Evidence Summary and Evaluation of Non-Drug Treatment of Older Dementia by TCM

OBJECTIVE: Evaluate the evidence of non-drug treatment of geriatric dementia in Chinese medicine, provide evidence support for guidelines on the management of dementia; Method: Retrieving various guidelines databases to obtain recommendations related to non-drug management of TCM, retrieving CNKI, Vepp, Pubmed, Medline, Cochforane library, Embase, Psycin-Mase, Databases such as CINAHL, ACP Journal Club (www.acpjc.org) to obtain system evaluations. Guideline evaluation tool A-GREE II. Methodological quality and evidence quality included in system evaluation/Meta analysis were evaluated using AMSTAR scale and GRAIN system respectively; Results: retrieval of needling Therapeutic AD System Evaluation, Aromatherapy AD Patient System Evaluation, Aromatherapy AD Patient System Evaluation, Non Drug Management AD Patient System Evaluation, including Apotic Massage, AMASTA rating ranges from 6.5 to 11, and GRAND Evidence Quality Grading is mostly Low and Moderate. A systematic evaluation analysis synthesis of Effect of sensory stimulation intervention in dementia patients, massage method A section for acne massage, The results showed that the acne massage group and Montessori education group both significantly reduced stimulation behavior, other non-excitatory behavior of the body, more verbal excitatory behavior, AM-STAR: 8.5. Retrieved an article containing “Aromatherapy” related Recommended Guidelines, Aromatherapy is not recommended to alleviate AD patients Behavior. aromatherapy presents inconsistent results compared to placebo in patients with dementia [AMSTAR: 8.5; GRAIN: very low]. Conclusion: However, this study shows that research on TCM non-drugs in patients who have developed AD is still inadequate, especially the application of TCM care techniques to AD patients often lacking, so its non-drug management of AD Guidelines continue to be less supportive. TCM researchers should continue to carry out high-quality original research and provide timely evidence summarization and evaluation to facilitate evidence-based transformation of TCM care techniques.