Tiao-She Nursing of Traditional Chinese Medicine for Mild Cognitive Disorder: An Assessment of Clinical Evidence_Chinese Journal of Evidence-Based Medicine

Authors：

 JINYing-hui ¹ ,  SHANGHong-cai ^2,3 , XIEYu-lu ¹ , LIGuo-cui ¹ , CHIKai-li ¹ , LIXiao-hong ¹

1. Nursing School, Tianjin University of Traditional Chinese Medicine, Tianjin 300193, China;
2. Key Laboratory of Chinese Internal Medicine, Ministry of Education, Beijing University of Chinese Medicine, Beijing 100700, China;
3. Tianjin Branch of the Ministry of Education Virtual Research Center for Evidence-Based Medicine, Tianjin 300193, China;

Corresponding?author：

SHANGHong-cai, Email: shanghongcai@foxmail.com

Keywords：

Mild cognitive disorder; Tiao-She nursing of traditional Chinese medicine; Evidence

DOI：

10.7507/1672-2531.20150058

Video：

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Objective To assess the efficacy and safety of Tiao-She nursing of traditional Chinese medicine (TCM) for mild cognitive disorder (MCD), and to provide theoretical basis for developing evidence-based guideline of Tiao-She nursing of TCM. Methods We searched PubMed, Web of Science, The Cochrane Library, EMbase, MEDLINE, Springerlink, CBM, CNKI, VIP and WanFang Data for systematic reviews/meta-analyses (SRs/MAs), as well as randomized controlled trials (RCTs), up to December 2014. Two reviewers screened literature according to the inclusion and exclusion criteria and extracted data. Methodological quality and evidence quality of included SRs/MAs were assessed using AMSTAR scale and GRADE tool, respectively. Methodological quality of included RCTs was assessed using risk of bias assessment tool of the Cochrane Handbook 5.1.0. Results Nine RCTs were identified, but no SRs/MAs was retrieved. Interventions for MCD included acupoint massage, moxibustion, auricular-plaster therapy, qigong, Tai chi, calligraphy, and food therapy of ginseng. All included RCTs showed that Tiao-She nursing of TCM was effective on cognitive ability and psychosocial function. Conclusion Tiao-She nursing of TCM might be effective and safe, and the methods are variable. Due to the limitation of the quality of included RCTs, the efficacy and safety of Tiao-She nursing of TCM for MCD are still needed to be verified by high quality studies.

Citation： JINYing-hui, SHANGHong-cai, XIEYu-lu, LIGuo-cui, CHIKai-li, LIXiao-hong. Tiao-She Nursing of Traditional Chinese Medicine for Mild Cognitive Disorder: An Assessment of Clinical Evidence. Chinese Journal of Evidence-Based Medicine, 2015, 15(3): 346-352. doi: 10.7507/1672-2531.20150058 Copy

