[1]刘昊,苏凯奇,张钰涵,等.针刺治疗脑卒中后认知障碍随机对照试验的方法学评价[J].西部中医药,2026,39(05):100-107.[doi:10.12174/j.issn.2096-9600.2026.05.20]
　LIU Hao,SU Kaiqi,ZHANG Yuhan,et al.Methodological Evaluation of Randomized Controlled Trials on Acupuncture for Post-Stroke Cognitive Impairment[J].Western Journal of Traditional Chinese Medicine,2026,39(05):100-107.[doi:10.12174/j.issn.2096-9600.2026.05.20]
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针刺治疗脑卒中后认知障碍随机对照试验的方法学评价()

《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
39
期数:
2026年05期
页码:
100-107
栏目:
二次研究
出版日期:
2026-05-15

文章信息/Info

Title:
Methodological Evaluation of Randomized Controlled Trials on Acupuncture for Post-Stroke Cognitive Impairment
作者:
刘昊1, 苏凯奇1,2, 张钰涵1, 袁洁1, 凡勇福1, 聂晨晨1, 阮晓迪1, 冯晓东1,2
1.河南中医药大学，河南 郑州 450046
2.河南中医药大学第一附属医院康复中心，河南 郑州 450000
Author(s):
LIU Hao1, SU Kaiqi1,2, ZHANG Yuhan1, YUAN Jie1, FAN Yongfu1, NIE Chenchen1, RUAN Xiaodi1, FENG Xiaodong1,2
1.Henan University of Chinese Medicine, Zhengzhou 450046, China
2.Rehabilitation Center of The First Affiliated Hospital of Henan University of Chinese Medicine, Zhengzhou 450000, China
关键词:
脑卒中; 认知障碍; 针刺; 随机对照试验; 方法学; 文献研究
Keywords:
stroke; cognitive impairment; acupuncture; randomized controlled trials; methodology; literature review
分类号:
R255.2
DOI:
10.12174/j.issn.2096-9600.2026.05.20
文献标志码:
A
摘要:
目的评价针刺治疗脑卒中后认知障碍的随机对照试验的质量水平和存在的问题，提出改进建议以提高临床研究质量。 方法检索中国知网数据库中2011年6月30日至2021年6月30日公开发表的针刺治疗脑卒中后认知障碍随机对照研究，采用国际通用的Cochrane偏倚风险评估工具和CONSORT声明对纳入研究进行方法学评价。 结果共纳入37项研究，Cochrane偏倚风险评估工具结果表明，32篇（89.19%）存在选择偏倚，34篇（91.89%）存在实施偏倚，26篇（70.27%）存在测量偏倚，25篇（67.57%）存在失访偏倚。CONSORT声明中，除背景、干预措施等少数项外，其余涉及试验设计、分配隐藏、受试者流向及研究局限性等大部分条目的报告质量均评为差。 结论中国知网数据库中关于针刺治疗脑卒中后认知障碍随机对照试验的质量普遍较低，存在较大提升空间。
Abstract:
ObjectiveTo evaluate the quality and existing problems of randomized controlled trials on acupuncture for post-stroke cognitive impairment, and to propose suggestions for improvement to enhance the quality of clinical research. MethodsStudies were retrieved from the CNKI database covering the period from June 30, 2011, to June 30, 2021. The methodological quality of the included randomized controlled trials on acupuncture for post-stroke cognitive impairment was evaluated using the Cochrane Risk of Bias Tool and the CONSORT statement. ResultsA total of 37 studies were included. The results of the Cochrane Risk of Bias Tool indicated that 32 studies (89.19%) had selection bias, 34 studies (91.89%) had performance bias, 26 studies (70.27%) had detection bias, and 25 studies (67.57%) had attrition bias. According to the CONSORT statement, except for a few items such as background and interventions, the reporting quality of most items—including trial design, allocation concealment, participant flow, and study limitations—was rated as poor. ConclusionThe quality of randomized controlled trials on acupuncture for post-stroke cognitive impairment in CNKI database is generally low, with considerable room for improvement.

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备注/Memo

备注/Memo:
国家自然科学基金面上项目（82174473）；国家自然科学联合基金项目（U2004131）；河南省中医药管理局国家中医临床研究基地科研专项（2018JDZX011）；河南省科技攻关计划项目（202102310167）。刘昊（1997—），男，硕士学位。研究方向：老年病康复。
更新日期/Last Update: 2026-05-15