| 引用本文:江一静1,2，范文曦1，林凌1，邱丽芳1，林志诚1,2，游咏梅1,2，王君1.电针百会穴、神庭穴对血管性认知功能障碍的临床研究[J].世界中医药,2019,(02):. |
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| 电针百会穴、神庭穴对血管性认知功能障碍的临床研究 |
| Clinical Research of Electro-acupuncture at Baihui (GV20)，Shenting(GV 24) on Non-dementia Type Vascular Cognitive Impairment |
| 投稿时间：2018-08-28 |
| DOI：10.3969/j.issn.1673-7202.2019.02.047 |
| 中文关键词: 血管性认知功能障碍 非痴呆型 针刺 百会穴 神庭穴 认知能力 生命质量 疗效 |
| English Keywords:Vascular cognitive impairment VCI Type of non-dementia Acupuncture Baihui (GV20) Shenting (GV 24) Cognitive ability Quality of life Curative effects |
| 基金项目:国家自然科学基金项目(81574048)；福建省科技厅平台建设项目(2015Y2001) |
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| 中文摘要: |
| 目的:观察针刺百会穴、神庭穴对非痴呆型血管性认知功能障碍(VCIND)的临床疗效。方法:选取2011年1月至2017年1月福建中医药大学附属康复医院收治的VCIND患者60例纳入研究,按照随机数字表法随机法分为对照组和观察组,每组30例。2组患者均接受内科常规治疗,如控制血压、调节血糖、改善循环、营养神经、改善脑代谢等。同时接受肢体运动功能康复训练及认知训练,观察组在上述治疗方案基础上加电针百会穴及神庭穴,1次/d,45 min/次,5次/周。2组均连续治疗8周。比较2组患者治疗前后欧洲五维健康量表(EQ-5D-5L)评分量表、简易精神状态量表中文版(MMSE)、蒙特利尔认知评估量表北京版(MoCA)、Barthel指数(MBI)以及时间相关电位(P300)中潜伏期及波幅的变化。结果:1)经过为期8周的治疗,2组患者(EQ-5D-5L)评分均有所升高,与治疗前比较差异有统计学意义(P<0.05)。2)治疗后2组MMSE评分以及MBI评分均较治疗前有所提升,其中观察组改善的幅度较对照组明显,差异有统计学意义(P<0.05)。3)治疗后2组MoCA总评分有明显提升,视空间与执行能力、注意力、命名能力、语言能力、抽象、延迟记忆力及定向力的各项评估中亦发现有明显提升,其中观察组改善的幅度较对照组明显,差异有统计学意义(P<0.05);4)治疗后2组P300潜伏期均有所缩短,波幅均有所增加,与治疗前比较差异有有统计学意义(P<0.05),其中观察组改善的趋势较对照组明显,差异有有统计学意义(P<0.05)。结论:电针百会穴及神庭穴可明显改善VCIND认知能力,提升患者的生命质量。 |
| English Summary: |
| To observe the clinical curative effects of electro-acupuncture at Baihui (GV20)，Shenting (GV 24) on vascular cognitive impairment with non-dementia type (VCIND).Methods:A total of 60 patients with VCIND in Rehabilitation Hospital Affiliated to Fujian University of Traditional Chinese Medicine from January 2011 to January 2017 were selected and divided randomly into the control group and the observation group by random number table method.Each group had 30 cases.Patients in both groups were given conventional internal treatment (such as blood pressure controlling，blood glucose regulation，circulation improvement，nurturing nervous system，brain metabolism improvement，etc.)，limb motor function rehabilitation training and cognitive training，and observation group had electro-acupuncture at Baihui (GV20) and Shenting (GV 24) on the basis of the above treatment.The 2 groups were treated 1 time a day，30 min each time，5 times per week.The 2 groups were treated continuously for 8 weeks.The Traditional Chinese Medicine (TCM) syndrome integrals，Chinese version of Mini-mental State Examination (MMSE)，Montreal cognitive assessment scale Beijing edition (MoCA)，Barthel index (MBI) and latent period and amplitude changes in the time related potential (P300) of 2 groups of patients before and after treatment were compared.Results:1) After 8 weeks of treatment，TCM syndrome integrals decreased in the 2 groups of patients，and the differences were statistically significant compared with before the treatment (P<0.05).2) MMSE scores，MoCA scores and MBI scores improved in the 2 groups after treatment，the observation group improved more than the control group，and the differences were statistically significant (P<0.05).3) After treatment，latency period of P300 in the 2 groups was shortened，and volatility increased，with statistical significance differences compared with before treatment (P<0.05)，and the improving trend of the observation group was more obviously than the control group.The differences had statistical significance (P<0.05).Conclusion:Electro-acupuncture at Baihui (GV20) and Shenting (GV 24) can obviously improve cognitive ability of VCIND，and promote the quality of life in the patients. |
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