摘要
目的:分析针刺疗法结合康复训练治疗轻度认知功能障碍的临床效果,旨在寻求轻度认知功能障碍的有效治疗手段及措施。方法:选取确诊的轻度认知功能障碍患者100例。随机数字表法分为观察组、对照组,各50例。对照组仅予认知功能康复训练,观察组认知功能康训练辅助给予针刺疗法,比较两组治疗前后认知功能及量表(MMSE)、日常生活能力量表(ADL)、蒙特利尔认知评估量表(MoCA)及韦氏记忆量表评定(WMS)等评分及治疗效果。结果:治疗12周后,观察组患者的总有效率94.00%高于对照组的80.00%(P<0.05)。治疗前两组患者MMSE、ADL及MoCA评分比较,差异无统计学意义(P>0.05)。与治疗前比较,治疗4周、8周及12周的组内MMSE、ADL及MoCA评分比较,差异均有统计学意义(P<0.05)。两组患者在相同的时间点比较,观察组患者MMSE、ADL及MoCA评分明显高于对照组(P<0.05);治疗前两组患者WMS评分比较,差异无统计学意义(P>0.05);与治疗前比较,治疗12周后每组组内WMS评分比较,差异均有统计学意义(P<0.05);治疗12周后,观察组患者WMS评分明显高于对照组(P<0.05)。结论:针刺疗法结合康复训练治疗轻度认知功能障碍效果明显,预后良好。
Objective：To analyze the clinical effect of acupuncture combined with rehabilitation training in the treatment of mild cognitive impairment,aiming at seeking effective treatment and measures for mild cognitive impairment.Methods：A total of 100 patients with mild cognitive impairment were selected and randomly divided into observation group and control group with 50 cases in each group.The control group was only given cognitive rehabilitation training,the observation group was given cognitive rehabilitation training combined with acupuncture.The scores of cognitive function and scale（MMSE）,daily living ability scale（ADL）,Montreal cognitive assessment scale（MoCA）and wechsler memory scale（WMS）were compared before and after treatment and treatment effect.Results：After 12 weeks of treatment,the total effective rate in the observation group was 94.00% higher than that in the control group（80.00%,P〈0.05）.There were no significant difference in MMSE,ADL and MoCA score between the two groups before treatment（P〉0.05）.Compared with those before treatment,the scores of MMSE,ADL and MoCA in 4,8 and 12 weeks after treatment were significantly difference（P〈0.05）.The scores of MMSE,ADL and MoCA in observation group were significantly higher than those in control group at the same time point（P〈0.05）.There was no significant difference in WMS score between the two groups before treatment（P〉0.05）.Compared with those before treatment,the WMS scores in each group after 12 weeks of treatment was significantly different（P〈0.05）.After 12 weeks of treatment,the WMS score in the observation group was significantly higher than that in the control group（P〈0.05）.Conclusion：Acupuncture combined with rehabilitation training has obvious effect on mild cognitive impairment and the prognosis is good.
作者
孙佳
彭娜
袁利
苗笛
王红
章晓君
任剑羽
孙海燕
王非
Sun Jia;Peng Na;Yuan Li(Department of Rehabilitation Medicine, Longfu Hospital in Beijing（Beijing 102218)
出处
《陕西中医》
2018年第6期793-796,共4页
Shaanxi Journal of Traditional Chinese Medicine
基金
北京市东城区卫生优秀人才培养资助项目(2015QWWJGW-2)
关键词
认知功能障碍/中西医结合疗法
针刺疗法
康复
Cognitive dysfunction/integrated Chinese traditional and western medicine therapy Acupuncture therapy Rehabilitation