1.	何耀. 我國的人口老齡化與健康老齡化策略. 中國慢性病預防與控制, 2012, 20(5):507-509.
2.	Petersen RC. Mild cognitive impairment:transition from aging to Alzheimer's disease. Neurologia, 2000, 15(3):93-101.
3.	張振馨, 陳霞, 劉協和, 等. 北京、西安、上海、成都四地區癡呆患者衛生保健現狀調查. 中華醫學科學院學報, 2004, 26(2):116-121.
4.	王艷平, 翟靜波, 朱芳, 等. 太原市社區老年人輕度認知功能障礙向阿爾茨海默病轉歸三年隨訪研究. 中華流行病學雜志, 2011, 32(2):105-109.
5.	王健凱, 楊錫燕. 中醫藥干預老年人輕度認知功能損害研究進展. 河北中醫, 2014, 4:628-630.
6.	中華中醫藥學會. 中醫護理常規技術操作規程. 北京:中國中醫藥出版社, 2006.
7.	張素秋、石福霞. 中醫護理技術操作實訓. 北京:人民軍醫出版社, 2011.
8.	Higgins JPT, Green S. Cochrane Handbook for Systematic Reviews of Interventions Version 5.1.0[updated March 2011]. The Cochrane Collaboration, 2011. Available at:www.Cochrane-handbook.org.
9.	Shea SJ, Bouter LM, Peterson J, et al. External validation of a measurement tool to assess systematic reviews (AMSTAR). PLoS ONE, 2007, 2(12):e1350.
10.	The GRADE Working Group, 2009. Available at:http://www.cc-ims.net/gradepro.
11.	馮曉敏. 穴位按摩對輕度認知障礙患者認知和社會功能的影響研究. 長沙:中南大學, 2012.
12.	孫景賢. 認知訓練和穴位按摩對輕度認知功能障礙老年人認知功能的影響研究. 長沙:中南大學, 2013.
13.	陳仿英, 王青平, 范文云, 等. 耳穴壓豆輔治輕度認知功能障礙療效觀察. 浙江中西醫結合雜志, 2013, 4:315-317.
14.	朱才豐, 楊駿. 艾灸督脈組穴治療輕度認知功能障礙療效觀察. 上海針灸雜志, 2010, 29(11):695-697.
15.	Lam LC, Chau RC, Wong BM, et al. Chan. Interim Follow-up of a Randomized Cont-rolled Trial Comparing Chinese Style Mind Body (Tai Chi) and Stretching Exercises on Cognitive Function in Subjects at Risk of Progressive Cognitive Decline. Int J Geriatr Psychiatry, 2011, 26(27):733-740.
16.	Lam LC, Chau RC, Wong BM, et al. A 1-year randomized controlled trial comparing mind body exercise (Tai Chi) with stretching and toning exercise on cognitive functi-on in older Chinese adults at risk of cognitive decline. J Am Med Dir Assoc, 2012, 13(6):568.
17.	Kwok TC, Bai X, Kao HS et al. Cognitive effects of calligraphy therapy for older people:a randomized controlled trial in Hong Kong. Clin Interv Aging, 2011, 6:269-273.
18.	鄭信團, 于娟, 凃人順, 等. 健身氣功六字訣對老年輕度認知障礙康復作用的研究. 國際中醫中藥雜志, 2013, 35(11):968-972.
19.	Park K, Jin H, Rhee HY, et al. A randomized, double-blind, placebo-controlled clinical trial ofKorean ginseng as a functional food in mild cognitive impairment. Alzheimer's & Dementia, 2013, 9(4Suppl):804.
20.	黎惠英, 李向芳, 陳小清. 綜合醫院中醫護理現狀與建議. 護理實踐與研究, 2012, 18(9):77.
21.	中國護理事業發展規劃綱要(2011-2015年). 中華護理雜志, 2012, 47(3):286-288.
22.	明. 王肯堂. 證治準繩.
23.	Wayne PM, Walsh I, Taylor-Piliae R et al. The Impact of Tai-Chi on cognitive performance in older adults:A systematic review and meta-analysis. J Altern Complement Med, 2014, 20(5):10-11.
24.	趙翠萍, 王京菊. 中醫情志護理初探. 中醫藥導報, 2013, 3:121-122.
25.	楊玲玲. 中醫思志理論的探討及遺忘型MCI患者思志變化的臨床研究. 福州:福建中醫學院, 2008.
26.	章進. 從中醫學角度論述書法的養生保健作用. 中醫研究, 2013, 26(11):12-14.
27.	魯周南. 從書法藝術探討五行學說中的情志因素. 光明中醫, 2013, 28(6):1093-1094.
28.	袁世宏, 王米渠, 高尚仁, 等. 書法及針刺調治老年癡呆的行為和細胞水平研究. 中國民間療法, 2003, 11(2):4-6.
29.	徐小國, 蔣萌. 替代指標在臨床試驗中的應用與局限性. 中國臨床藥理學與治療學, 2006, 11(10):1194-1197.
30.	張宏偉, 劉建平, 萬霞, 等. 臨床干預結局評估指標的分類及效應表達. 中西醫結合學報, 2007, 5(5):497-501.
31.	American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, DSM-IV TR, Text Revision. Fourth Edition. Washington, DC:American Psychiatric Association; 2000.
32.	Morris JC. Clinical dementia rating:a reliable and valid diagnostic and staging measure for dementia of the Alzheimer type. Int Psychogeriatr, 1997, 9(Suppl 1):173-176.
33.	張子洋, 常富業. 老年性癡呆的中醫藥診斷和治療研究進展. 中華中醫藥學刊, 2014, 8:1811-1814.
34.	張宏偉, 劉建平, 萬霞, 等. 臨床干預結局評估指標的分類及效應表達. 中西醫結合學報, 2007, 5(5):497-501.
35.	唐娟娟, 肖軍. 蒙特利爾認知評估量表與簡易精神狀態量表在認知功能障礙篩查中的應用與比較. 實用醫院臨床雜志, 2011, 8(2):193-195.
36.	方積乾. 衛生統計學. 第5版. 北京:人民衛生出版社, 2006:137.
37.	Savovi? J, Jones H, Altman D, et al. Influence of reported study design characteristics on intervention effect estimates from randomised controlled trials:combined analysis of meta-epidemiological studies. Health Technol Assess, 2012, 16(35):1-82.
38.	吳泰相, 商洪才, 卞兆祥. 隨機對照實況試驗的概念、設計和實施. 中國循證醫學雜志, 2009, 9(12):1277-1280.
39.	孫賢楨, 郭志男. 血管性癡呆的診斷及治療進展. 中國當代醫藥, 2012, 19(31):18-20.
40.	Li H, Li J, Li N, et al. Cognitive intervention for persons with mild cognitive impairment:A meta-analysis. Ageing Res Rev, 2011, 10(2):285-296.
41.	Singh B, Parsaik AK, Mielke MM, et al. Association of mediterranean diet with mild cognitive impairment and Alzheimer's disease:a systematic review and meta-analysis. J Alzheimers Dis, 2014, 39(2):271-282.
42.	Berg AI, Wallin A, Nordlund A, et al. Living with stable MCI:experiences among 17 individuals evaluated at a memory clinic. Aging Ment Health, 2013, 17(3):293-299.
43.	Roberts JL, Clare L. Meta-representational awareness in mild cognitive impairment:an interpretative phenomenological analysis. Aging Ment Health, 2013, 17(3):300-309.
44.	Courtney DL. Dealing with mild cognitive impairment:help for patients and caregivers. Clin Geriatr Med, 2013, 29(4):895-905.

