摘要
目的:观察电针头穴对轻度认知障碍(MCI)患者早期干预的临床疗效,为针灸治疗MCI提供可靠证据。方法:将84例MCI患者随机分为药物对照组、电针头穴组和辨证配穴组。电针头穴组穴取百会、四神聪、风池、神庭;辨证配穴组在电针头穴组取穴治疗的基础上,通过血管性痴呆辨证量表评定MCI患者中医证型,加用相应穴位;药物组口服尼莫地平。3个组均在治疗前后进行MMSE量表和画钟测验评定,并进行治疗前后及组间对比。结果:8周治疗结束后,3个组治疗前后在MMSE量表、画钟测验评分上显示存在显著性差异(P<0.01,P<0.05);电针头穴组和辨证配穴组MMSE量表积分改善优于药物组(P<0.01),电针头穴组与辨证配穴组组间比较差异无统计学意义(P>0.05);3个组在画钟测验评分上组间比较差异无统计学意义(P>0.05)。结论:电针头穴对改善轻度认知功能障碍患者的认知功能有独特优势,是一种有效的治疗方法。
Objective： To assess the efficacy of electric scalp acupuncture in treating mild cognitive impairment（MCI）by early intervention,and to provide the reliable evidence of clinical research for acupuncture treatment of mild cognitive impairment.Methods： 84patients diagnosed with mild cognitive impairment were randomly allocated to a medication group,an electric scalp acupuncture group and an electric scalp acupuncture with syndrome differentiation group.Baihui,Sishenchong,Fengchi,Shenting were selected in the electric scalp acupuncture group.Another for electric scalp acupuncture with syndrome differentiation group,selection of points was on the basis of syndrome differentiation according the scale for the differentiation of syndromes of vascular dementia.The medication group was orally given Nimodipine.Evaluation was made using mini-mental state examinations and clock-drawing task scales in the three groups before and after treatment.A comparison was made between pretreatment and post-treatment and between the three groups.Results： After treatment,the scores of mini-mental state examinations and clock-drawing task were significantly changed（P0.01,P0.05） in the three groups;The mini-mental state examinations scores improved more in the electric scalp acupuncture group and the electric scalp acupuncture with syndrome differentiation group than in the medication group（P0.01）,but with no significant differences（P0.05） between the electric scalp acupuncture group and the electric scalp acupuncture with syndrome differentiation group;there were no statistically significant differences（P0.05）of the clock-drawing task scores in the three groups.Conclusion ： Electric scalp acupuncture has special advantages in improving cognitive function in patients with mild cognitive impairment and the therapeutic effect has been proved.
出处
《四川中医》
2012年第2期112-114,共3页
Journal of Sichuan of Traditional Chinese Medicine
基金
四川省科技厅课题项目(编号:2008SZ0048)
关键词
轻度认知障碍
电针头穴
MMSE量表
画钟测验
Mild cognitive impairment Electric scalp acupuncture mini-mental state examinations（MMSE） Clock-drawing task
