技术辅助认知干预对中风后认知障碍的有效性:系统性审查和元分析
Ying Wang1, Hui Liu1, Jin-Ying Zhao1
1School of Acupuncture-Moxibustion and Tuina, Changchun University of Chinese Medicine, No. 1035 Boshuo Road, Jingyue District, Changchun, Jilin, 130117, China.
Systematic reviews
|January 24, 2026
概括
技术辅助的认知干预措施有望改善中风后认知障碍 (PSCI). 重复性跨磁刺激 (rTMS) 和虚拟现实 (VR) 与认知训练相结合似乎最有效,尽管需要更多的研究.
科学领域:
- 神经科学是一个神经科学.
- 康复医学 康复医学 康复医学
- 医疗技术 医疗技术 医学技术
背景情况:
- 脑卒中后认知障碍 (PSCI) 是一个重大挑战.
- 技术辅助的认知干预正在成为潜在的治疗方法.
- 不同技术模式对PSCI的相对有效性尚未得到充分证实.
研究的目的:
- 系统地审查和网络元分析随机对照试验 (RCT),评估PSCI的技术辅助认知干预.
- 为了比较各种技术辅助干预措施对全球认知功能的有效性.
- 根据其有效性对干预措施进行排名.
主要方法:
- 按照PRISMA指南进行系统审查和网络元分析.
- 搜索了主要的数据库 (PubMed,EMBASE,科学网,科克兰图书馆) 的RCT.
- 使用蒙特利尔认知评估 (MoCA) 和迷你心理状态检查 (MMSE) 评估全球认知.
- 估计的效果大小和使用积累性排名曲线 (SUCRA) 下面表面的干预措施的排名.
主要成果:
- 包括14项涉及673名参与者的试验.
- 虚拟现实 (VR) 与认知训练相结合,与单独的基本治疗相比,改善了MoCA分数.
- 对MMSE分数来说,重复性跨体磁性刺激 (rTMS) 和运动游戏 (exergaming) 显示出优于基本治疗的优势.
- 与计算机认知训练 (CCT) 结合的rTMS在MoCA中排名最高,而单独的rTMS在MMSE中排名最高.
结论:
- 技术辅助的认知干预,当添加到基本治疗时,可能会增强中风后的全球认知功能.
- 目前的证据是初步的,有效性因干预方式而异.
- 更大的,高质量的RCT是必要的,以确认发现和指导临床实施.
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