头针加井穴治疗非痴呆型血管性认知功能障碍的临床研究

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1、头针加井穴治疗非痴呆型血管性认知功能障碍的临床研究(1长春中医药大学中医内科学2013级硕士研宄生吉林长春130117)(2吉林省中医药科学院老年病科吉林长春130021)【摘要】目的：观察头针加井穴治疗非痴呆型血管性认知功能障碍(VCIND)临床疗效。方法：选取符合纳入标准的60例VCIND患者，随机将其分为对照组30例，治疗组30例，对照组给予普通针刺治疗，治疗组给予头针加井穴治疗，两组每周治疗6天，周日休息1天，疗程为12周。第8周及12周给予量表评估。结果：治疗组疗效指数为83.3%,对照组疗效指数为70.0%,治疗组明显优

2、于对照组。治疗组治疗后简易精神状态量表(MMSE)总体得分明显增高，组间比较差异具有统计学意义(P<0.05)。结论:头针加井穴对非痴呆型血管性认知功能障碍患者的记忆力、注意力有一定改善，总体认知功能也有一定提高。【关键词】头针：井穴：非痴呆型血管性认知功能障碍【中图分类号】R245【文献标识码】B【文章编号】2095-1752(2016)01-0296-03ScalpacupunctureaddJingpointclinicalresearchforthetreatmentofVascularCognitiveImpairm

3、entNoDementiaLiuYanqiu'SunUprofessor1ChangchunUniversityofTraditionalChineseMedicineinChangchun,JilinProvince,P.R.ofChina1301172FirstClinicalHospitaloftheJilinProvinceAcademyofTraditionalChineseMedicineinChangchun,JilinProvince,P.R.ofChina130021.【Abstract】ObservationBy

4、observingtheclinicalcurativeeffectintreatmentofVascularCognitiveImpairmentNoDementia(VCIND)withScalpacupunctureaddjingpoint.MethodTotalof60patientswithVCINDpatients,accordingtotheprincipleofrandom,weredividedinto2groups(30intreatmentgroup,30incontrolgroup).Patientsinco

5、ntrolgroupreceivedComfortofacupuncturetreatment,whilethoseincontrolgroupreceivedScalpacupunctureaddjingpointtreatment,Twogroupsoftreatment6daysaweek,OnlyonedayoffonSunday.Treatmentfor12weeks.Togivescaleassessmentafter8weeksand12weeks.ResultsInthetreatmentgroup,thecurat

6、iveeffectwassuperiortothecontrolgroup.whichtheratioofthecurativeeffectwere83.3%and70.0%respectively(P<0.05).ThetreatmentgroupafterMinimumMentalStateExamination(MMSE)scoresignificantlyhigher,Comparativedifferencesbetweengroupswithstatisticalsignificance(P<0.05).Co

7、nclusionWellScalpacupunctureaddjingpointtreatmentofVCINDhasbetterclinicalcurativeeffect.Worthyofclinicalpopularizationandapplication.【Keywords］Scalpacupuncture;jingpoint;VCIND非痴呆型血管性认知功能障碍(VCIND)由各类脑血管疾病引起的，属于早期或轻度认知功能障碍的一种。主要表现为记忆力、注意力及执行功能下降、处理能力迟钝等其他认知功能损害，也可有抑郁、焦虑的

8、症状［1］。如果早期干预非痴呆型血管性认知功能障碍(VCIND)，其病程的进展是可逆的，认知功能的缺损也是可以控制和缓解的［2］。本研究采用头针加井穴治疗VCIND,并与普通针刺组进行临床随机对照研宄，显示在认知及执行功能方面有一定改