世界中医药

目的：探讨针刺联合认知康复训练治疗非痴呆型血管认知功能障碍（Vascular Cognitive Impairment，VCIND）的临床疗效。方法：将86例VCIND患者按随机数字表法分为2组，每组43例，研究组采用针刺联合认知康复训练治疗，对照组采用针刺治疗，2组均治疗8周，比较2组治疗前后蒙特利尔认知评估量表（Montreal Cognitive Assessment，MOCA）评分、日常生活活动能力量表（Activities of Daily Living，ADL）评分、中医症候（Syndrome of Chinese Medicine，SDSVD）评分及血清同型半胱氨酸（Homocysteine，HCY）、叶酸水平，并比较治疗后2组中医症候疗效。结果：治疗后研究组MOCA评分、血清叶酸水平高于对照组（P<0.05），ADL评分、SDSVD评分、血清HCY水平低于对照组（P<0.05），中医症候有效率高于对照组（P<0.05），差异均有统计学意义。结论：针刺联合认知康复训练可有效增加VCIND患者的MOCA评分、降低ADL和SDSVD评分，提高治疗有效率，为VCIND康复治疗提供了新的思路。

English Summary:

To explore clinical curative effect of non dementia vascular cognitive impairment(VCIND)by acupuncture combined with rehabilitation training.Methods:A total of 86 patients with VCIND were randomly divided into two groups, with 43 cases in each group.The study group were treated by acupuncture combined with cognitive rehabilitation training treatment, the control group were treated with acupuncture treatment, after the treatment of 8 weeks, Montreal cognitive assessment (MOCA) score, activities of daily living scale (ADL)，TCM syndrome score (SDSVD) score and serum homocysteine (HCY)isotropic folate levels of the patients before and after treatment of the two groups were compared, and TCM symptoms after treatment was compared.Results:MOCA score and serum folic acid level of the treatment group were higher than those of the control group (P<0.05)，ADL and SDSVD score，the level of serum HCY score were lower than those of the control group (P<0.05), TCM syndrome efficiency was higher than that of the control group (P<0.05), the differences were statistically significant.Conclusion:Acupuncture combined with cognitive rehabilitation training can effectively improve MOCA score of the patients with VCIND, reduce ADL and SDSVD score, and it can improve the treatment efficiency, so it provides a new idea for VCIND rehabilitation therapy.

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