1. 何耀. 我國的人口老齡化與健康老齡化策略. 中國慢性病預防與控制, 2012, 20(5):507-509.
2. Petersen RC. Mild cognitive impairment:transition from aging to Alzheimer's disease. Neurologia, 2000, 15(3):93-101.
3. 張振馨, 陳霞, 劉協和, 等. 北京、西安、上海、成都四地區癡呆患者衛生保健現狀調查. 中華醫學科學院學報, 2004, 26(2):116-121.
4. 王艷平, 翟靜波, 朱芳, 等. 太原市社區老年人輕度認知功能障礙向阿爾茨海默病轉歸三年隨訪研究. 中華流行病學雜志, 2011, 32(2):105-109.
5. 王健凱, 楊錫燕. 中醫藥干預老年人輕度認知功能損害研究進展. 河北中醫, 2014, 4:628-630.
6. 中華中醫藥學會. 中醫護理常規技術操作規程. 北京:中國中醫藥出版社, 2006.
7. 張素秋、石福霞. 中醫護理技術操作實訓. 北京:人民軍醫出版社, 2011.
8. Higgins JPT, Green S. Cochrane Handbook for Systematic Reviews of Interventions Version 5.1.0[updated March 2011]. The Cochrane Collaboration, 2011. Available at:www.Cochrane-handbook.org.
9. Shea SJ, Bouter LM, Peterson J, et al. External validation of a measurement tool to assess systematic reviews (AMSTAR). PLoS ONE, 2007, 2(12):e1350.
10. The GRADE Working Group, 2009. Available at:http://www.cc-ims.net/gradepro.
11. 馮曉敏. 穴位按摩對輕度認知障礙患者認知和社會功能的影響研究. 長沙:中南大學, 2012.
12. 孫景賢. 認知訓練和穴位按摩對輕度認知功能障礙老年人認知功能的影響研究. 長沙:中南大學, 2013.
13. 陳仿英, 王青平, 范文云, 等. 耳穴壓豆輔治輕度認知功能障礙療效觀察. 浙江中西醫結合雜志, 2013, 4:315-317.
14. 朱才豐, 楊駿. 艾灸督脈組穴治療輕度認知功能障礙療效觀察. 上海針灸雜志, 2010, 29(11):695-697.
15. Lam LC, Chau RC, Wong BM, et al. Chan. Interim Follow-up of a Randomized Cont-rolled Trial Comparing Chinese Style Mind Body (Tai Chi) and Stretching Exercises on Cognitive Function in Subjects at Risk of Progressive Cognitive Decline. Int J Geriatr Psychiatry, 2011, 26(27):733-740.
16. Lam LC, Chau RC, Wong BM, et al. A 1-year randomized controlled trial comparing mind body exercise (Tai Chi) with stretching and toning exercise on cognitive functi-on in older Chinese adults at risk of cognitive decline. J Am Med Dir Assoc, 2012, 13(6):568.
17. Kwok TC, Bai X, Kao HS et al. Cognitive effects of calligraphy therapy for older people:a randomized controlled trial in Hong Kong. Clin Interv Aging, 2011, 6:269-273.
18. 鄭信團, 于娟, 凃人順, 等. 健身氣功六字訣對老年輕度認知障礙康復作用的研究. 國際中醫中藥雜志, 2013, 35(11):968-972.
19. Park K, Jin H, Rhee HY, et al. A randomized, double-blind, placebo-controlled clinical trial ofKorean ginseng as a functional food in mild cognitive impairment. Alzheimer's & Dementia, 2013, 9(4Suppl):804.
20. 黎惠英, 李向芳, 陳小清. 綜合醫院中醫護理現狀與建議. 護理實踐與研究, 2012, 18(9):77.
21. 中國護理事業發展規劃綱要(2011-2015年). 中華護理雜志, 2012, 47(3):286-288.
22. 明. 王肯堂. 證治準繩.
23. Wayne PM, Walsh I, Taylor-Piliae R et al. The Impact of Tai-Chi on cognitive performance in older adults:A systematic review and meta-analysis. J Altern Complement Med, 2014, 20(5):10-11.
