total of 96 CT literatures, the therapy of acupuncture was used most, it accounted to 38 times, then the acupuncture+ TCM+medicine, this accounted to 17 times. The usage in the control group:TCM was used the most, taked the account to 12.9%. Then Nimodipine and Piracetam.2. Meta-analysis:A total of 19 trials were received heterogeneity test(P=0.55 I2=0%); it showed that these studies had the clinical and statistical homogeneity, [OR=3.31, (95% CI=2.51, 4.36)], and combined effect of the value of Z=8.51(P<0.00001), implying that there was sufficient evidence to prove a superior effect of acupuncture over medicine.3. the law of using acupoints:(1) meridians and collateralsthe most acupoints located in the DU meridian, such as baihui, yintang, ect. The acupoints on the heart channel of hand shaoyin were also most used, only next to the DU meridian, such as shen men. But the acupoints in the urinary bladder channel of foot taiyang were used most frequently. (2)the main acupoints:the used of main acupoints were stand next as follows:BaiHui,ShenMen, DaZhui,FengChi,SiShenCong, ZuSanLi, SanYinJiao, NeiGuan, ShuiGou, ShenTing; (3) acupoints most located on the face and the back; (4) specific acupoint, back-shupoints were used the most.Conclusion:According to the results, we can easily recognize that Senile Dementia is becoming a significant disease which can influence human health. Studies focusing on the treatment to which has less side effect and accurate therapeutic effect are hot recently. Treating Senile Dementia by acupuncture has a long history, and our research was analysed and criticized under the principles and methods of Evidence-Based Medicine. We can inferred from the existent evidences that acupuncture do have effect on curing Senile Dementia.
Keywords/Search Tags:Senile Dementia, Acupunture, Literiture Research, Evidence Based Medicine
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