Objective：To investigate the effects of acupoint massage on cognitive function and sleep quality in elderly patients with hypertension. Methods：A total of 68 elderly patients with hypertension were enrolled, and the...Objective：To investigate the effects of acupoint massage on cognitive function and sleep quality in elderly patients with hypertension. Methods：A total of 68 elderly patients with hypertension were enrolled, and their ages were all over 60 years old. They were divided into a control group and a treatment group by simple random method, with 34 cases in each group. Patients in the control group were treated by routine psychological health guidance and sleep knowledge education, while patients in the treatment group were treated by acupoint massage on the base of the interventions given to the control group. Both of their treatment courses were 3 months. Pittsburgh sleep quality index （PSQI） scores and mini-mental state examination （MMSE） scores before and after treatment were recorded and compared. Results：Two groups’ PSQI scores before treatment had no significant difference （P〉0.05）. After 3 months of treatment, their PSQI scores were statistically different （P〈0.05）. There was also no between-group statistical difference in MMSE score before treatment （P〉0.05）, but there was a significant difference after treatment （P〈0.05）. Conclusion：Acupoint massage for elderly patients with primary hypertension can improve their sleep quality and enhance their cognitive function, thus it is worthy of being applied in clinical nursing work.展开更多
目的探讨围术期内行经皮穴位电刺激(TEAS)对无抽搐电休克治疗的中老年患者中枢神经损伤和记忆能力的影响。方法选择电休克治疗的中老年患者随机分为对照组和TEAS组,每次电休克前均在患者双侧内关穴、双侧合谷穴及大椎穴贴上电极片,连接...目的探讨围术期内行经皮穴位电刺激(TEAS)对无抽搐电休克治疗的中老年患者中枢神经损伤和记忆能力的影响。方法选择电休克治疗的中老年患者随机分为对照组和TEAS组,每次电休克前均在患者双侧内关穴、双侧合谷穴及大椎穴贴上电极片,连接穴位神经刺激仪。TEAS组采用疏密波,频率2/15 Hz,强度为10~30 m A调节至以患者疼痛不能耐受的最大水平,电刺激持续30 min。对照组不接通电源。于首次电休克前(T1)、和第6次电休克次日(T2)行简明精神状态量表(MMSE)和韦氏记忆量表(WMS)测评;静脉血检测中枢神经特异性蛋白(S100β蛋白)、神经元特异性烯醇化酶(NSE)浓度;记录围术期内不良反应(头痛、头晕、恶心呕吐、肌肉酸痛、发热)总例数。结果TEAS组与对照组T1时MMSE评分(26.92±1.98)分与(27.25±1.60)分,WMS评分为(87.33±17.86)分与(84.25±16.61)分,差异无统计学意义(P>0.05);T1时S100β蛋白浓度为(0.07±0.03)μg/L与(0.08±0.02)μg/L,NSE浓度(15.41±3.61)μg/L与(15.17±2.07)μg/L,差异无统计学意义(P>0.05);在T2时TEAS组MMSE评分为(23.58±4.23)分,高于对照组(19.58±4.80)分,WMS评分为(82.25±18.68)分,高于对照组(58.67±11.03)分,差异有统计学意义(P>0.05);T2时TEAS组S100β蛋白(0.04±0.01)μg/L低于对照组(0.09±0.03)μg/L、NSE(13.20±2.08)μg/L低于对照组(16.15±2.24)μg/L,差异有统计学意义(P<0.05);TEAS组围术期内头痛发生率(0%)与对照组(23.8%),头晕发生率(0%)与对照组(4.35%),比较均差异无统计学意义(P>0.05)。结论围术期应用经皮穴位电刺激技术可减轻中老年患者电休克术后中枢神经损伤,改善记忆能力。展开更多
Objective:To observe the effect of scalp acupoint cluster needling on learning and memory ability and inflammatory mediators in CA1 area of hippocampus in rats with Alzheimer's disease(AD).Methods:A total of 40 SP...Objective:To observe the effect of scalp acupoint cluster needling on learning and memory ability and inflammatory mediators in CA1 area of hippocampus in rats with Alzheimer's disease(AD).Methods:A total of 40 SPF Wistar rats were randomly divided into blank group,sham operation group,model group and scalp acupoint cluster needling group,with 10 rats in each group.The AD model was duplicated by injecting Abeta 1-42 solution into bilateral hippocampus in model group and scalp acupoint cluster needling group.The sham operation group was injected with the same amount of sterile hydrogen peroxide,while the blank group was not treated.The scalp acupoint cluster needling group was given acupuncture intervention from 2 d after model establishment.The blank group,sham operation group and model group were only bundled and fixed in the dorsal position once a day for 14 consecutive days.After treatment,the learning and memory ability of AD rats was tested by Morris water maze test,the contents and activities of Ach,ChAT and AcE in hippocampal CA1 area were detected by ELISA,and the expressions of IL-6,IL-10 protein and mRNA in hippocampal CA1 area were detected by immunohistochemistry and RT-PCR,respectively.Results:Ach content,ChAT activity,IL-10 protein and mRNA expression in hippocampus were significantly lower than those in blank group,while AchE activity and IL-6 protein and mRNA expression were significantly higher than those in blank group.Compared with the model group,scalp acupoint cluster needling could significantly reduce the escape latency time,increase the number of crossing platforms and effective residence time,increase the content of Ach,the activity of ChAT,the expression of IL-10 protein and mRNA in hippocampus,and decrease the activity of AchE and the expression of IL-6 protein and mRNA.Conclusion:Controlling the expression of inflammatory factors and promoting the content of Ach in hippocampal CA1 region of AD rats can improve the learning and memory ability of AD rats.展开更多
基金supported by the Project of Taishun County Science and Technology Bureau,Zhejiang Province,No.2014082~~
文摘Objective：To investigate the effects of acupoint massage on cognitive function and sleep quality in elderly patients with hypertension. Methods：A total of 68 elderly patients with hypertension were enrolled, and their ages were all over 60 years old. They were divided into a control group and a treatment group by simple random method, with 34 cases in each group. Patients in the control group were treated by routine psychological health guidance and sleep knowledge education, while patients in the treatment group were treated by acupoint massage on the base of the interventions given to the control group. Both of their treatment courses were 3 months. Pittsburgh sleep quality index （PSQI） scores and mini-mental state examination （MMSE） scores before and after treatment were recorded and compared. Results：Two groups’ PSQI scores before treatment had no significant difference （P〉0.05）. After 3 months of treatment, their PSQI scores were statistically different （P〈0.05）. There was also no between-group statistical difference in MMSE score before treatment （P〉0.05）, but there was a significant difference after treatment （P〈0.05）. Conclusion：Acupoint massage for elderly patients with primary hypertension can improve their sleep quality and enhance their cognitive function, thus it is worthy of being applied in clinical nursing work.