24. 趙翠萍, 王京菊. 中醫情志護理初探. 中醫藥導報, 2013, 3:121-122.
25. 楊玲玲. 中醫思志理論的探討及遺忘型MCI患者思志變化的臨床研究. 福州:福建中醫學院, 2008.
26. 章進. 從中醫學角度論述書法的養生保健作用. 中醫研究, 2013, 26(11):12-14.
27. 魯周南. 從書法藝術探討五行學說中的情志因素. 光明中醫, 2013, 28(6):1093-1094.
28. 袁世宏, 王米渠, 高尚仁, 等. 書法及針刺調治老年癡呆的行為和細胞水平研究. 中國民間療法, 2003, 11(2):4-6.
29. 徐小國, 蔣萌. 替代指標在臨床試驗中的應用與局限性. 中國臨床藥理學與治療學, 2006, 11(10):1194-1197.
30. 張宏偉, 劉建平, 萬霞, 等. 臨床干預結局評估指標的分類及效應表達. 中西醫結合學報, 2007, 5(5):497-501.
31. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, DSM-IV TR, Text Revision. Fourth Edition. Washington, DC:American Psychiatric Association; 2000.
32. Morris JC. Clinical dementia rating:a reliable and valid diagnostic and staging measure for dementia of the Alzheimer type. Int Psychogeriatr, 1997, 9(Suppl 1):173-176.
33. 張子洋, 常富業. 老年性癡呆的中醫藥診斷和治療研究進展. 中華中醫藥學刊, 2014, 8:1811-1814.
34. 張宏偉, 劉建平, 萬霞, 等. 臨床干預結局評估指標的分類及效應表達. 中西醫結合學報, 2007, 5(5):497-501.
35. 唐娟娟, 肖軍. 蒙特利爾認知評估量表與簡易精神狀態量表在認知功能障礙篩查中的應用與比較. 實用醫院臨床雜志, 2011, 8(2):193-195.
36. 方積乾. 衛生統計學. 第5版. 北京:人民衛生出版社, 2006:137.
37. Savovi? J, Jones H, Altman D, et al. Influence of reported study design characteristics on intervention effect estimates from randomised controlled trials:combined analysis of meta-epidemiological studies. Health Technol Assess, 2012, 16(35):1-82.
38. 吳泰相, 商洪才, 卞兆祥. 隨機對照實況試驗的概念、設計和實施. 中國循證醫學雜志, 2009, 9(12):1277-1280.
39. 孫賢楨, 郭志男. 血管性癡呆的診斷及治療進展. 中國當代醫藥, 2012, 19(31):18-20.
40. Li H, Li J, Li N, et al. Cognitive intervention for persons with mild cognitive impairment:A meta-analysis. Ageing Res Rev, 2011, 10(2):285-296.
41. Singh B, Parsaik AK, Mielke MM, et al. Association of mediterranean diet with mild cognitive impairment and Alzheimer's disease:a systematic review and meta-analysis. J Alzheimers Dis, 2014, 39(2):271-282.
42. Berg AI, Wallin A, Nordlund A, et al. Living with stable MCI:experiences among 17 individuals evaluated at a memory clinic. Aging Ment Health, 2013, 17(3):293-299.
43. Roberts JL, Clare L. Meta-representational awareness in mild cognitive impairment:an interpretative phenomenological analysis. Aging Ment Health, 2013, 17(3):300-309.
44. Courtney DL. Dealing with mild cognitive impairment:help for patients and caregivers. Clin Geriatr Med, 2013, 29(4):895-905.

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Tiao-She Nursing of Traditional Chinese Medicine for Mild Cognitive Disorder: An Assessment of Clinical Evidence

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