摘要
目的:观察八卦头穴透刺针法治疗轻度血管性认知障碍的临床疗效。方法:选取2020年5月至2021年6月在上海市民政老年医院住院治疗的轻度血管性认知障碍患者60例,按照随机数字表法分为观察组和对照组,每组30例。两组患者均给予基础治疗,包括针对血管因素给予调整血压、血脂、血糖等治疗。观察组给予八卦头穴透刺针法结合怀旧疗法治疗,对照组给予怀旧疗法治疗。治疗12周后,观察两组患者简易精神状态检查量表(mini-mental state examination,MMSE)评分、日常生活能力量表(activity of daily living scale,ADL)评分和中医证候积分变化情况。结果:两组患者治疗后MMSE评分高于治疗前,ADL评分、中医证候积分低于治疗前,且观察组MMSE评分高于对照组,ADL评分、中医证候积分低于对照组,差异有统计学意义(P<0.05);对照组有效率为36.7%,观察组有效率为63.3%,观察组有效率高于对照组,差异有统计学意义(P<0.05)。结论:八卦头穴透刺针法能改善轻度血管性认知障碍患者认知功能及中医证候,提高患者日常生活能力。
Objective:To observe the clinical efficacy of eight trigrams head-point penetration needling method on mild vascular cognitive impairment.Methods:A total of 60 patients with mild vascular cognitive impairment who were hospitalized in Shanghai Civil Affairs Hospital for the Elderly from May 2020 to June 2021 were selected and divided into the observation group and the control group according to random number table,with 30 cases in each group.The two groups of patients were first given basic treatment,including regulating blood pressure,blood lipid,blood sugar and other treatments for vascular factors.Then the observation group was additionally treated with eight trigrams head-point penetration needling method combined with nostalgic therapy,while the control group was additionally treated with nostalgic therapy.After 12 weeks of treatment,the changes of the scores of Mini-Mental State Examination(MMSE),activity of daily living scale(ADL)and TCM syndrome scores of the two groups were observed.Results:After treatment,the MMSE score of the two groups was higher than that of the same group before treatment,while the ADL score and TCM syndrome score were lower than that before treatment.The MMSE score of the observation group was higher than that of the control group,while the ADL score and TCM syndrome score were lower than that of the control group.All the differences were statistically significant(P<0.05).The effective rate of the control group was 36.7%,and that of the observation group was 63.3%.The effective rate of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion:Eight trigrams head-point penetration needling method can improve the cognitive function and TCM syndromes of patients with mild vascular cognitive impairment,and improve their daily living ability.
作者
沈立
倪杰
蒋婧
吴智祥
汪洋
王嘉欣
牛燕霞
SHEN Li;NI Jie;JIANG Jing;WU Zhi-xiang;WANG Yang;WANG Jia-xin;NIU Yan-xia(Shanghai Civil Affairs Hospital for the Elderly,Shanghai,China,201900;Xuhui District Central Hospital of Shanghai,Shanghai,China,200031)
出处
《河南中医》
2022年第12期1881-1885,共5页
Henan Traditional Chinese Medicine
基金
第六批全国老中医药专家学术经验继承项目{国中医药人教发[2017]29号}
2021年上海市民政局科研基金项目(8-2-44)
2019—2021年度上海市徐汇区卫生健康系统三级人才发展计划项目{徐卫健党[2019]65号}。
关键词
血管性认知障碍
八卦头穴透刺针法
针刺疗法
怀旧疗法
vascular cognitive impairment
eight trigrams head-point penetration needling method
acupuncture
nostalgic therapy
作者简介
沈立(1983-),男,浙江绍兴人,医学硕士,主治医师;通信作者:牛燕霞,E-mail:doctniu@126.com。