文摘目的探讨围术期内行经皮穴位电刺激(TEAS)对无抽搐电休克治疗的中老年患者中枢神经损伤和记忆能力的影响。方法选择电休克治疗的中老年患者随机分为对照组和TEAS组,每次电休克前均在患者双侧内关穴、双侧合谷穴及大椎穴贴上电极片,连接穴位神经刺激仪。TEAS组采用疏密波,频率2/15 Hz,强度为10~30 m A调节至以患者疼痛不能耐受的最大水平,电刺激持续30 min。对照组不接通电源。于首次电休克前(T1)、和第6次电休克次日(T2)行简明精神状态量表(MMSE)和韦氏记忆量表(WMS)测评;静脉血检测中枢神经特异性蛋白(S100β蛋白)、神经元特异性烯醇化酶(NSE)浓度;记录围术期内不良反应(头痛、头晕、恶心呕吐、肌肉酸痛、发热)总例数。结果TEAS组与对照组T1时MMSE评分(26.92±1.98)分与(27.25±1.60)分,WMS评分为(87.33±17.86)分与(84.25±16.61)分,差异无统计学意义(P>0.05);T1时S100β蛋白浓度为(0.07±0.03)μg/L与(0.08±0.02)μg/L,NSE浓度(15.41±3.61)μg/L与(15.17±2.07)μg/L,差异无统计学意义(P>0.05);在T2时TEAS组MMSE评分为(23.58±4.23)分,高于对照组(19.58±4.80)分,WMS评分为(82.25±18.68)分,高于对照组(58.67±11.03)分,差异有统计学意义(P>0.05);T2时TEAS组S100β蛋白(0.04±0.01)μg/L低于对照组(0.09±0.03)μg/L、NSE(13.20±2.08)μg/L低于对照组(16.15±2.24)μg/L,差异有统计学意义(P<0.05);TEAS组围术期内头痛发生率(0%)与对照组(23.8%),头晕发生率(0%)与对照组(4.35%),比较均差异无统计学意义(P>0.05)。结论围术期应用经皮穴位电刺激技术可减轻中老年患者电休克术后中枢神经损伤,改善记忆能力。
基金Scientific Research Project of Heilongjiang Health and Family Planning Commission(2018231).
文摘Objective:To observe the effect of scalp acupoint cluster needling on learning and memory ability and inflammatory mediators in CA1 area of hippocampus in rats with Alzheimer's disease(AD).Methods:A total of 40 SPF Wistar rats were randomly divided into blank group,sham operation group,model group and scalp acupoint cluster needling group,with 10 rats in each group.The AD model was duplicated by injecting Abeta 1-42 solution into bilateral hippocampus in model group and scalp acupoint cluster needling group.The sham operation group was injected with the same amount of sterile hydrogen peroxide,while the blank group was not treated.The scalp acupoint cluster needling group was given acupuncture intervention from 2 d after model establishment.The blank group,sham operation group and model group were only bundled and fixed in the dorsal position once a day for 14 consecutive days.After treatment,the learning and memory ability of AD rats was tested by Morris water maze test,the contents and activities of Ach,ChAT and AcE in hippocampal CA1 area were detected by ELISA,and the expressions of IL-6,IL-10 protein and mRNA in hippocampal CA1 area were detected by immunohistochemistry and RT-PCR,respectively.Results:Ach content,ChAT activity,IL-10 protein and mRNA expression in hippocampus were significantly lower than those in blank group,while AchE activity and IL-6 protein and mRNA expression were significantly higher than those in blank group.Compared with the model group,scalp acupoint cluster needling could significantly reduce the escape latency time,increase the number of crossing platforms and effective residence time,increase the content of Ach,the activity of ChAT,the expression of IL-10 protein and mRNA in hippocampus,and decrease the activity of AchE and the expression of IL-6 protein and mRNA.Conclusion:Controlling the expression of inflammatory factors and promoting the content of Ach in hippocampal CA1 region of AD rats can improve the learning and memory ability of AD rats.
